P968 - RISK FACTORS FOR ENTERAL NUTRITION RELATED COMPLICATIONS IN PATIENTS WITH DYSPHAGIA
P968
RISK FACTORS FOR ENTERAL NUTRITION RELATED COMPLICATIONS IN PATIENTS WITH DYSPHAGIA
O. Fırat1,2,*, S. Ataç3, K. Akçay3, N. Doğancı3, F. Tamer3, B. Kelleci-Çakır2, K. Demirkan2, M. Halil4
1Clinical Pharmacy, Erzincan Binali Yıldırım University, Faculty of Pharmacy, Erzincan, 2Clinical Pharmacy, Hacettepe University Faculty of Pharmacy, 3Adult Nutritional Unit, Hacettepe University Hospitals, 4Internal Medicine, Division of Geriatrics, Hacettepe University, Faculty of Medicine, Ankara, Türkiye
Rationale: The aim of the study was to evaluate enteral nutrition (EN) related complication rate and identify the risk factors in patients with dysphagia.
Methods: A retrospective study was conducted for analysis of patients with dysphagia receiving EN in a tertiary university hospital. EN related complications were assessed from the database of clinical nutrition team for 7 years.
Results: A total of 282 patients (59.2% male) were analyzed with mean ± SD age of 68.36 ± 17.94 years. According to Nutrition Risk Scale-2002, the malnutrition risk was found in 92.6% of the patients. Of the 70.8% patients had at least one comorbidity and the most common comorbidities were cancer (37.4%) and diabetes (34.4%). The calorie target was reached in 60.7% of patients. EN-related complications observed in 39.7% of patients, including mechanical (18.8%), metabolic (16.3%), gastrointestinal (12.8%), and infectious (6.0%). Diabetes significantly increased the likelihood of EN-related complications (OR = 2.006, 95% CI: [1.168, 3.439], p = 0.012) and metabolic complications (OR=2.436, 95% CI: [1.283, 4.624], p=0.006). Chronic obstructive pulmonary disease (COPD) increased the risk (OR = 4.259, 95% CI: [1.093, 16.605], p = 0.037).
Conclusion: EN-related complications were prevalent in patients with dysphagia. Additionally, diabetes and COPD identified as significant risk factors. Optimizing nutritional management and implementing targeted interventions may help mitigate these risks in patients with dysphagia.
Disclosure of Interest: None declared