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Enteral nutrition feeding in Chinese intensive care units: a cross-sectional study involving 116 hospitals

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收录情况： ◇ SCIE

作者：
Xing, Juan[1] * ; Zhang, Zhongheng[2] ; Ke, Lu[1] ; Zhou, Jing[1] ; Qin, Bingyu[3] ; Liang, Hongkai[4] ; Chen, Xiaomei[5] ; Liu, Wenming[6] ; Liu, Zhongmin[7] ; Ai, Yuhang[8] ; Wang, Difeng[9] ; Wang, Qiuhui[10] ; Zhou, Qingshan[11] ; Zhang, Fusen[12] ; Qian, Kejian[13] ; Jiang, Dongpo[14] ; Zang, Bin[15] ; Li, Yimin[16] ; Huang, Xiaobo[17] ; Qu, Yan[18] ; Xie, Yinguang[19] ; Xu, Donglin[20] ; Zou, Zhiqiang[21] ; Zheng, Xiangde[22] ; Liu, Jianbo[23] ; Guo, Feng[24] ; Liang, Yafeng[25] ; Sun, Qiang[26] ; Gao, Hongmei[27] ; Liu, Yang[28] ; Chang, Ping[29] ; Ceng, Aibin[30] ; Yang, Rongli[31] ; Yao, Gaiqi[32] ; Sun, Yun[33] ; Wang, Xiaorong[34] ; Zhang, Yi[35] ; Wen, Yichao[36] ; Yu, Jian[37] ; Sun, Rongqing[38] ; Li, Zhiwei[39] ; Yuan, Shiying[40] ; Song, Yunlin[41] ; Gao, Peiyang[42] ; Liu, Haiyan[43] ; Zhang, Zhaohui[44] ; Wu, Yunfu[45] ; Ma, Biao[46] ; Guo, Qiang[47] ; Shan, Feng[48] ; Yang, Mingshi[49] ; Li, Hailing[50] ; Li, Yuanfei[51] ; Lu, Weihua[52] ; Wang, Lei[53] ; Qian, Chuangyun[54] ; Wang, Zhiyong[55] ; Lin, Jiandong[56] ; Zhang, Rumin[57] ; Wan, Peng[58] ; Peng, Zhiyong[59] ; Gong, Yuqiang[60] ; Huang, Linxi[61] ; Wu, Guobao[62] ; Sun, Jie[63] ; Deng, Yijun[64] ; Shi, Dongwu[35] ; Zhou, Lixin[65] ; Zhou, Fachun[66] ; Shi, Qindong[67] ; Guo, Xiaodong[68] ; Liu, Xueyan[69] ; Wu, Weidong[70] ; Meng, Xiangzhong[71] ; Li, Liandi[72] ; Chen, Weiwei[73] ; Li, Shusheng[74] ; Wan, Xianyao[75] ; Chao, Zhixin[76] ; Zhang, An[77] ; Gu, Liming[78] ; Chen, Wei[79] ; Wu, Jinglan[80] ; Zhou, Lihua[81] ; Zhang, Zhenhuan[82] ; Weng, Yibing[83] ; Feng, Yongshun[84] ; Yang, Chunli[85] ; Feng, Yongjian[86] ; Zhao, Sumin[87] ; Tong, Fei[88] ; Hao, Dong[89] ; Han, Hui[90] ; Fu, Baocai[91] ; Gong, Chuanyong[92] ; Li, Zhiping[93] ; Hu, Kunlin[94] ; Kou, Qiuye[95] ; Zhang, Han[96] ; Liu, Jie[97] ; Fan, Chuming[98] ; Zhou, Xin[99] ; Chen, Xiumei[100] ; Sun, Junli[101] ; Zhou, Xuejun[102] ; Song, Bin[103] ; Sun, Cheng[104] ; Zhao, Liyun[105] ; Dong, Xinglu[106] ; Zhang, Linlin[107] ; Tong, Dafei[108] ; Pan, Zhiguo[109] ; Cai, Chuangjie[110] ; Wang, Donghao[111] ; Dong, Yingjun[112] ; Gong, Yuanqi[113] ; Wu, Zhisong[114] ; Meng, Xinke[115] ; Wang, Ping[116] ; Li, Weiqin[1] ;
机构： [1]Nanjing Mil Command, Nanjing Gen Hosp, 305 Zhongshan East Rd, Nanjing 210002, Jiangsu, Peoples R China; [2]Zhejiang Univ, Sir Run Run Shaw Hosp, Dept Emergency Med, Sch Med, Hangzhou, Zhejiang, Peoples R China; [3]Henan Prov Peoples Hosp, Zhengzhou, Henan, Peoples R China; [4]Zhongshan Peoples Hosp, Zhongshan, Peoples R China; [5]Shandong Univ, Qilu Hosp, Jinan, Shandong, Peoples R China; [6]Nanjing Med Uni, Changzhou Peoples Hosp 2, Nanjing, Jiangsu, Peoples R China; [7]Jilin Univ, Hosp 1, Changchun, Jilin, Peoples R China; [8]Cent S Univ, Xiangya Hosp, Changsha, Hunan, Peoples R China; [9]Guizhou Med Univ, Affiliated Hosp, Guiyang, Guizhou, Peoples R China; [10]Wuxi Peoples Hosp, Wuxi, Peoples R China; [11]Hubei Prov Peoples Hosp, Wuhan, Hubei, Peoples R China; [12]Tainan Cent Hosp, Tai An, Shandong, Peoples R China; [13]Nanchang Univ, Affiliated Hosp 1, Nanchang, Jiangxi, Peoples R China; [14]Third