The nutrition support team at Tokyo Women's Medical University Hospital conducted a fact-finding survey of inpatients at 31 hospitals, and promoted enteral nutrition using the intestines to improve the home discharge rate and lower the mortality rate. It was clarified that it has the effect of improving the quality and prognosis of.
The nutrition of inpatients is roughly divided into enteral nutrition using the intestine and parenteral nutrition using intravenous drip.Intestinal nutrition is digested and absorbed using the intestine, gastrointestinal immunity is stimulated, the intestinal-brain correlation, which is the link between the intestine and the brain, also functions, and the function of intestinal bacteria that support health is expected. To.On the other hand, since the intestine is not used in parenteral nutrition, gastrointestinal immunity, gut-brain axis, and the function of intestinal bacteria cannot all be obtained, but scientific investigation of the effect on patients has not been conducted so far.
With the cooperation of nutritionists from 31 private university hospitals in Japan, the research team admitted 14,172 people regarding the causal relationship between the fasting situation during hospitalization, the length of hospital stay, and the outcome (discharge, continuation of hospitalization, death, etc.). A prospective observational study was performed on the patient.
As a result, it was proved that the longer the fasting period during hospitalization, the longer the length of hospital stay, the weight loss, and the decrease in hematological parameters were observed, and the mortality rate increased and the home discharge rate decreased.This has been suggested to damage the patient's quality of life (QOL) and hospital economy (economic savings, etc.).
In the fasting example (sample), the intake of calories, protein, and lipids was higher in the long-term fasting group (same usage rate 12%) than in the medium-term fasting group (intravenous nutrition usage rate 63%). However, the prognosis was poor as a whole.This shows the superiority of enteral nutrition therapy over parenteral nutrition.
The results of this study are valuable data even from a global perspective, and are expected to serve as an index for selecting appropriate nutritional therapy in the future.
Paper information:[British Journal of Nutrition] Relationship between the fasting status during hospitalization, the length of hospital stay, and the outcome
