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Factors that contribute to tube clogging pt.1 – Tuesday Tube Facts

Did you know…?

Factors such as narrow tube internal diameter, longer feeding tubes, tube tip location, slow feeding infusion rates, and formation of EN formula precipitate from contact with acidic gastric secretions contribute to the risk of tube clogging.[1]

References:

  1. Escuro, A.A., Burns, B., McLaughlin, K., Lopez, R. and Cresci, G.A. (2020), Dietitians’ Evaluation of Clearing Luminal Occlusions of Gunk (DECLOG): A Pilot Feasibility Study. Nutrition in Clinical Practice, 35: 142-148. https://doi.org/10.1002/ncp.10318

20% of patients discharged with EN – Tuesday Tube Facts

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More than 20% of patients discharged with EN have readmissions related to EN, many within 90 days of initiating EN.[1]

Quality improvement interventions targeting post-discharge care to address these causes may decrease hospital readmissions in this high-risk and medically complex population of patients.[1]

References:

  1. Palchaudhuri, S., Mehta, S.J., Snider, C.K., Parsikia, A., Hudson, L., Compher, C., Lewis, J.D., Wu, G.D. and Pickett-Blakely, O. (2022), Causes of readmissions for patients discharged on enteral nutrition. J Parenter Enteral Nutr.. Accepted Author Manuscript. https://doi.org/10.1002/jpen.2331

Data on malnutrition and Covid-19 – Tuesday Tube Facts

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Those recovering after serious illnesses such as Covid-19 often need significant rehabilitation because of profound weakness and loss of muscle mass. Emerging data highlights the prevalence of inadequate nutrition therapy and malnutrition, which is likely contributing to these long-lasting effects.[1]

References:

  1. Suliman, S, McClave, SA, Taylor, BE, Patel, J, Omer, E, Martindale, RG. Barriers to nutrition therapy in the critically ill patient with COVID-19. JPEN J Parenter Enteral Nutr. 2021; 1– 12. https://doi.org/10.1002/jpen.2263

Malnourished Patients – Tuesday Tube Facts

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An observational study found that in 416 patients, 31.7% were malnourished upon admission. Malnourished patients were significantly older (67.8 vs 57.6 years, P<.001) and had a lower BMI (26.2 vs 32.4 kg/m2, P<.001) than non malnourished patients.[1]

Malnourished patients had higher odds of having a LOS ≥3 days (2.38 [95% CI 1.45-3.88], P<.001) and higher odds of readmitting within 30 days.[1]

References:

  1. Lengfelder, L., Mahlke, S., Moore, L., Zhang, X., Williams, G., III and Lee, J. (2022), Prevalence and impact of malnutrition on length of stay, readmission, and discharge destination. Journal of Parenteral and Enteral Nutrition. Accepted Author Manuscript. https://doi.org/10.1002/jpen.2322

Survey on Nutrition Delivery – Tuesday Tube Facts

Did you know…?

A survey about nutrition delivery in critically ill Covid-19 patients found 83% of caregivers attempted to feed by the intragastric route, but only 9% indicated that energy/protein needs were achieved in their patients.[1]

References:

  1. Suliman, S, McClave, SA, Taylor, BE, Patel, J, Omer, E, Martindale, RG. Barriers to nutrition therapy in the critically ill patient with COVID-19. JPEN J Parenter Enteral Nutr. 2021; 1– 12. https://doi.org/10.1002/jpen.2263.