title: Changes in nutritional status in ICU patients receiving enteral tube feeding: a prospective descriptive study.
abstract: OBJECTIVE
  This study aimed to assess the changes in nutritional status in Korean ICU patients receiving enteral feeding, and to understand the contribution of baseline nutritional status and energy intake to nutritional changes during the ICU stay.
  
  
  METHODS
  This was a prospective study of nutritional changes in 48 ICU patients receiving enteral feeding for 7 days. The Subjective Global Assessment scale was used upon admission. In addition, anthropometric measures (triceps skinfold thickness, mid-arm circumference, mid-arm muscle circumference, body mass index and percent ideal body weight) and biochemical measures (albumin, prealbumin, transferrin, haemoglobin and total lymphocyte count) were evaluated twice, upon admission and 7 days after admission.
  
  
  RESULTS
  Seventy-five percent of ICU patients were severely malnourished at admission. Although the nutritional status worsened in both the patients with suspected malnourishment and the patients with severe malnutrition at admission, the nutritional status worsened significantly more in the patients with severe malnutrition than in the patients with suspected malnourishment. Moreover, a number of nutritional measures significantly decreased more in underfed patients than in adequately fed patients. The most significant predicting factor for underfeeding was under-prescription.
  
  
  CONCLUSIONS
  The ICU patients in our study were severely malnourished at admission, and their nutritional status worsened during their ICU stay even though enteral nutritional support was provided. The changes in nutritional status during the ICU stay were related to the patients' baseline nutritional status and underfeeding during their ICU stay. This study highlights an urgent need to provide adequate nutritional support for ICU patients.
authors.affiliation: University of California San Francisco, School of Nursing, CA, USA.
authors.forename: Hyunjung
authors.initials: H
authors.lastname: Kim
authors.forename: Smi
authors.initials: S
authors.lastname: Choi-Kwon
mesh_terms: D000886:Anthropometry; D002149:Energy Intake; D004750:Enteral Nutrition; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D044342:Malnutrition / Q000175:diagnosis / Q000628:therapy; D008875:Middle Aged; D015596:Nutrition Assessment; D009752:Nutritional Status; D056910:Republic of Korea