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العنوان
Impact of Enteral and Parenteral Nutrition on Mortality and Morbidity of Mechanically Ventilated Severely Septic Critically Ill Patients/
المؤلف
Hassan,Muhamad Mamdouh Elhusseini
هيئة الاعداد
باحث / محمد ممدوح الحسينى حسن
مشرف / منال محمد كمال شمس
مشرف / ضياء الدين شلبى العوضى
مشرف / فاروق كمال الدين عبدالعزيز
تاريخ النشر
2023
عدد الصفحات
105.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
العناية المركزة والطب العناية المركزة
تاريخ الإجازة
8/5/2023
مكان الإجازة
جامعة عين شمس - كلية الطب - Intensive Care
الفهرس
Only 14 pages are availabe for public view

from 104

from 104

Abstract

ABSTRACT
Background: Malnutrition is common among critically ill patients and can negatively affect clinical outcomes. Artificial nutrition and hydration support is considered standard care in critical illness. However, there is considerable variation in nutrition support practice in ICUs.
Aim of the Work: The study aims to investigate the clinical outcomes difference of nutritional support TPN and EN in intubated mechanically ventilated severe septic patients over ICU stay.
Patients and Methods: The study involves 80 patients, and APATCHE and SOFA scores were used to assess clinical outcomes such as survival rate, extubation rate, tracheostomy, and complications.
Results: There is no significant difference between TPN and EN in terms of delivered Kcal and delivered proteins, APATCHE, and SOFA scores. Clinical outcomes such as survival rate and extubation rates are also not different between both groups. However, there were significantly more digestive complications in the early EN group, indicating that PN may be the safer route in some patient groups.
Conclusion: The study concludes that there is no difference in mortality and extubation rate between EN and TPN in intubated mechanically ventilated severe septic patients. However, there were significantly more digestive complications in the early EN group, indicating that PN may be the safer route in some patient groups.