Please use this identifier to cite or link to this item:
|Scopus||Web of Science®||Altmetric|
|Title:||Gastric feed intolerance is not increased in critically ill patients with type II diabetes mellitus|
|Citation:||Intensive Care Medicine, 2007; 33(10):1740-1745|
|N. Q. Nguyen, S. W. Lam, K. Ching, M. Chapman, R. J. Fraser and R. H. Holloway|
|Abstract:||<h4>Objective</h4>To examine the occurrence of feed intolerance in critically ill patients with previously diagnosed type II diabetes mellitus (DM) who received prolonged gastric feeding.<h4>Design and setting</h4>Retrospective study in a level 3 mixed ICU.<h4>Patients</h4>All mechanically ventilated, enterally fed patients (n = 649), with (n = 118) and without type II DM (n = 531) admitted between January 2003 and July 2005.<h4>Interventions</h4>Patients with at least 72 h of gastric feeding were identified by review of case notes and ICU charts. The proportion that developed feed intolerance was determined. All patient received insulin therapy.<h4>Results</h4>The proportion of patients requiring gastric feeding for at least 72 h was similar between patients with and without DM (42%, 50/118, vs. 42%, 222/531). Data from patients with DM were also compared with a group of 50 patients matched for age, sex and APACHE II score, selected from the total non-diabetic group. The occurrence of feed intolerance (DM 52% vs. matched non-DM 50% vs. unselected non-diabetic 58%) and the time taken to develop feed intolerance (DM 62.6 +/- 43.8 h vs. matched non-DM 45.3 +/- 54.6 vs. unselected non-diabetic 50.6 +/- 59.5) were similar amongst the three groups. Feed intolerance was associated with a greater use of morphine/midazolam and vasopressor support, a lower feeding rate and a longer ICU length of stay.<h4>Conclusions</h4>In critically ill patients who require prolonged enteral nutrition, a prior history of DM type II does not appear to be a further risk factor for feed intolerance.|
Gastric feed intolerance
|Description:||© Springer The original publication can be found at www.springerlink.com|
|Provenance:||An erratum to this article can be found at http://dx.doi.org/10.1007/s00134-007-0777-x|
|Appears in Collections:||Aurora harvest 6|
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.