Utility of early nutritional support by a registered dietitian in pneumonia patients: a trial of withdrawal of peripheral parenteral nutrition using thickened oral rehydration fluids

DOI
  • Mori Shigeo
    Department of Nutrition Management, Inazawa Kosei Hospital, Aichi, Japan Department of Nutrition Management, Toyota Kosei Hospital, Aichi, Japan
  • Kanagami Yuuri
    Department of NST, Inazawa Kosei Hospital, Aichi, Japan
  • Nakashima Rina
    Department of NST, Inazawa Kosei Hospital, Aichi, Japan
  • Suzuki Sachiko
    Department of NST, Inazawa Kosei Hospital, Aichi, Japan
  • Sakurai Hidetoshi
    Department of NST, Inazawa Kosei Hospital, Aichi, Japan
  • Nakamoto Kasumi
    Department of NST, Inazawa Kosei Hospital, Aichi, Japan
  • Itou Koichi
    Department of NST, Inazawa Kosei Hospital, Aichi, Japan
  • Doi Hikaru
    Department of Nutrition Management, Kaneda Hospital, Okayama, Japan
  • Kurumiya Yasue
    Department of Nutrition Management, Asuke Hospital, Aichi, Japan
  • Hashimoto Masaru
    Himeji Hinomoto College, Hyogo, Japan

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Other Title
  • 肺炎患者に対する管理栄養士による早期栄養サポートの有用性の検討－粘度調整水を用いた末梢静脈栄養離脱の試み－

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Abstract

<p>Aim: The aim of this study was to investigate the effectiveness of early nutritional support using thickened oral rehydration fluids led by a registered dietitian in collaboration with the dysphagia management team in the treatment of pneumonia.</p><p>Subjects and Methods: Fasted inpatients with pneumonia who were on parenteral nutrition were assessed for swallowing function to determine the viscosity of ingestible fluids. In multi-professional collaboration, a nutritional management plan with early introduction of thickened fluids was implemented.</p><p>Results: Of 34 patients in total, those who did not undergo swallowing assessment (n=9), died (n=1), or were discharged or transferred (n=10) were excluded, and the remaining patients were assigned to either the early intervention group (n=6) or the control group (n=8) for comparison. The amount of oral energy intake and the proportion of oral water intake to the required water intake were significantly higher, and the medical costs including the costs of parenteral nutrition and antibiotics were lower in the early intervention group compared with the control group.</p><p>Conclusion: This study suggested that the registered dietitian-led early intervention with nutritional support using thickened oral rehydration fluids can contribute to the improvement of therapeutic effect and medical economics, which may also lead to a reduced burden on doctors.</p>

Journal

  • Online Journal of JSPEN

    Online Journal of JSPEN 3 (3), 138-146, 2021

    Japanese Society for Clinical Nutrition and Metabolism

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