{
    "abstract": "To examine the outcomes of the implementation of a multidisciplinary nutrition support team (NST) that included a pharmacist for critically ill patients in the intensive care unit (ICU).\nData were retrospectively collected from electronic medical records and compared between the pre-NST group (n = 73) and post-NST group (n = 75). Patients were included if they received enteral or parenteral nutrition support for at least 72\u00a0hours in the ICU of an approximately 900-bed, top-tier university medical center. The percentage of goal kcal, the percentage of goal protein, serum albumin level, total lymphocyte count, C-reactive protein, duration of mechanical ventilation use, hospital length of stay (LOS), ICU LOS, and mortality were evaluated.\nThere were significant differences in the percentage of goal kcal (66.9% \u00b1 25.9% vs 86.2% \u00b1 27.5%; P < 0.001) and the percentage of goal protein (67.0% \u00b1 29.9% vs 81.7% \u00b1 30.7%; P < 0.05) between the pre-NST and post-NST groups. A higher percentage of goal kcal was associated with a significant decrease in the ICU LOS (P < 0.05) and hospital LOS (P < 0.05). The percentage of goal kcal was associated with mortality rate (odd ratio, 0.977; 95% confidential interval, 0.959-0.996; P = 0.016).\nImplementation of a multidisciplinary NST service for critically ill patients was associated with higher percentages of goal kcal and goal protein, as well as a shortened duration of mechanical ventilation use. Higher energy supply was associated with a reduced mortality rate.",
    "authors": [
        {
            "affiliation": "Graduate School of Converging Clinical & Public Health, Ewha Womans University, Seoul, Republic of Korea.\nDepartment of Pharmacy, Ewha Womans University Mokdong Hospital, Seoul, Republic of Korea.",
            "firstname": "Jeong Shin",
            "initials": "JS",
            "lastname": "Lee"
        },
        {
            "affiliation": "Division of Life and Pharmaceutical Sciences Graduate School, Ewha Womans University, Seoul, Republic of Korea.",
            "firstname": "Ji Eun",
            "initials": "JE",
            "lastname": "Kang"
        },
        {
            "affiliation": "Division of Life and Pharmaceutical Sciences Graduate School, Ewha Womans University, Seoul, Republic of Korea.",
            "firstname": "So Hyun",
            "initials": "SH",
            "lastname": "Park"
        },
        {
            "affiliation": "College of Pharmacy, Ewha Womans University, Seoul, Republic of Korea.",
            "firstname": "Hye Kyung",
            "initials": "HK",
            "lastname": "Jin"
        },
        {
            "affiliation": "Department of Pharmacy Practice, Loma Linda University School of Pharmacy, Loma Linda, CA, USA.",
            "firstname": "Soo Min",
            "initials": "SM",
            "lastname": "Jang"
        },
        {
            "affiliation": "Department of Pharmacy, Ewha Womans University Mokdong Hospital, Seoul, Republic of Korea.",
            "firstname": "Sun Ah",
            "initials": "SA",
            "lastname": "Kim"
        },
        {
            "affiliation": "Graduate School of Converging Clinical & Public Health, Ewha Womans University, Seoul, Republic of Korea.\nDepartment of Pharmacy, Ewha Womans University Mokdong Hospital, Seoul, Republic of Korea.\nDivision of Life and Pharmaceutical Sciences Graduate School, Ewha Womans University, Seoul, Republic of Korea.\nCollege of Pharmacy, Ewha Womans University, Seoul, Republic of Korea.",
            "firstname": "Sandy Jeong",
            "initials": "SJ",
            "lastname": "Rhie"
        }
    ],
    "conclusions": "Implementation of a multidisciplinary NST service for critically ill patients was associated with higher percentages of goal kcal and goal protein, as well as a shortened duration of mechanical ventilation use. Higher energy supply was associated with a reduced mortality rate.",
    "copyrights": "\u00a9 2018 American Society for Parenteral and Enteral Nutrition.",
    "doi": "10.1002/ncp.10093",
    "journal": "Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition",
    "keywords": [
        "critical illness",
        "enteral nutrition",
        "intensive care unit",
        "length of stay",
        "mortality",
        "nutrition support",
        "parenteral nutrition",
        "patient care team"
    ],
    "methods": null,
    "publication_date": "2018-05-29",
    "pubmed_id": "29802742",
    "results": "There were significant differences in the percentage of goal kcal (66.9% \u00b1 25.9% vs 86.2% \u00b1 27.5%; P < 0.001) and the percentage of goal protein (67.0% \u00b1 29.9% vs 81.7% \u00b1 30.7%; P < 0.05) between the pre-NST and post-NST groups. A higher percentage of goal kcal was associated with a significant decrease in the ICU LOS (P < 0.05) and hospital LOS (P < 0.05). The percentage of goal kcal was associated with mortality rate (odd ratio, 0.977; 95% confidential interval, 0.959-0.996; P = 0.016).",
    "title": "Nutrition and Clinical Outcomes of Nutrition Support in Multidisciplinary Team for Critically Ill Patients.",
    "xml": "<Element 'PubmedArticle' at 0x788501cfcf40>"
}