Mil Med Univ, Daping Hosp, Chongqing, Peoples R China; [15]China Med Univ, Affiliated Hosp 2, Shenyang, Liaoning, Peoples R China; [16]Guangzhou Med Univ, Affiliated Hosp 1, Guangzhou, Guangdong, Peoples R China; [17]Sichuan Prov Peoples Hosp, Chengdu, Sichuan, Peoples R China; [18]Qingdao Municipal Hosp Grp, Qingdao, Peoples R China; [19]Jining First Peoples Hosp, Dining, Peoples R China; [20]Guangzhou First Municipal Peoples Hosp, Guangzhou, Guangdong, Peoples R China; [21]Fujian Med Univ, Xiehe Affiliated Hosp, Fuzhou, Fujian, Peoples R China; [22]Dazhou Cent Hosp, Dazhou, Peoples R China; [23]Inner Mongolia Peoples Hosp, Hohhot, Peoples R China; [24]Zhejiang Univ, Sch Med, Sir Run Run Shaw Hosp, Hangzhou, Zhejiang, Peoples R China; [25]Qindao Univ, Med Coll, Affiliated Yantai Yuhuangding Hosp, Qingdao, Peoples R China; [26]Tianjing Peoples Hosp, Tianjin, Peoples R China; [27]Tianjing First Cent Hosp, Tianjin, Peoples R China; [28]Tangshan Gongren Hosp, Tangshan, Peoples R China; [29]Southern Med Univ, Zhujiang Hosp, Guangzhou, Guangdong, Peoples R China; [30]North China Univ Sci & Technol, Affiliated Hosp, Tangshan, Peoples R China; [31]Dalian Cent Hosp, Dalian, Peoples R China; [32]Peking Univ, Hosp 3, Beijing, Peoples R China; [33]Anhui Med Univ, Affiliated Hosp 2, Hefei, Anhui, Peoples R China; [34]Wenzhou Med Univ, Affiliated Hosp 1, Wenzhou, Peoples R China; [35]Shanxi Prov Peoples Hosp, Taiyuan, Shanxi, Peoples R China; [36]Guangzhou Med Univ, Affiliated Hosp 2, Guangzhou, Guangdong, Peoples R China; [37]Dalian Med Univ, Affiliated Hosp 2, Dalian, Peoples R China; [38]Zhengzhou Univ, Affiliated Hosp 1, Zhengzhou, Henan, Peoples R China; [39]First Peoples Hosp Kunming, Kunming, Yunnan, Peoples R China; [40]Huanzhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Wuhan, Hubei, Peoples R China; [41]Xinjiang Med Univ, Affiliated Hosp 1, Urumqi, Peoples R China; [42]Chengdu Univ Tradit Chinese Med, Affiliated Hosp, Chengdu, Sichuan, Peoples R China; [43]Anhui Med Univ, Affiliated Hosp 1, Hefei, Anhui, Peoples R China; [44]Yichang Cent Peoples Hosp, Yichang, Peoples R China; [45]Suzhou Municipal Hosp, Suzhou, Peoples R China; [46]Jining Med Coll, Affiliated Hosp, Dining, Peoples R China; [47]Soochow Univ, Affiliated Hosp 1, Suzhou, Peoples R China; [48]Qindao Univ, Med Coll, Affiliated Hosp, Qingdao, Peoples R China; [49]Cent S Univ, Xiangya Hosp 3, Changsha, Hunan, Peoples R China; [50]401 Mil Hosp China, Qingdao, Peoples R China; [51]Changsha Cent Hosp, Changsha, Hunan, Peoples R China; [52]Wannan Med Coll, Yijishan Hosp, Wuhu, Peoples R China; [53]Shanxi Med Univ, Affiliated Hosp 1, Taiyuan, Shanxi, Peoples R China; [54]Kuming Med Univ, Affiliated Hosp 1, Kuming, Peoples R China; [55]Hebei Med Univ, Affiliated Hosp 3, Shijiazhuang, Hebei, Peoples R China; [56]Fujian Med Univ, Affiliated Hosp 1, Fuzhou, Fujian, Peoples R China; [57]Zibo Cent Hosp, Zibo, Peoples R China; [58]First Peoples Hosp Yichang, Yichang, Peoples R China; [59]Wuhan Univ, Zhongnan Hosp, Wuhan, Hubei, Peoples R China; [60]Wenzhou Med Univ, Affiliated Hosp 2, Wenzhou, Peoples R China; [61]Shantou Univ, Med Coll, Affiliated Hosp 1, Shantou, Peoples R China; [62]Zhongnan Univ, Xiangya Hosp 2, Changsha, Hunan, Peoples R China; [63]Yunnan Second Peoples Hosp, Kunming, Yunnan, Peoples R China; [64]Yancheng First