Yusuke Sasabuchi, Sachiko Ono, Satoru Kamoshita, Tomoe Tsuda, Akiyoshi Kuroda
BACKGROUND: In patients receiving total parenteral nutrition, the association between nutritional achievement in accordance with the nutritional guidelines and outcomes remains unclear. Our purpose was to assess the association between nutritional achievement and clinical outcomes, including in-hospital mortality, activity of daily living (ADL), and readmission. METHODS: In this retrospective cohort study, data were extracted from an inpatient medical claims database at 380 acute care hospitals...
October 21, 2020: JPEN. Journal of Parenteral and Enteral Nutrition
Kenneth W Chow, Danielle J Kelly, Rajarsi Gupta, Joshua D Miller
Many patients admitted to the intensive care unit (ICU) with are acutely malnourished and often require aggressive and early nutritional support with total parenteral nutrition (TPN). However, TPN-induced hyperglycemia is a predictor of hospital mortality and is associated with increased length of stay. Elevated blood glucose in hospitalized patients with COVID-19 is also associated with increased mortality. Real-time continuous glucose monitoring (rtCGM) is primarily used in the outpatient setting but there is rapidly growing interest in its applicability to help treat dysglycemia in critically ill patients, especially during the ongoing COVID-19 pandemic...
October 21, 2020: JPEN. Journal of Parenteral and Enteral Nutrition
Yu Hyeon Choi, Min Sun Kim, Cho Hee Kim, In Gyu Song, June Dong Park, Dong In Suh, Hyung-Ik Shin
BACKGROUND: The number of technology-dependent children (TDC) is increasing in South Korea, but available healthcare services after their discharge are poor. This study aimed to examine how TDC and caregivers live at home and identify their difficulties and needs regarding home care with few services to support them. METHODS: This cross-sectional study was conducted in a tertiary hospital for children in South Korea. A self-reported questionnaire was completed by primary caregivers of TDC who were younger than 19 years and had been dependent on medical devices for more than 3 months...
October 20, 2020: BMC Pediatrics
Lena J Storck, Maya Ruehlin, Nicole Wagener, Christina Moeltgen, Laurence Genton, Peter E Ballmer
BACKGROUND: Home artificial nutrition (HAN) is an established treatment for malnourished patients. Since July 2012, the costs for oral nutrition supplements (ONS) are covered by the compulsory health insurance providers in Switzerland if the patient has a medical indication based on the Swiss Society for Clinical Nutrition guidelines. Therefore, the purpose of our study was to analyse the development of HAN, including ONS, before and after July 2012. METHODS: We obtained the retrospective and anonymized data from the Swiss association for joint tasks of health insurers (SVK), who registered patients on HAN...
October 20, 2020: Annals of Nutrition & Metabolism
Gang Li, Chen-Liang Zhou, Yuan-Ming Ba, Ye-Ming Wang, Bin Song, Xiao-Bin Cheng, Qiu-Fen Dong, Liu-Lin Wang, Sha-Sha You
OBJECTIVE: To evaluate the nutritional risk and therapy in severe and critical patients with COVID-19. METHODS: A total of 523 patients enrolled from four hospitals in Wuhan, China. The inclusion time was from January 2, 2020 to February 15. Clinical characteristics and laboratory values were obtained from electronic medical records, nursing records, and related examinations. RESULTS: Of these patients, 211 (40.3%) were admitted to the ICU and 115 deaths (22...
October 1, 2020: Clinical Nutrition
Masatsugu Hiraki, Toshiya Tanaka, Tadayuki Kanai, Takuya Shimamura, Osamu Ikeda, Makio Yasunaga, Shinichi Ogata, Kenji Kitahara
INTRODUCTION: Rectovaginal fistula (RVF) is a refractory complication that occurs after anastomotic leakage following low anterior resection for rectal disease. Due to its refractory nature, RVF is often managed with surgical treatment, such as stoma creation for fecal diversion, closure of the fistula and/or re-anastomosis, rather than conservative therapy. PRESENTATION OF CASE: A 72-year-old woman who underwent laparoscopic low anterior resection developed RVF on post-operative day (POD) 15...
