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ArtikelParenteral Nutrition in the Critically Ill Patient  
Oleh: Ziegler, Thomas R.
Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 361 no. 11 (Sep. 2009), page 1088-1097.
Topik: Parenteral Nutrition; Critically Ill
Ketersediaan
  • Perpustakaan FK
    • Nomor Panggil: N08.K.2009.05
    • Non-tandon: 1 (dapat dipinjam: 0)
    • Tandon: tidak ada
    Lihat Detail Induk
Isi artikelMalnutrition, including the depletion of essential micronutrients and erosion of lean body mass, is very common in patients who are critically ill, with 20 to 40% of such patients showing evidence of protein-energy malnutrition. The incidence of malnutrition worsens over time in patients who require prolonged hospitalization. Protein-energy malnutrition before and during hospitalization is associated with increased morbidity and mortality in hospitalized patients. Adequate nutrient intake is critical for optimal cell and organ function and wound repair. Protein-energy malnutrition is associated with skeletal-muscle weakness, an increased rate of hospital-acquired infection, impaired wound healing, and prolonged convalescence in patients who are admitted to an intensive care unit (ICU). However, the relationship between malnutrition and adverse clinical outcomes is complex, because malnutrition may contribute to complications that worsen nutritional status, and patients who are more difficult to feed are more critically ill and at higher risk for death and complications. Thus, the true cost of malnutrition cannot be estimated with accuracy in critically ill patients.
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