IJMS Vol 41, No 3, May 2016

Original Article

Nutritional Assessment in Critically Ill Patients Najmeh Hejazi1, PhD; Zohreh Mazloom1, PhD; Farid Zand2, MD; Abbas Rezaianzadeh3, MD, MPH, PhD; Afshin Amini4,5, MD

Nutrition and Food Sciences Research Center, Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran; 2 Shiraz Anesthesiology and Critical Care Research Center, Department of Anesthesia, Nemazee Teaching Hospital, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; 3 Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran; 4 Department of Anesthesia, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; 5 Vice Chancellor for Clinical Affairs, Shiraz University of Medical Sciences, Shiraz, Iran 1

Correspondence: Zohreh Mazloom, PhD; Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, P.O. Box: 71645111, Shiraz, Iran Tel: +98 917 1111527 Fax: +98 71 37251008 Email: [email protected] Received: 31 August 2014 Revised: 4 October 2014 Accepted: 12 October 2014

What’s Known • Malnutrition increases during ICU stay. • International guidelines determine the cutoff point for calorie and protein intake in ICU patients.

Abstract

Background: Malnutrition is an important factor in the survival of critically ill patients. The purpose of the present study was to assess the nutritional status of patients in the intensive care unit (ICU) on the days of admission and discharge via a detailed nutritional assessment. Methods: Totally, 125 patients were followed up from admission to discharge at 8ICUs in Shiraz, Iran. The patients’ nutritional status was assessed using subjective global assessment (SGA), anthropometric measurements, biochemical indices, and body composition indicators. Diet prescription and intake was also evaluated. Results: Malnutrition prevalence significantly increased on the day of discharge (58.62%) compared to the day of admission (28.8%) according to SGA (P

Nutritional Assessment in Critically Ill Patients.

Malnutrition is an important factor in the survival of critically ill patients. The purpose of the present study was to assess the nutritional status ...
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