Authors (including presenting author) :
THY TING(1), EKH LUK(1), JCW HO(1), GPS LUI(1), SHY CHAN(1), IHK MAK(2), AKH LEUNG(2), YY LAM(3), CY WONG(1), SWY LUK(3)
Affiliation :
1)Dietetics Department, NORTH DISTRICT HOSPITAL 2)Department of Pharmacy, NORTH DISTRICT HOSPITAL 3)Department of Surgery, NORTH DISTRICT HOSPITAL
Introduction :
A nutrition support team (NST) is a multidisciplinary team of physicians, pharmacists, nurses and dietitians, who are responsible for managing patients with complex nutritional needs. NST improves the quality of treatment, clinical outcomes and reduces costs by avoiding unnecessary treatments and simplifying the treatments used.
Objectives :
This study reviewed the outcomes achieved after the implementation of a NST on a group of patients with intestinal failure, who were given parenteral nutrition (PN) at a local acute hospital.
Methodology :
A total of 81 patient records were retrieved for service evaluation analysis. Among the subjects, 44 of the patients on PN who were seen by the NST from Apr 2017 – Jun 2019 were compared to the historical control of 37 patients on PN who have not received NST or dietitian intervention during the period from Mar 2016 – Mar 2017. Energy, protein, and micro-nutrients consumption adequacy were compared between the intervention and control groups. Patients without body weight and nutrition intake records were excluded. Independent t-test and chi-square test were used to compare the variables between both groups. A p value of < 0.05 was considered statistically significant.
Result & Outcome :
To improve nutrition and clinical outcomes on patients with PN The patients in the intervention group had a significantly higher energy and protein intake than that of the control group (1279±353kcal versus 934±261kcal; 58±16g versus 43±12g). In terms of nutritional intake adequacy, percentage of targeted energy and protein requirement achieved is significantly higher in the intervention group (81±21% and 90±28% of their energy and protein requirements respectively), compared to 64±21% and 75±23% in the control group. Adequacy of micronutrient consumption is also significantly higher in the intervention group, 88.6% of patients in the intervention group achieved adequate intake of micronutrients from PN compare to 8.1% of patients in the control group. This review suggests that NST intervention can improve both macro- and micronutrient intake adequacies in patients on parenteral nutrition support.