Peoples Hosp, Yancheng, Peoples R China; [65]First Peoples Hosp Foshan, Foshan, Peoples R China; [66]Chongqing Med Univ, Affiliated Hosp 1, Chongqing, Peoples R China; [67]Xi An Jiao Tong Univ, Affiliated Hosp 1, Xian, Shaanxi, Peoples R China; [68]Beijing Wujing Gen Hosp, Beijing, Peoples R China; [69]Shenzhen Peoples Hosp, Shenzhen, Peoples R China; [70]Shanxi Acad Med Sci, Shanxi Dayi Hosp, Taiyuan, Shanxi, Peoples R China; [71]254 Mil Hosp China, Tianjin, Peoples R China; [72]Qingdao Univ, Affiliated Hosp, Qingdao, Peoples R China; [73]Linhai First Peoples Hosp, Linhai, Peoples R China; [74]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Wuhan, Hubei, Peoples R China; [75]Dalian Med Univ, Affiliated Hosp 1, Dalian, Peoples R China; [76]Beijing Chaoyang Hosp, Beijing, Peoples R China; [77]Chongqing Med Univ, Affiliated Hosp 2, Chongqing, Peoples R China; [78]Peoples Hosp Yuxi City, Yuxi, Peoples R China; [79]Capital Med Univ, Shijitan Hosp, Beijing, Peoples R China; [80]Shenzhen Nanshan Peoples Hosp, Shenzhen, Peoples R China; [81]Inner Mongolia Med Coll, Affiliated Hosp, Hohhot, Peoples R China; [82]Benq Hosp, Nanjing, Jiangsu, Peoples R China; [83]Luhe Hosp, Beijing, Peoples R China; [84]Beijing Jingmei Grp Gen Hosp, Beijing, Peoples R China; [85]Jiangxi Prov Peoples Hosp, Nanchang, Jiangxi, Peoples R China; [86]Jinan Univ, Affiliated Hosp 1, Jinan, Shandong, Peoples R China; [87]Gen Hosp Rocket Army, Beijing, Peoples R China; [88]Hebei Med Univ, Affiliated Hosp 2, Shijiazhuang, Hebei, Peoples R China; [89]Binzhou Med Coll, Affiliated Hosp, Binzhou, Peoples R China; [90]Chinese Peoples Liberat Army Gen Hosp, Beijing, Peoples R China; [91]Yantai Mt Hosp, Yantai, Peoples R China; [92]ITCWM Nankai Hosp, Tianjing Hosp, Tianjin, Peoples R China; [93]Hunan Prov Peoples Hosp, Changsha, Hunan, Peoples R China; [94]Peoples Hosp Guangxi Zhuang Autonomous Reg, Nanning, Peoples R China; [95]Sun Yat Sen Univ, Affiliated Hosp 6, Guangzhou, Guangdong, Peoples R China; [96]China Acad Chinese Med Sci, Xiyuan Hosp, Beijing, Peoples R China; [97]Nuhan Gen Hosp Guangzhou Mil Reg, Wuhan, Peoples R China; [98]First Peoples Hosp Yunnan, Kunming, Yunnan, Peoples R China; [99]Ninjiang Mil Gen Hosp, Urumqi, Peoples R China; [100]Miyun Hosp Beijing, Beijing, Peoples R China; [101]Luoyang Cent Hosp, Luoyang, Peoples R China; [102]Huairou First Hosp Beijing, Beijing, Peoples R China; [103]Mil Gen Hosp Beijing PLA, Beijing, Peoples R China; [104]Guangdong Prov Peoples Hosp, Guangzhou, Guangdong, Peoples R China; [105]Guangdong Second TCM Hosp, Guangzhou, Guangdong, Peoples R China; [106]Beijing Hosp TCM, Beijing, Peoples R China; [107]Anhui Prov Hosp, Hefei, Anhui, Peoples R China; [108]Shenyang First Peoples Hosp, Shenyang, Liaoning, Peoples R China; [109]Guangzhou Mil Gen Hosp, Guangzhou, Guangdong, Peoples R China; [110]Sun Yat Sen Univ, Affiliated Hosp 1, Guangzhou, Guangdong, Peoples R China; [111]Tianjing Canc Hosp, Tianjin, Peoples R China; [112]Shanxi Canc Hosp, Taiyuan, Peoples R China; [113]Nanchang Univ, Affiliated Hosp 2, Nanchang, Jiangxi, Peoples R China; [114]Beijing Univ Chinese Med, Affiliated Dongfang Hosp, Beijing, Peoples R China; [115]Shenzhen Second Peoples Hosp, Shenzhen, Peoples R China; [116]Chendu Fifth Peoples Hosp, Chengdu, Peoples R China
出处：
DOI： 10.1186/s13054-018-2159-x
ISSN：

