Effect of early enteral nutrition on critical care outcomes in patients with acute ischemic stroke

Objective Stroke-associated pneumonia (SAP) is a comorbidity of ischemic stroke related to clinical outcomes. Early enteral nutrition (EEN; within 48 hours) reduces the incidence of infection and length of intensive care unit (ICU)/hospital stay. The relationship between EEN and critical care outcom...

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Autores principales:	Atsushi Mizuma, Shizuka Netsu, Masaki Sakamoto, Sachiko Yutani, Eiichiro Nagata, Shunya Takizawa
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/941e2975824546719ee95b5adcac3e3c
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spelling	oai:doaj.org-article:941e2975824546719ee95b5adcac3e3c2021-12-02T03:33:19ZEffect of early enteral nutrition on critical care outcomes in patients with acute ischemic stroke1473-230010.1177/03000605211055829https://doaj.org/article/941e2975824546719ee95b5adcac3e3c2021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211055829https://doaj.org/toc/1473-2300Objective Stroke-associated pneumonia (SAP) is a comorbidity of ischemic stroke related to clinical outcomes. Early enteral nutrition (EEN; within 48 hours) reduces the incidence of infection and length of intensive care unit (ICU)/hospital stay. The relationship between EEN and critical care outcomes, including SAP, in patients with ischemic stroke has been insufficiently studied. Methods We recruited 499 patients in this retrospective observational study. We evaluated SAP incidence within 14 days from admission. Patients were divided into an EEN group and a late EN group (LEN; start later than EEN). We compared groups regarding background and length of ICU/hospital stay. Results EN was started within 48 hours in 236 patients. SAP was diagnosed in 94 patients (18.8%), with most in the LEN group (28.1% vs. 8.5%). Median [interquartile range] lengths of hospitalization (22 [12–30] days vs. 35 [20–45] days) and ICU stay (4 [2–5] days vs. 6 [3–8] days) were longer in the LEN group. EEN reduced the incidence of SAP. By contrast, consciousness disturbance and worsening consciousness level increased the SAP incidence. Increased age and National Institutes of Health Stroke Scale score were associated with start of prolonged EN. Conclusions We found that EEN may reduce SAP risk.Atsushi MizumaShizuka NetsuMasaki SakamotoSachiko YutaniEiichiro NagataShunya TakizawaSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Atsushi Mizuma Shizuka Netsu Masaki Sakamoto Sachiko Yutani Eiichiro Nagata Shunya Takizawa Effect of early enteral nutrition on critical care outcomes in patients with acute ischemic stroke
description	Objective Stroke-associated pneumonia (SAP) is a comorbidity of ischemic stroke related to clinical outcomes. Early enteral nutrition (EEN; within 48 hours) reduces the incidence of infection and length of intensive care unit (ICU)/hospital stay. The relationship between EEN and critical care outcomes, including SAP, in patients with ischemic stroke has been insufficiently studied. Methods We recruited 499 patients in this retrospective observational study. We evaluated SAP incidence within 14 days from admission. Patients were divided into an EEN group and a late EN group (LEN; start later than EEN). We compared groups regarding background and length of ICU/hospital stay. Results EN was started within 48 hours in 236 patients. SAP was diagnosed in 94 patients (18.8%), with most in the LEN group (28.1% vs. 8.5%). Median [interquartile range] lengths of hospitalization (22 [12–30] days vs. 35 [20–45] days) and ICU stay (4 [2–5] days vs. 6 [3–8] days) were longer in the LEN group. EEN reduced the incidence of SAP. By contrast, consciousness disturbance and worsening consciousness level increased the SAP incidence. Increased age and National Institutes of Health Stroke Scale score were associated with start of prolonged EN. Conclusions We found that EEN may reduce SAP risk.
format	article
author	Atsushi Mizuma Shizuka Netsu Masaki Sakamoto Sachiko Yutani Eiichiro Nagata Shunya Takizawa
author_facet	Atsushi Mizuma Shizuka Netsu Masaki Sakamoto Sachiko Yutani Eiichiro Nagata Shunya Takizawa
author_sort	Atsushi Mizuma
title	Effect of early enteral nutrition on critical care outcomes in patients with acute ischemic stroke
title_short	Effect of early enteral nutrition on critical care outcomes in patients with acute ischemic stroke
title_full	Effect of early enteral nutrition on critical care outcomes in patients with acute ischemic stroke
title_fullStr	Effect of early enteral nutrition on critical care outcomes in patients with acute ischemic stroke
title_full_unstemmed	Effect of early enteral nutrition on critical care outcomes in patients with acute ischemic stroke
title_sort	effect of early enteral nutrition on critical care outcomes in patients with acute ischemic stroke
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/941e2975824546719ee95b5adcac3e3c
work_keys_str_mv	AT atsushimizuma effectofearlyenteralnutritiononcriticalcareoutcomesinpatientswithacuteischemicstroke AT shizukanetsu effectofearlyenteralnutritiononcriticalcareoutcomesinpatientswithacuteischemicstroke AT masakisakamoto effectofearlyenteralnutritiononcriticalcareoutcomesinpatientswithacuteischemicstroke AT sachikoyutani effectofearlyenteralnutritiononcriticalcareoutcomesinpatientswithacuteischemicstroke AT eiichironagata effectofearlyenteralnutritiononcriticalcareoutcomesinpatientswithacuteischemicstroke AT shunyatakizawa effectofearlyenteralnutritiononcriticalcareoutcomesinpatientswithacuteischemicstroke
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Effect of early enteral nutrition on critical care outcomes in patients with acute ischemic stroke

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