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Tanaffos، جلد ۱۰، شماره ۴(autumn)، صفحات ۳۱-۳۷
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عنوان انگلیسی Improving the Practice of Nutrition Therapy in the NRITLD Critically Ill Patients: An International Quality Improvement Project
چکیده انگلیسی مقاله Background: In previous decades several studies have been performed demonstrating that providing appropriate nutritional support to intensive care unit patients affects complications, time of mechanical ventilation, length of ICU stay, and risk of death. In this study we provided a report of nutrition statuses in Masih Daneshvari's ICU as compared to 156 ICUs from 20 countries that participated in an international nutrition survey. Materials and Methods: All patients admitted to an intensive care unit during a specified one-month period who required artificial nutrition were included in this study. Characteristics of patients, performance of nutrition practices, and ICU outcomes were registered for all patients and compared with data from 156 other intensive care units from various countries around the world. Results: Twenty patients, of which 11(55%) were males and 9(45%) were females, were included in this study. The median age was 50.5 yrs (IQR: 40.5- 56.0). Seventeen (85%) of them had EN nutrition only, 2(10%) had PN nutrition only, and 1(5%) had both EN and PN nutrition during their stay in the ICU. The adequacy of calorie intake was 67.6% (vs. 61.1% in all 157 ICUs) and the adequacy of protein intake was 84.9% (vs. 56.7% in 157 ICUs). Conclusion: In our ICU, enteral feeding was superior to parenteral feeding. Also we considered early initiation of enteral feeding within 48 hours following ICU admission. We just used polymeric formula during this study. As a result of formula variation limits, we overestimated calories and protein needs. Glutamine and Selenium supplementations have not been used yet for patient in our ICU, regardless of their proven benefits in oxidative stress conditions like pulmonary diseases. Therefore, limited use of supplementations like selenium is inevitably among the disadvantages of Masih Daneshvari Hospital’s ICU, which is a tertiary-care center for chronic pulmonary diseases.
کلیدواژه‌های انگلیسی مقاله Nutrition,Quality improvement,Critical care,Intensive care unit
نویسندگان مقاله Seyed Mohammadreza Hashemian |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences

Naomi Cahill |
Critical Care Nutrition Team in Ontario, Canada

Lauren Murch |
Critical Care Nutrition Team in Ontario, Canada

Miao Wang |
Critical Care Nutrition Team in Ontario, Canada

Hamid Reza Jamaati |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences

Majid Malekmohammad |
Lung Transplantation Research Center

Behrooz Farzanegan |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences

Payam Tabarsi |
Mycobacteriology Research Center

Majid Marjani |
Clinical Tuberculosis and Epidemiologic Research Center, NRITLD, Shahid Beheshti University of Medical Sciences, Tehran- Iran

Makan Sadr |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences

Fanak Fahimi |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences

Ahmad Bagheri |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences

Farzin Ghiasi |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences

Poopak Asadi |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences

Behzad Hatami |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences

Mandana Chitsazan |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences

Arvin Najafi |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences

Mahdieh Jamshidi |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences,

Kowsar Hedayat |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences,

Golnar Radmand |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences

Amir Bayanzadeh |
Department of General Surgery, Academic Medical Center, Cologne, Germany

Mohammad Reza Masjedi |
Chronic Respiratory Disease Research Center, NRITLD, Shahid Beheshti University of Medical Sciences

Daren Heyland |
Department of Medicine and Epidemiology at Queen's University, Director of Research for the Critical Care Program and the Director of the Clinical Evaluation Research Unit at the Kingston General Hospital, Kingston, Canada

نشانی اینترنتی https://www.tanaffosjournal.ir/article_241142_ad7e459b989c066bb0ea432b4641b08a.pdf
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