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Effectiveness of a multidisciplinary team for nutrition support in a trauma intensive care unit

机译：创伤密集护理单位营养支持多学科团队的有效性

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Background We evaluated clinical and nutritional outcomes according to multidisciplinary team involvement in nutrition support in a regional trauma intensive care unit (TICU). Methods We retrospectively compared the outcomes for 339 patients admitted to the TICU for 5 days depending on nutrition support team (NST) involvement (n=176) and non-NST involvement (n=163). Results The mean age and injury severity score (ISS) were 57.3±16.7 years and 18.6±9.7, respectively. Fifty-three patients (15.6%) had shock on admission and 182 (53.7%) underwent surgery during TICU admission. Some patients were admitted to neurosurgery (46%), general surgery (35.4%), and other (18.6%) departments. There were significant differences in the ISS, Acute Physiology and Chronic Health Evaluation (APACHE) II score, shock on TICU admission, and initial laboratory results. After propensity score matching, the total delivered/required caloric ratio and total delivered/required protein ratio were significantly higher in the NST group than in the non-NST group (calorie: 80.4% vs. 66.7%, P=0.007; protein: 93.1% vs. 68.3%, P0.001). The NST group had an adequate protein supply more frequently than the non-NST group (protein: 48.0% vs. 25.8%, P=0.002). There was no significant difference in survival, even after adjustment for risk factors using Cox proportional hazard analysis. Conclusions The results of our study suggest that multidisciplinary team involvement in nutrition support in TICU patients may improve nutritional, but not clinical, outcomes.
机译：背景技术我们根据多学科团队参与营养支持在区域创伤强度护理单位（TICU）中评估临床和营养结果。方法回顾性地将339名患者的结果进行了回顾，根据营养支持团队（NST）参与（N = 176）和非NST参与（n = 163）。结果平均年龄和损伤严重程度评分（ISS）分别为57.3±16.7岁和18.6±9.7。在TICU入学期间，五十三名患者（15.6％）在入场和182名（53.7％）接受手术。一些患者被录取为神经外科（46％），一般手术（35.4％）和其他（18.6％）部门。 ISS，急性生理学和慢性健康评估（APACHE）II得分，对TICU入院的冲击以及初始实验室结果存在显着差异。在倾向得分匹配之后，NST组的总递送/所需的热量比和总递送/所需的蛋白质比在非NST组中显着较高（卡路里：80.4％对66.7％，P = 0.007;蛋白质：93.1 ％与68.3％，p <0.001）。 NST组比非NST组（蛋白质：48.0％vs.25.8％，p = 0.002）更频繁地具有足够的蛋白质供应。生存率没有显着差异，即使在使用COX比例危险分析的危险因素调整后也没有显着差异。结论我们的研究结果表明，多学科团队参与TICU患者的营养支持可能改善营养，但不是临床的结果。

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