Nutritional support team vs nonteam management of enteral nutritional support in a Veterans Administration Medical Center Teaching Hospital

D. A. Powers, Rex Brown, G. S.M. Cowan, R. W. Luther, D. A. Sutherland, P. G. Drexler

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

One hundred one patients receiving enteral nutritional support (ENS) by tube feeding during a 5-month period were prospectively studied. Fifty patients were managed by a nutritional support team (T) and 51 patients were managed by the nonteam approach (NT). Demographics, priamry diagnosis, chronic diseases, medical service, calculated basal energy expenditure (BEE), duration of ENS, and final patient disposition were recorded. Enteral formula, formula modifications, results of laboratory tests and calories delivered were obtained daily. Results of nitrogen balance studies were obtained when available and each patient was monitored for pulmonary, mechanical, gastrointestinal, and metabolic abnormalities. No significant difference was found between the team and nonteam managed group in regard to total feeding days, mean feeding days per patient, total laboratory tests, laboratory tests per patient or laboratory tests per day. Significantly more team patients attained 1.2 times BEE (T = 47, NT = 38, p < 0.05) for a significantly greater period of time (T = 398 days, NT = 281 days, p < 0.05). Significantly more team patients achieved (T = 42, NT = 1, p < 0.05). Formula modifications to correct nutritional or metabolic aberrations were made in 15 (30%) team patients and five (9.8%) nonteam patients (p < 0.05). The number of individual abnormalities (pulmonary, mechanical, gastrointestinal, and metabolic), as well as total abnormalities occurring in the team-managed group, was significantly lower than in the nonteam managed group (160 vs 695, p < 0.05). The results of the study indicate that team-managed enteral nutritional support reduced abnormalities and is nutritionally more efficient when compared to a nonteam approach.

Original languageEnglish (US)
Pages (from-to)635-638
Number of pages4
JournalJournal of Parenteral and Enteral Nutrition
Volume10
Issue number6
DOIs
StatePublished - Jan 1 1986

Fingerprint

United States Department of Veterans Affairs
Nutritional Support
Teaching Hospitals
Small Intestine
Energy Metabolism
Lung
Enteral Nutrition
Chronic Disease
Nitrogen
Demography

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Nutritional support team vs nonteam management of enteral nutritional support in a Veterans Administration Medical Center Teaching Hospital. / Powers, D. A.; Brown, Rex; Cowan, G. S.M.; Luther, R. W.; Sutherland, D. A.; Drexler, P. G.

In: Journal of Parenteral and Enteral Nutrition, Vol. 10, No. 6, 01.01.1986, p. 635-638.

Research output: Contribution to journalArticle

Powers, D. A. ; Brown, Rex ; Cowan, G. S.M. ; Luther, R. W. ; Sutherland, D. A. ; Drexler, P. G. / Nutritional support team vs nonteam management of enteral nutritional support in a Veterans Administration Medical Center Teaching Hospital. In: Journal of Parenteral and Enteral Nutrition. 1986 ; Vol. 10, No. 6. pp. 635-638.
@article{47e8d89c473748d0a5aa6501187086f5,
title = "Nutritional support team vs nonteam management of enteral nutritional support in a Veterans Administration Medical Center Teaching Hospital",
abstract = "One hundred one patients receiving enteral nutritional support (ENS) by tube feeding during a 5-month period were prospectively studied. Fifty patients were managed by a nutritional support team (T) and 51 patients were managed by the nonteam approach (NT). Demographics, priamry diagnosis, chronic diseases, medical service, calculated basal energy expenditure (BEE), duration of ENS, and final patient disposition were recorded. Enteral formula, formula modifications, results of laboratory tests and calories delivered were obtained daily. Results of nitrogen balance studies were obtained when available and each patient was monitored for pulmonary, mechanical, gastrointestinal, and metabolic abnormalities. No significant difference was found between the team and nonteam managed group in regard to total feeding days, mean feeding days per patient, total laboratory tests, laboratory tests per patient or laboratory tests per day. Significantly more team patients attained 1.2 times BEE (T = 47, NT = 38, p < 0.05) for a significantly greater period of time (T = 398 days, NT = 281 days, p < 0.05). Significantly more team patients achieved (T = 42, NT = 1, p < 0.05). Formula modifications to correct nutritional or metabolic aberrations were made in 15 (30{\%}) team patients and five (9.8{\%}) nonteam patients (p < 0.05). The number of individual abnormalities (pulmonary, mechanical, gastrointestinal, and metabolic), as well as total abnormalities occurring in the team-managed group, was significantly lower than in the nonteam managed group (160 vs 695, p < 0.05). The results of the study indicate that team-managed enteral nutritional support reduced abnormalities and is nutritionally more efficient when compared to a nonteam approach.",
author = "Powers, {D. A.} and Rex Brown and Cowan, {G. S.M.} and Luther, {R. W.} and Sutherland, {D. A.} and Drexler, {P. G.}",
year = "1986",
month = "1",
day = "1",
doi = "10.1177/0148607186010006635",
language = "English (US)",
volume = "10",
pages = "635--638",
journal = "Journal of Parenteral and Enteral Nutrition",
issn = "0148-6071",
publisher = "SAGE Publications Inc.",
number = "6",

