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      KCI등재 SCOPUS

      내과계 중환자의 영양공급 현황 및 영양상태 변화

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      https://www.riss.kr/link?id=A82719947

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      다국어 초록 (Multilingual Abstract)

      The objective of this study was to determine the nutritional support in patients treated in medical intensive care units (MICUs) by evaluating the extent of current nutritional support using the patient care plan and considering the association between nutritional status and the amount of nutrition supplied. From April to December 2010 114 patients (age ≥ 18 years) admitted to the MICU and who underwent nutritional support for > 5 days were included. Descriptive statistics showed that the 114 patients received nutritional support within 1.2 ± 0.7 days and for 16.2 ± 11.7 days in the MICUs. The total delivered/required caloric ratio was 81.08 ± 27.31% and the protein ratio was 80.32 ± 28.93%. Patients who received > 80% of required calories and protein showed improved nutritional status (p < 0.05). The results showed that adequate nutritional support is crucial to critically ill patients. We suggest early nutritional screening using simple tools such as periodic monitoring and management to recalculate nutritional status and nutritional requirements and nutritional support using a multidisciplinary method. Systematic nutritional support teams are needed to provide adequate nutritional support for patients in the MICU.
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      The objective of this study was to determine the nutritional support in patients treated in medical intensive care units (MICUs) by evaluating the extent of current nutritional support using the patient care plan and considering the association betwee...

      The objective of this study was to determine the nutritional support in patients treated in medical intensive care units (MICUs) by evaluating the extent of current nutritional support using the patient care plan and considering the association between nutritional status and the amount of nutrition supplied. From April to December 2010 114 patients (age ≥ 18 years) admitted to the MICU and who underwent nutritional support for > 5 days were included. Descriptive statistics showed that the 114 patients received nutritional support within 1.2 ± 0.7 days and for 16.2 ± 11.7 days in the MICUs. The total delivered/required caloric ratio was 81.08 ± 27.31% and the protein ratio was 80.32 ± 28.93%. Patients who received > 80% of required calories and protein showed improved nutritional status (p < 0.05). The results showed that adequate nutritional support is crucial to critically ill patients. We suggest early nutritional screening using simple tools such as periodic monitoring and management to recalculate nutritional status and nutritional requirements and nutritional support using a multidisciplinary method. Systematic nutritional support teams are needed to provide adequate nutritional support for patients in the MICU.

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      목차 (Table of Contents)

      • ABSTRACT
      • 서론
      • 연구방법
      • 결과
      • 고찰
      • ABSTRACT
      • 서론
      • 연구방법
      • 결과
      • 고찰
      • Literature cited
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      참고문헌 (Reference)

      1 문성신, "중환자실 재원 환자의 영양지원 현황" 대한중환자의학회 24 (24): 129-133, 2009

      2 한진순, "입원환자의 영양불량위험 검색도구의 개발 및 평가" 한국영양학회 42 (42): 119-127, 2009

      3 Bauer J, "Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer" 56 (56): 779-785, 2002

      4 Heyland DK, "Total parenteral nutrition in the critically ill patient: a meta-analysis" 280 (280): 2013-2019, 1998

      5 Dissanaike S, "The risk for bloodstream infections is associated with increased parenteral caloric intake in patients receiving parenteral nutrition" 11 (11): 114-, 2007

      6 Pirlich M, "The German hospital malnutrition stu-dy" 25 (25): 563-572, 2006

      7 Gottschlich MM, "The A.S.P.E.N nutrition support core curriculum" Maryland: American Society for Parenteral and Enteral Nutrition 493-, 2007

      8 Del Bufalo C, "Severity scores in respiratory intensive care: APACHE II predicted mortality better than SAPS II" 40 (40): 1042-1047, 1995

      9 Windsor JA, "Risk factors for postoperative pneumonia. The importance of protein depletion" 208 (208): 209-214, 1988

      10 Hill GL, "Rhoads Lecture. Body composition research: implications for the practice of clinical nutrition" 16 (16): 197-218, 1992

      1 문성신, "중환자실 재원 환자의 영양지원 현황" 대한중환자의학회 24 (24): 129-133, 2009

      2 한진순, "입원환자의 영양불량위험 검색도구의 개발 및 평가" 한국영양학회 42 (42): 119-127, 2009

      3 Bauer J, "Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer" 56 (56): 779-785, 2002

      4 Heyland DK, "Total parenteral nutrition in the critically ill patient: a meta-analysis" 280 (280): 2013-2019, 1998

      5 Dissanaike S, "The risk for bloodstream infections is associated with increased parenteral caloric intake in patients receiving parenteral nutrition" 11 (11): 114-, 2007

