Wu MH. Risk factors for diarrhea in critically ill patients during enteral nutrition.
Shijie Huaren Xiaohua Zazhi 2016;
24:2400-2405. [DOI:
10.11569/wcjd.v24.i15.2400]
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Abstract
AIM: To investigate the risk factors for diarrhea in critically ill patients during enteral nutrition.
METHODS: One hundred and eighty-five critically ill patients treated at our intensive care unit (ICU) from January 2014 and December 2015 were enrolled for the study and divided into either an observation group (diarrhea) or a control group (non-diarrhea) according to the Hart diarrhea scoring method. General information, enteral nutrition and treatment data were compared between the two groups. Multivariate logistics regression analysis was performed to screen out risk factors for diarrhea.
RESULTS: Diarrhea occurred in 105 (56.8%) cases, most of which occurred in the first and second days after enteral nutrition and lasted 1-2 d. Hospital stay, the incidence of hypoalbuminemia, enteral nutrition infusion time, infusion volume, the rate of fasting before enteral nutrition, time of using antibiotics, application of a variety of antibiotics, the rates of using acid-inhibitory drug and oral potassium preparation in the observation group were significantly higher than those in the control group (P < 0.05), and the rate of gradually increasing enteral nutrition preparations in the observation group was significantly lower than that in the control group (P < 0.05). There was a significant difference in the infusion speed between the two groups (P < 0.05). Hypoalbuminemia, fasting before enteral nutrition, application of acid-inhibitory drug and oral potassium preparation were independent risk factors for diarrhea (P < 0.05), and gradually increasing enteral nutrition preparations was an independent protective factor (P < 0.05).
CONCLUSION: For critically ill patients given enteral nutrition, hypoalbuminemia, fasting before enteral nutrition, application of acid-inhibitory drug and oral potassium preparation could significantly increase the risk of diarrhea. Gradual increasing of enteral nutrition preparations is recommended to reduce the risk of diarrhea.
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