open access

Vol 44, No 1 (2012 Jan-Mar)
Original and clinical articles
Published online: 2012-03-30
Submitted: 2012-03-30
Accepted: 2012-03-30
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Analysis of nutrition mixtures in ITU patients

Marlena Jakubczyk, Krzysztof Kusza, Katarzyna Kurczewska, Małgorzata Domjan, Monika Piotrowska, Stanisław Kłęk, Zbigniew Szkulmowski, Katarzyna Wawrzyniak, Stanisław Dąbrowiecki, Przemysław Baranowski, Przemysław Paciorek
Anaesthesiol Intensive Ther 2012;44(1):12-15.

open access

Vol 44, No 1 (2012 Jan-Mar)
Original and clinical articles
Published online: 2012-03-30
Submitted: 2012-03-30
Accepted: 2012-03-30

Abstract

BACKGROUND: The aim of this study was to analyse the composition of parenteral nutrition (PN)
mixtures used in the ITU.
METHODS: Restrospective analysis involved 2124 prescriptions for individual PN bags. They were
administered over an 18-month period, to 160 ITU patients with the mean APACHE II score of 26
points (range: 5-61), calculated on admission. The mortality rate was 40%. Nutrition programs were
prepared individually following the 2009 ESPEN guidelines. The prescription was modified according
to the individual patient’s clinical condition. One hundred and sixty prescriptions were analysed on
the first day of PN (T1), 139 – on the second day (T2) and 1825 on the third and subsequent days (T3).
RESULTS: The mean energy supplies were: 1381 kcal/day (range: 456-2612) on T1, 1467 kcal/day
(range: 524-2860) on T2, and 1654 kcal/day (range: 390-2969) on T3. The mean supplies of amino
acids, glucose and lipids were as follows: amino acids 68.3 g/day (range:20-120) on T1; 71.6 g/
day (range:27.5-125) on T2; 88.0 g/day (range:11-196) on T3; glucose 210.25 g/day (range: 120-
400) on T1; 218.34 g/day (range: 65-480) on T2; 278.5 g/day (range: 18-520) on T3; lipids 34.9 g/
day (range: 0-100) on T1; 38.7 g/day (range: 0-100) on T2; 52.66 g/day (range: 0-117) on T3. The
percentages of non-protein energy from lipids were: 29.25 (0-73) on T1; 31.58 (range: 0-60) on
T2; 33.5 (0-60) on T3. The following statistically significant differences were found: T2-T3- (p<0.05).
CONCLUSIONS: The compositions of nutrition bags prepared for ITU patients were consistent with the
ESPEN guidelines. The composition varied on different days of nutrition. The differences in the supply
of nutrition components indirectly confirm the need for individual prescriptions for ITU patients.

Abstract

BACKGROUND: The aim of this study was to analyse the composition of parenteral nutrition (PN)
mixtures used in the ITU.
METHODS: Restrospective analysis involved 2124 prescriptions for individual PN bags. They were
administered over an 18-month period, to 160 ITU patients with the mean APACHE II score of 26
points (range: 5-61), calculated on admission. The mortality rate was 40%. Nutrition programs were
prepared individually following the 2009 ESPEN guidelines. The prescription was modified according
to the individual patient’s clinical condition. One hundred and sixty prescriptions were analysed on
the first day of PN (T1), 139 – on the second day (T2) and 1825 on the third and subsequent days (T3).
RESULTS: The mean energy supplies were: 1381 kcal/day (range: 456-2612) on T1, 1467 kcal/day
(range: 524-2860) on T2, and 1654 kcal/day (range: 390-2969) on T3. The mean supplies of amino
acids, glucose and lipids were as follows: amino acids 68.3 g/day (range:20-120) on T1; 71.6 g/
day (range:27.5-125) on T2; 88.0 g/day (range:11-196) on T3; glucose 210.25 g/day (range: 120-
400) on T1; 218.34 g/day (range: 65-480) on T2; 278.5 g/day (range: 18-520) on T3; lipids 34.9 g/
day (range: 0-100) on T1; 38.7 g/day (range: 0-100) on T2; 52.66 g/day (range: 0-117) on T3. The
percentages of non-protein energy from lipids were: 29.25 (0-73) on T1; 31.58 (range: 0-60) on
T2; 33.5 (0-60) on T3. The following statistically significant differences were found: T2-T3- (p<0.05).
CONCLUSIONS: The compositions of nutrition bags prepared for ITU patients were consistent with the
ESPEN guidelines. The composition varied on different days of nutrition. The differences in the supply
of nutrition components indirectly confirm the need for individual prescriptions for ITU patients.
Get Citation

Keywords

nutrition, parenteral

About this article
Title

Analysis of nutrition mixtures in ITU patients

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 44, No 1 (2012 Jan-Mar)

Pages

12-15

Published online

2012-03-30

Bibliographic record

Anaesthesiol Intensive Ther 2012;44(1):12-15.

Keywords

nutrition
parenteral

Authors

Marlena Jakubczyk
Krzysztof Kusza
Katarzyna Kurczewska
Małgorzata Domjan
Monika Piotrowska
Stanisław Kłęk
Zbigniew Szkulmowski
Katarzyna Wawrzyniak
Stanisław Dąbrowiecki
Przemysław Baranowski
Przemysław Paciorek

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