Early versus delayed enteral feeding in patients with abdominal trauma: a retrospective cohort study
Early versus delayed enteral feeding in patients with abdominal trauma: a retrospective cohort study
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腹部创伤患者的早期肠内喂养与延迟肠内喂养：一项回顾性队列研究
DOI：
10.1007/s00068-014-0425-4
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发表时间：
2015-02-01
影响因子：
2.1
通讯作者：
Li, Jieshou
中科院分区：
文献类型：
--
作者：
Yin, Jianyi;Wang, Jian;Li, Jieshou
建议重症患者入院后24-48小时内早期肠内喂养。本研究旨在确定是否可以安全地实施早期肠内喂养，并声称对腹部创伤患者有益。进行了一项回顾性队列研究，纳入了 88 名成年腹部创伤患者。将入院外科重症监护病房 (SICU) 72 小时内接受肠内喂养的患者（早期启动组，n = 28）与较晚接受肠内喂养的患者（延迟启动组，n = 60）进行比较。两组在人口特征和损伤严重程度方面具有可比性。早期开始组和延迟开始组之间的喂养不耐受（53.6% vs. 43.3%，p = 0.37）和 28 天死亡率（0 vs. 5%，p = 0.55）没有差异。然而，与延迟启动组的患者相比，早期启动组的患者感染并发症较少（17.9% vs. 40%，p = 0.04），并且在 SICU 和医院的住院时间较短（p < 0.01）。入院 72 小时内进行早期肠内喂养与改善临床结果相关，且不会增加腹部创伤患者喂养不耐受的风险。我们的结果支持在腹部创伤治疗中实施早期肠内喂养。
Early enteral feeding within 24-48 h of intensive care unit admission is recommended for critically ill patients. This study aimed to determine if early enteral feeding could be safely implemented with purported benefits in patients with abdominal trauma.A retrospective cohort study was performed that included 88 adult patients with abdominal trauma. Patients receiving enteral feeding within 72 h of surgical intensive care unit (SICU) admission (early-initiation group, n = 28) were compared to those receiving enteral feeding later (delayed-initiation group, n = 60).The two groups were comparable in demographic characteristics and injury severity. There were no differences in feeding intolerance (53.6 vs. 43.3 %, p = 0.37) and mortality at 28 days (0 vs. 5 %, p = 0.55) between the early-initiation group and the delayed-initiation group. However, patients in the early-initiation group had fewer infectious complications (17.9 vs. 40 %, p = 0.04) and shorter length of stay in SICU and hospital (p < 0.01) than patients in the delayed-initiation group.Early enteral feeding administered within 72 h of SICU admission was associated with improved clinical outcomes without risk of increasing feeding intolerance in patients with abdominal trauma. Our results support the implementation of early enteral feeding in abdominal trauma management.