}

TY - JOUR

T1 - Nutritional support team vs nonteam management of enteral nutritional support in a Veterans Administration Medical Center Teaching Hospital

AU - Powers, D. A.

AU - Brown, Rex

AU - Cowan, G. S.M.

AU - Luther, R. W.

AU - Sutherland, D. A.

AU - Drexler, P. G.

PY - 1986/1/1

Y1 - 1986/1/1

N2 - One hundred one patients receiving enteral nutritional support (ENS) by tube feeding during a 5-month period were prospectively studied. Fifty patients were managed by a nutritional support team (T) and 51 patients were managed by the nonteam approach (NT). Demographics, priamry diagnosis, chronic diseases, medical service, calculated basal energy expenditure (BEE), duration of ENS, and final patient disposition were recorded. Enteral formula, formula modifications, results of laboratory tests and calories delivered were obtained daily. Results of nitrogen balance studies were obtained when available and each patient was monitored for pulmonary, mechanical, gastrointestinal, and metabolic abnormalities. No significant difference was found between the team and nonteam managed group in regard to total feeding days, mean feeding days per patient, total laboratory tests, laboratory tests per patient or laboratory tests per day. Significantly more team patients attained 1.2 times BEE (T = 47, NT = 38, p < 0.05) for a significantly greater period of time (T = 398 days, NT = 281 days, p < 0.05). Significantly more team patients achieved (T = 42, NT = 1, p < 0.05). Formula modifications to correct nutritional or metabolic aberrations were made in 15 (30%) team patients and five (9.8%) nonteam patients (p < 0.05). The number of individual abnormalities (pulmonary, mechanical, gastrointestinal, and metabolic), as well as total abnormalities occurring in the team-managed group, was significantly lower than in the nonteam managed group (160 vs 695, p < 0.05). The results of the study indicate that team-managed enteral nutritional support reduced abnormalities and is nutritionally more efficient when compared to a nonteam approach.

AB - One hundred one patients receiving enteral nutritional support (ENS) by tube feeding during a 5-month period were prospectively studied. Fifty patients were managed by a nutritional support team (T) and 51 patients were managed by the nonteam approach (NT). Demographics, priamry diagnosis, chronic diseases, medical service, calculated basal energy expenditure (BEE), duration of ENS, and final patient disposition were recorded. Enteral formula, formula modifications, results of laboratory tests and calories delivered were obtained daily. Results of nitrogen balance studies were obtained when available and each patient was monitored for pulmonary, mechanical, gastrointestinal, and metabolic abnormalities. No significant difference was found between the team and nonteam managed group in regard to total feeding days, mean feeding days per patient, total laboratory tests, laboratory tests per patient or laboratory tests per day. Significantly more team patients attained 1.2 times BEE (T = 47, NT = 38, p < 0.05) for a significantly greater period of time (T = 398 days, NT = 281 days, p < 0.05). Significantly more team patients achieved (T = 42, NT = 1, p < 0.05). Formula modifications to correct nutritional or metabolic aberrations were made in 15 (30%) team patients and five (9.8%) nonteam patients (p < 0.05). The number of individual abnormalities (pulmonary, mechanical, gastrointestinal, and metabolic), as well as total abnormalities occurring in the team-managed group, was significantly lower than in the nonteam managed group (160 vs 695, p < 0.05). The results of the study indicate that team-managed enteral nutritional support reduced abnormalities and is nutritionally more efficient when compared to a nonteam approach.

UR - http://www.scopus.com/inward/record.url?scp=0022981878&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0022981878&partnerID=8YFLogxK

U2 - 10.1177/0148607186010006635

DO - 10.1177/0148607186010006635

M3 - Article

VL - 10

SP - 635

EP - 638

JO - Journal of Parenteral and Enteral Nutrition

JF - Journal of Parenteral and Enteral Nutrition

SN - 0148-6071

IS - 6

ER -