P403 - NUTRITIONAL INTERVENTION OUTCOMES FOR VENTILATOR-DEPENDENT PATIENTS IN SUBACUTE RESPIRATORY CARE WARDS

P403

NUTRITIONAL INTERVENTION OUTCOMES FOR VENTILATOR-DEPENDENT PATIENTS IN SUBACUTE RESPIRATORY CARE WARDS

F.-C. Liao^1,*, I.-H. Wang², C.-H. Chou³

¹Department of Dietetics, ²Division of Respiratory Therapy, ³Department of Thoracic Medicine, National Taiwan University Hospital Yunlin Branch, Yunlin County , Taiwan, Province of China

Rationale: The subacute respiratory care ward focuses on managing patients in the acute respiratory failure phase, aiming to train them for successful weaning from mechanical ventilation. In addition to intensive respiratory training, adequate nutritional support is a crucial factor influencing the success of ventilator weaning.

Methods: A retrospective review was conducted on medical records of patients discharged from the subacute respiratory care ward between January 2023 and November 2024, and those receiving palliative care were excluded.Using SPSS version 22..

Results: Among the 169 patients meeting the inclusion criteria,with an average age of 74 ± 9 years.Hospital stay was 22 ± 19 days, and the mean duration of ventilator use was 40 ± 39 days.Successful ventilator weaning was achieved for 118 patients .Patients were divided into two groups based on weaning outcomes, and a comparative analysis was conducted for preadmission and postadmission data.For the successful weaning group, the average age was 72 ± 8.9 years; the average body weight was 58 ± 7 kg.The recommended protein intake was 1.27± 03 g/kg/day, and the actual intake was 1.25 ± 48 g/kg/day.Protein as a percentage of caloric intake increased from 18 ± 5.3% to 18 ± 9.1%, nearing the American Association for Respiratory Care recommendation of 20%.The serum albumin levels improved from 2.8 ±51 g/dl to 3.0 ± 05 g/dl.For the weaning failure group, the average age was 75 ± 2.9 years; the average body weight was 60 ± 5.8 kg.The protein intake decreased from 1.2 ± 77 g/kg/day to 1.1 ± 88 g/kg/day.

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Conclusion: Whether through enteral or peripheral parenteral nutrition, enhancing caloric delivery while increasing protein intake and maintaining a high proportion of protein in the diet contributes to successful weaning from mechanical ventilation. In addition, serum albumin levels is a predictive marker for extubation success.

References: 美國呼吸照護協會 2021 年重症病患營養評估與治療指引。

Disclosure of Interest: None declared