      6 Pirlich M, "The German hospital malnutrition stu-dy" 25 (25): 563-572, 2006

      7 Gottschlich MM, "The A.S.P.E.N nutrition support core curriculum" Maryland: American Society for Parenteral and Enteral Nutrition 493-, 2007

      8 Del Bufalo C, "Severity scores in respiratory intensive care: APACHE II predicted mortality better than SAPS II" 40 (40): 1042-1047, 1995

      9 Windsor JA, "Risk factors for postoperative pneumonia. The importance of protein depletion" 208 (208): 209-214, 1988

      10 Hill GL, "Rhoads Lecture. Body composition research: implications for the practice of clinical nutrition" 16 (16): 197-218, 1992

      11 Umali MN, "Recommended and actual calorie intake of intensive care unit patients in a private tertiary care hospital in the Philippines" 22 (22): 345-349, 2006

      12 Norman K, "Prognostic impact of disease-related malnutrition" 27 (27): 5-15, 2008

      13 Hong SK, "Nutritional therapy of intensive care" 2009

      14 Heyland DK, "Nutrition support in the critical care setting: current practice in Canadian ICUs-opportunities for improvement" 27 (27): 74-83, 2003

      15 The Korean Society of Parenteral and Enteral Nutrition, "Nutrition support guideline"

      16 Gottschlich MM, "Nutrition support dietetics" Maryland: American Society for Parenteral and Enteral Nutrition 236-237, 1993

      17 Lee JS, "Nutrition status and nutritional support needs in intensive care" 2003

      18 Pirlich M, "Nutrition in the elderly" 15 (15): 869-884, 2001

      19 Allison SP, "Malnutrition, disease, and outcome" 16 (16): 590-593, 2000

      20 Rubinson L, "Low caloric intake is associated with nosocomial bloodstream infections in patients in the medical intensive care unit" 32 (32): 350-357, 2004

      21 Heidegger CP, "Is it now time to promote mixed enteral and parenteral nutrition for the critically ill patient" 33 (33): 963-969, 2007

      22 McWhirter JP, "Incidence and recognition of malnutrition in hospital" 308 (308): 945-948, 1994

      23 Giner M, "In 1995 a correlation between malnutrition and poor outcome in critically ill patients still exists" 12 (12): 23-29, 1996

      24 Funk KL, "Improving malnutrition documentation enhances reimbursement" 95 (95): 468-475, 1995

      25 Mackenzie SL, "Implementation of a nutrition support protocol increases the proportion of mechanically ventilated patients reaching enteral nutrition targets in the adult intensive care unit" 29 (29): 74-80, 2005

      26 Ra MY, "Impact of nutritional support on clinical outcomes in patients" 2003

      27 Chung HK, "Energy deficiency aggravates clinical outcomes of critically ill patients" 20 (20): 49-53, 2005

      28 Kondrup J, "Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN). ESPEN guidelines for nutrition screening 2002" 22 (22): 415-421, 2003

      29 Singer P, "ESPEN. ESPEN guidelines on parenteral nutrition: intensive care" 28 (28): 387-400, 2009

      30 Park EK, "Degree of enteral tube feeding in the intensive care unit and change in nutritional status" 7 (7): 217-226, 2001

      31 An GJ, "Degree of enteral tube feeding and nutritional status in the ICU patients" 2006

      32 Krishnan JA, "Caloric intake in medical ICU patients: consistency of care with guidelines and relationship to clinical outcomes" 124 (124): 297-305, 2003

      33 Kondrup J, "Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials" 22 (22): 321-336, 2003

      34 Knaus WA, "APACHE II: a severity of disease classification system" 13 (13): 818-829, 1985

      35 McClave SA, "A.S.P.E.N. Board of Directors; American College of Critical Care Medicine; Society of Critical Care Medicine. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)" 33 (33): 277-316, 2009

      36 Choi MS, "A study on nutritional status and support in critically ill patients" 1 (1): 21-30, 1995

      37 Brugler L, "A simplified nutrition screen for hospitalized patients using readily available laboratory and patient information" 21 (21): 650-658, 2005

      38 De Jonghe B, "A prospective survey of nutritional support practices in intensive care unit patients: What is prescribed? What is delivered" 29 (29): 8-12, 2001

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      공동연구자 (7)

      유사연구자 (20) 활용도상위20명

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2013-07-24 학술지명변경 한글명 : 한국영양학회지 -> Journal of Nutrition and Health
      외국어명 : The Korean Journal of Nutrition -> Journal of Nutrition and Health
      KCI등재
      2010-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2008-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2006-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2001-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      1998-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.86 0.86 1.03
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      1.18 1.11 1.778 0.12
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