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001-es BibID:	BIBFORM080580
035-os BibID:	(PMID)30508254
Első szerző:	Virani, Farrukh R.
Cím:	Incidence and Effects of Feeding Intolerance in Trauma Patients / Farrukh R. Virani, Travis Peery, Orlyn Rivas, Jeffrey Tomasek, Ravin Huerta, Charles E. Wade, Jenny Lee, John B. Holcomb, Karen Uray
Dátum:	2019
ISSN:	0148-6071
Megjegyzések:	Although feeding intolerance is a common complication in trauma patients, the incidence, development, and effects are poorly understood. METHODS: We performed a retrospective study in which trauma patients were classified as having feeding intolerance based on time to reach feeding goal. Subsequently, we sorted patients by gastric residual volumes (GRVs) or symptoms of slowed gastrointestinal motility. RESULTS: One-third of trauma patients experienced delayed time to reach feeding goal after diet initiation. Delayed feeding was associated with prolonged intensive care unit (ICU) stays, increased readmission rates, and increased incidence of sepsis. Patients with elevated GRV (>500 mL) had significantly prolonged ICU and hospital stays and increase incidence of sepsis. Patients with >2 symptoms of slowed gastrointestinal motility had prolonged ICU and hospital stays, delayed time to reach feeding goals, significantly increased readmission rates, increased incidence of infectious and thromboembolic complications and sepsis, decreased serum prealbumin levels, and increased CRP levels. Conclusion: Decreased gastrointestinal motility in trauma patients is associated with worse outcomes and increased systemic inflammation.
Tárgyszavak:	Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk enteral nutrition feeding intolerance inflammation prokinetics trauma
Megjelenés:	Journal of Parenteral and Enteral Nutrition. - 43 : 6 (2019), p. 742-749. -
További szerzők:	Peery, Travis Rivas, Orlyn Tomasek, Jeffrey Huerta, Ravin Wade, Charles E. Lee, Jenny Holcomb, John B. Uray Karen (1964-) (biokémikus)
Pályázati támogatás:	EFOP-3.6.2-16-2017-00006 EFOP
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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