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.
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
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.
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.
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.
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.
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
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.
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.