2020: International Journal of Surgery Case Reports
Patricia L Hall, Angela Wittenauer, Arthur Hagar
Georgia uses post-analytical tools through Collaborative Laboratory Integrated Reports (CLIR) to triage abnormal newborn screening (NBS) results for follow-up. Condition specific tools are used to assign each case a risk level, which is used to guide follow-up recommendations. Follow-up recommendations include assessment by the child's primary care provider as well as testing, either a repeat NBS or confirmatory testing. Triaging abnormal cases using these tools has been advantageous in managing the workflow for the follow-up team, as well as prioritizing cases that appropriately require more attention and resources...
March 2020: International Journal of Neonatal Screening
Mugdha Anand, Puneet Kaur Sahi, Mukta Mantan
Liver abscess in early infancy is uncommon, needs a high index of suspicion for diagnosis and carries a high mortality. It presents most frequently by a fulminant course, generalised sepsis and multiple metastatic abscesses. An underlying predisposing factor is usually attributed in nearly all cases reported to date. These include prematurity, low birth weight, umbilical catheterisation (UC), administration of hypertonic dextrose or total parenteral nutrition via UC, exchange transfusion, blood culture proven sepsis, necrotising enterocolitis, antecedent abdominal surgery, birth asphyxia, omphalitis and underlying immunodeficiency...
October 18, 2020: Tropical Doctor
Marta Zatta, Stefano Di Bella, Daniele Roberto Giacobbe, Filippo Del Puente, Maria Merelli, Anna Maria Azzini, Pierluigi Brugnaro, Claudio Vedovelli, Anna Maria Cattelan, Marina Busetti, Giuseppe Gatti, Matteo Bassetti, Roberto Luzzati
INTRODUCTION: Being elderly is a well-known risk factor for candidemia, but few data are available on the prognostic impact of candidemia in the very old (VO) subjects, as defined as people aged ≥75 years. OBJECTIVE: The aim of this study was to assess risk factors for nosocomial candidemia in two groups of candidemia patients, consisting of VO patients (≥75 years) and adult and old (AO) patients (18-74 years). In addition, risk factors for death (30-day mortality) were analysed separately in the two groups...
October 16, 2020: Gerontology
C Wallon, A Binet, K Bernardo, A Le Touze, V Lesage, M Laffon, H Lardy, R Hankard, A De Luca
BACKGROUND: Overall, 10-15% of hospitalized children are undernourished. The present study focuses on pediatric surgical wards. We assessed the impact of undernutrition upon admission on the weight-for-height Z-score (Z-WFH) during hospitalization for surgery. Secondary aims were to investigate the influence of associated factors and to report on the use of nutritional support. METHODS: All children hospitalized for a surgical procedure between July 2015 and March 2016 were included in this monocentric, prospective study...
October 14, 2020: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Michelle Gompelman, Renée A M Tuinte, Marvin A H Berrevoets, Chantal P Bleeker-Rovers, Geert J A Wanten
Background: Patients on total parenteral nutrition (TPN) are at risk of developing central line-associated infections. Specifically, Staphylococcus aureus bacteremia (SAB) is feared for its high complication rates. This prospective cohort study compares characteristics, clinical course and outcome of SAB in patients with and without TPN support. Methods: Clinical and microbiological data from all patients with positive blood cultures for S. aureus from two facilities, including our referral center for TPN support, were retrieved (period 2013-2020)...
October 14, 2020: Nutrients
Zsuzsanna H McMahan, Ana E Tucker, Jamie Perin, Elizabeth R Volkmann, Subhash Kulkarni, Harvey A Ziessman, Pankaj J Pasricha, Fredrick M Wigley
OBJECTIVE: Scleroderma (SSc)-associated gastrointestinal (GI) complications are attributed to a variety of factors including diet, microbiota dysbiosis, or GI transit abnormalities. We examined the contribution of abnormal GI transit to SSc Medsger GI severity scores and/or UCLA GIT 2.0 symptoms. METHODS: Patients with SSc and GI symptoms (n=71) and healthy controls (n=18) underwent whole gut transit (WGT) scintigraphy to assess transit from the esophagus to the colon...
