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https://hdl.handle.net/2440/44350
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Type: | Journal article |
Title: | Gastric feed intolerance is not increased in critically ill patients with type II diabetes mellitus |
Author: | Nguyen, Q. Lam, S. Ching, K. Chapman, M. Fraser, R. Holloway, R. |
Citation: | Intensive Care Medicine, 2007; 33(10):1740-1745 |
Publisher: | Springer |
Issue Date: | 2007 |
ISSN: | 0342-4642 1432-1238 |
Statement of Responsibility: | 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. |
Keywords: | Diabetes mellitus Gastric feed intolerance Critically ill |
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 |
DOI: | 10.1007/s00134-007-0712-1 |
Published version: | http://www.springerlink.com/content/fh67655423941ln7/ |
Appears in Collections: | Aurora harvest 6 Medicine publications |
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