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Malnourished Patients – 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

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

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]

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

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

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.