关键词： Enteral feeding Intensive care units Cross-sectional study

摘要：
Background: There is a lack of large-scale epidemiological data on the clinical practice of enteral nutrition (EN) feeding in China. This study aimed to provide such data on Chinese hospitals and to investigate factors associated with EN delivery. Methods: This cross-sectional study was launched in 118 intensive care units (ICUs) of 116 mainland hospitals and conducted on April 26, 2017. At 00:00 on April 26, all patients in these ICUs were included. Demographic and clinical variables of patients on April 25 were obtained. The dates of hospitalization, ICU admission and nutrition initiation were reviewed. The outcome status 28 days after the day of investigation was obtained. Results: A total of 1953 patients were included for analysis, including 1483 survivors and 312 nonsurvivors. The median study day was day 7 (IQR 2-19 days) after ICU entry. The proportions of subjects starting EN within 24, 48 arid 72 h after ICU entry was 24.8% (84/352), 32.7% (150/459) and 40.0% (200/541), respectively. The proportion of subjects receiving > 80% estimated energy target within 24, 48, 72 h and 7 days after ICU entry was 10.5% (37/352), 10.9% (50/459), 11.8% (64/541) and 17.8% (162/910), respectively. Using acute gastrointestinal injury (AGI) 1 as the reference in a Cox model, patients with AGI 2-3 were associated with reduced likelihood of EN initiation (HR 0.46, 95% CI 0.353-0.599; p < 0.001). AGI 4 was significantly associated with lower hazard of EN administration (HR 0.056; 95% CI 0.008-0.398; p = 0.004). In a linear regression model, greater Sequential Organ Failure Assessment scores (coefficient - 0.002, 95% CI - 0.008 to - 0.001; p = 0.024) and male gender (coefficient - 0.144, 95% CI - 0.203 to - 0. 085; p < 0.001) were found to be associated with lower EN proportion. As compared with AGI 1, AGI 2-3 was associated with lower EN proportion (coefficient - 0206, 95% CI - 0.273 to - 0.139; p < 0.001). Conclusions: The study showed that EN delivery was suboptimal in Chinese ICUs. More attention should be paid to EN use in the early days after ICU admission.

基金：
Standard Treatment to Key Diseases of Jiangsu Social Development Programme [BE2015685]

基金编号： BE2015685

语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2017]版：
大类 | 2 区 医学
小类 | 3 区 危重病医学
最新[2025]版：
大类 | 1 区 医学
小类 | 2 区 危重病医学
JCR分区：
出版当年[2016]版：
Q1 CRITICAL CARE MEDICINE
最新[2023]版：
Q1 CRITICAL CARE MEDICINE

影响因子： 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

第一作者：
第一作者机构： [1]Nanjing Mil Command, Nanjing Gen Hosp, 305 Zhongshan East Rd, Nanjing 210002, Jiangsu, Peoples R China;
通讯机构： [1]Nanjing Mil Command, Nanjing Gen Hosp, 305 Zhongshan East Rd, Nanjing 210002, Jiangsu, Peoples R China;
推荐引用方式(GB/T 7714)：
Xing Juan,Zhang Zhongheng,Ke Lu,et al.Enteral nutrition feeding in Chinese intensive care units: a cross-sectional study involving 116 hospitals[J].CRITICAL CARE.2018,22(1):-.doi:10.1186/s13054-018-2159-x.
APA：
Xing, Juan,Zhang, Zhongheng,Ke, Lu,Zhou, Jing,Qin, Bingyu...&Li, Weiqin.(2018).Enteral nutrition feeding in Chinese intensive care units: a cross-sectional study involving 116 hospitals.CRITICAL CARE,22,(1)
MLA：
Xing, Juan,et al."Enteral nutrition feeding in Chinese intensive care units: a cross-sectional study involving 116 hospitals".CRITICAL CARE 22..1(2018):-

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