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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

Survey on Nutrition Delivery – Tuesday Tube Facts

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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.

Tube Occlusions May Lead to Enteral Concretion – Tuesday Tube Facts

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Unresolved tube occlusions have resulted in concretion of enteral feeds, tearing of the tube, and direct administration of feeds to the esophagus, as well as possible formation of esophageal bezoars.[1]

References:

  1. Dandeles, L. and Lodolee, A. Efficacy of Agents to Prevent and Treat Enteral Feeding Tube Clogs. The Annals of Pharmacotherapy. 2011. 45:676-680

Estimated Clog Rate – Tuesday Tube Facts

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With feeding clogging rates between 23 and 35%[1], US medical facilities treat an estimated 1.6-2.5M clogged tubes annually.

References:

  1. Dandeles, L. and Lodolee, A. Efficacy of Agents to Prevent and Treat Enteral Feeding Tube Clogs. The Annals of Pharmacotherapy. 2011. 45:676-680.

Acidic environments and clog rates-Tuesday Tube Facts

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It has been observed that feeding tubes positioned in the highly acidic environment (e.g., stomach) may clog more readily than those positioned in the more neutral pH environment (e.g., small bowel).[1]

References:

  1. Boullata, Joseph I., et al. “ASPEN Safe Practices for Enteral Nutrition Therapy.” Journal of Parenteral and Enteral Nutrition, vol. 41, no. 1, 2016, pp. 15–103., doi:10.1177/0148607116673053.