Retrospective Evaluation of Unstable Patients Fed Parenterally in Intensive Care Unit: Single Center Experience.

INTRODUCTION: The aim of this study is to determine the demographic and clinical characteristics of the patients fed with total parenteral nutrition who is hemodynamic unstable in the ICU.
METHODS: This study was performed retrospectively in the Internal Medicine intensive care unit of Erciyes University. Information was obtained from patient files, hospital electronic registry system and feeding unit registration forms.
RESULTS: The study included 51 patients. The mean age of the patients was 57 ± 19 years. 47% of the patients were male. When the reasons of total parenteral nutrition were evaluated it was seen that the most common causes of total parenteral nutrition were septic shock (47%) and gastrointestinal bleeding (23%). The daily calorie intake of the patients’ was 1389 ± 286 kcal and the target caloric value was 1824 ± 256. The number of mechanical ventilator days was 5 (median 0-42), the number of days of intensive care unit stay was 9 (median 1-125)and the number of stay in hospital was 13 (median 1-155). Mortality rate of the patients’ was 71%. Serum albumin levels were found to be lower in patients who died than the living patients and these low levels of albumin were statistically significant (p=0,015).
DISCUSSION AND CONCLUSION: In the intensive care unit, it is seen that total parenteral nutrition most commonly applied to in the septic schok state patients who had vasopressor support and had gastrointestinal bleeding. In addition, it was determined that the target energy value could not be reached.