October 16, 2020: Arthritis Care & Research
A Coulshed, M Soucisse, J D Lansom, D Morris
INTRODUCTION: This report presents the rare case of a patient with complete bowel ischaemia following parastomal hernia, leading to total bowel resection, with consideration of post-operative complications and wound management. PRESENTATION OF CASE: A 59 year old female was found to have complete small bowel ischaemia on exploratory laparatomy, on a background of recurrent appendiceal adenomucinosis, for which she had received previous peritonectomy, cholecystectomy, total colectomy, and partial small bowel resection...
September 23, 2020: International Journal of Surgery Case Reports
Sarah G Fisher, Cassandra M Anderson, Nicole P Steinhardt, Lauren A Howser, Surya S Bhamidipalli, Brandon P Brown, Brian W Gray
BACKGROUND: Gastroschisis occurs in one of 2000 births with survival rates partially contingent on intestinal complications and time to establishing feeding. Enhancements in prenatal imaging have given better insight into postnatal outcomes. The goal of this study was to examine the gastroschisis patient population at a single children's hospital in the modern era and to use prenatal ultrasound (US) to develop new prenatal prognostic indicators. METHODS: We performed a retrospective review of gastroschisis patients at a quaternary-care referral children's hospital from 2010 through 2018...
October 10, 2020: Journal of Surgical Research
Changzhou Cai, Yishu Chen, Xueyang Chen, Feng Ji
Congenital tufting enteropathy (CTE), also named intestinal epithelial dysplasia, is a rare, autosomal recessive enteropathy with persistent and life-threatening intractable diarrhea early in life. Intractable diarrhea is present independent of breast or formula feeding. Most CTE patients require total parenteral nutrition (TPN), and in severe cases, small bowel transplantation is needed. In the last decade, we have seen remarkable progress in certain aspects, such as the pathogenesis and diagnostic methods of the disease...
2020: Gastroenterology Research and Practice
João P S Fernandes
No abstract text is available yet for this article.
October 1, 2020: American Journal of Therapeutics
Zachary C Madson, Sitaram Vangala, Grace T Sund, James A Lin
BACKGROUND: Critically ill neonates and pediatric patients commonly require multiple low flow infusions. Volume limitations are imposed by small body habitus and co-morbidities like cardiopulmonary disease, renal failure, or fluid overload. Vascular access is limited by diminutive veins. Maintenance fluids or parenteral nutrition in conjunction with actively titrated infusions such as insulin, fentanyl, prostaglandins, inotropes and vasopressors may necessitate simultaneous infusions using a single lumen to maintain vascular catheter patency...
September 19, 2020: World Journal of Clinical Pediatrics
Kumar M Vinchurkar, Preeti Maste, Manoj D Togale, Vishwanath M Pattanshetti
Chemoport is being routinely used to administer chemotherapy, blood, blood products, total parenteral nutrition, and also to draw blood for investigations. We started using chemoport in our institute. We use it exclusively to administer chemotherapy. We analyzed our results of chemoport usage and confirm that the rate of complications associated with chemoport usage is at par with the available literature. We also conclude that with regular use, the intra-op and post-op complications will reduce further.
September 2020: Indian Journal of Surgical Oncology
Y Honda, R Momosaki, N Ogata
OBJECTIVES: Many older patients with pneumonia cannot intake orally after admission and may need nutritional care such as nasogastric tube feeding or total parenteral nutrition. This study sought to compare in-hospital outcomes between patients receiving nasogastric tube feeding and total parenteral nutrition. DESIGN: This is a retrospective cohort study. SETTING: A hospital-based database constructed by the Diagnosis Procedure Combination survey data comprising more than 100 acute-care hospitals...
2020: Journal of Nutrition, Health & Aging
Thaddeus J Puzio, Rosemary A Kozar
PURPOSE OF REVIEW: The aim of this study was to discuss recent findings related to providing adequate and well tolerated nutrition to the critically ill surgical patient. RECENT FINDINGS: The majority of nutritional studies in the critically ill have been performed on well nourished patients, but validated scoring systems can now identify high nutrition risk patients. Although it remains well accepted that early enteral nutrition with protein supplementation is key, mechanistic data suggest that hypocaloric feeding in septic patients may be beneficial...
September 29, 2020: Current Opinion in Critical Care
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"