PD297 - INVESTIGATION OF CLINICAL MANIFESTATIONS AND NUTRITIONAL GOAL ACHIEVEMENT RATES IN THE MEDICAL INTENSIVE CARE UNIT

PD297

INVESTIGATION OF CLINICAL MANIFESTATIONS AND NUTRITIONAL GOAL ACHIEVEMENT RATES IN THE MEDICAL INTENSIVE CARE UNIT

S. MAO^1,* on behalf of no

¹nutrition department, chimei-medical center, tainan, Taiwan, Province of China

 

Rationale: A 2021 analysis of the Medical Intensive Care Unit (MICU) showed that while 65% of patients achieved half of their nutritional needs within three days, gastrointestinal (GI) factors often hindered full achievement. This study investigates the frequency of these clinical manifestations to guide future nutritional improvements.

 

Methods: Data were extracted from the hospital database for 893 patients admitted to the 6th-floor MICU between January and June 2024. Dietitians recorded 1,826 entries (2,397 total symptoms) during nutritional care. Tracked symptoms included edema, diarrhea, hemorrhage, delayed gastric emptying, constipation, abdominal distension, unstable vital signs, and non-GI surgery.

 

Results: Edema was the most prevalent manifestation, appearing in 13.48% of cases. Diarrhea (8.89%) and unstable vital signs (7.51%) were also common. Combined GI-related symptoms—including diarrhea, hemorrhage, delayed gastric emptying, constipation, and distension—accounted for over 28% of the total. Acute or surgery-related factors (unstable vital signs and non-GI surgery) represented approximately 14.4% of recorded symptoms.

 

Conclusion: Complex GI symptoms affect nearly 30% of MICU patients, significantly impacting digestion and nutritional goal achievement. To optimize patient outcomes, clinical teams should develop standardized management protocols that integrate both Western and Traditional Chinese Medicine to address these gastrointestinal barriers.

References: 1.Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and

    American Society for Parenteral and Enteral Nutrition. Critical Care Medicine,2009, 37(5), 1751－1761.

2.Tracheobronchial aspiration of gastric contents in critically ill tube-fed patients: Frequency, outcomes, and risk factors. Critical Care Medicine2006

    34(4),1007－1015.

Disclosure of Interest: None declared