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Malnourished Patients – Tuesday Tube Facts

Jan 12, 2022 | Tuesday Tube Facts

Did you know…?

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

ICU Patients are at High Risk for Complications

Dec 14, 2021 | Tuesday Tube Facts

Did you know…?

Trauma and surgical intensive care unit (TSICU) patients supported with mechanical ventilation are at high risk for complications associated with malnutrition.[1]

Despite these interventions, TSICU patients often suffer a calorie deficit associated with enteral nutrition interruption for procedures or transitions in care.[1]

References:

  1. Shahmanyan, D., Lawrence, J.C., Lollar, D.I., Hamill, M.E., Faulks, E.R., Collier, B.R., Chestovich, P.J. and Bower, K.L. (2021), Early feeding after percutaneous endoscopic gastrostomy tube placement in trauma and surgical intensive care patients: A retrospective cohort study. Journal of Parenteral and Enteral Nutrition. (First published: November 17, 2021). https://doi.org/10.1002/jpen.2303

Malnutrition Prevalent in Older Adults – Tuesday Tube Facts

Mar 17, 2020 | Tuesday Tube Facts

Did you know…?

Malnutrition is highest among older adults (65+). Hospital stays with malnutrition are 2x longer than those without.[1]

Patients treated for Covid-19 may require a feeding tube to help supplement their nutrition to fight the infection.[2] Keeping these tubes clear by proactively using the TubeClear system may help maintain feeding tube flow so these patients keep getting the nutrition they need for recovery.[3]

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References:

  1. Barrett ML, Bailey MK, Owens PL. “Non-maternal and Non-neonatal Inpatient Stays in the United States Involving Malnutrition.” U.S. Agency for Healthcare Research and Quality. 2016. https://hcup-us.ahrq.gov/reports/HCUPMalnutritionHospReport_083018.pdf
  2. Garcia-Navarro, Lulu, host. “What Is The Treatment For COVID-19 Patients? A Doctor Explains.” Weekend Edition Sunday, NPR. March 15, 2020. https://www.npr.org/2020/03/15/816042230/what-is-the-treatment-for-covid-19-patients-a-doctor-explains
  3. Actuated Medical Inc. TubeClear Prophylactic Test Report: 1100791569, Rev002. 2019.

Over 13% of Malnourished Patients Receive PN or EN – Tuesday Tube Facts

Over 13% of Malnourished Patients Receive PN or EN – Tuesday Tube Facts

Aug 27, 2019 | Tuesday Tube Facts

13.4% of patients who were diagnosed as malnourished received either parenteral or enteral nutrition during their hospital stay.[1]

Enteral nutrition is preferred over parenteral nutrition because it is cheaper and has a lower risk of complications (especially infection).[2]

1. Corkins, M., Guenter, P., DiMario-Ghalili, R., Jensen, G., Malone, A., Miller, S., Patel, V., Plogsted, S., Resnick, H. Malnutrition Diagnoses in Hospitalized Patients. Journal of Pareneteral and Enteral Nutrition. 2014; 38(2): 186-195.

2. Hyeda A, Costa ÉSMD. Economic analysis of costs with enteral and parenteral nutritional therapy according to disease and outcome. Einstein (Sao Paulo). 2017;15(2):192–199. doi:10.1590/S1679-45082017GS4002.

Less EN Delivered than Ordered in Hospital – Tuesday Tube Facts

Less EN Delivered than Ordered in Hospital – Tuesday Tube Facts

Aug 13, 2019 | Tuesday Tube Facts

Hospital patients on enteral nutrition often receive only 45-65% of the ordered nutrition. [1]

Approximately one-third of patients arrive at the hospital malnourished. [2]

1. Parrish, C., McCray, S. Part I Enteral Feeding Barriers: Pesky Bowel Sounds & Gastric Residual Volumes. Practical Gastroenterology. 2019; 183: 35-50.

2. Tappenden, K., Quatrara, B., Parkhurst, M., Malone, A., Ganjiang, G., Ziegler, T.  Critical Role of Nutrition in Improving Auality of Care: An Interdisciplinary Call to Action to Address Adult Hospital Malnutrition. Journal of Parenteral and Enteral Nutrition. 2013; 37(4): 482-497.