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A Comparative Study Evaluating Improvements in Nutritional Status by Oral and Enteral Versus Parenteral Nutrition in Elderly Inpatients of an Emergency Hospital

Received: 23 May 2021    Accepted: 4 June 2021    Published: 25 June 2021
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Abstract

Aim: Elderly patients hospitalized in the internal medicine department who do not have sufficient oral nutritional intake and fall into low nutrition require artificial hydration and nutrition. Here, the effectiveness of total parenteral nutrition (TPN) was compared to the nutritional administration methods for discharged patients. Methods: 508 elderly inpatients who were admitted to the internal medicine department of an emergency hospital and administered TPN over 9 years were divided into two groups: patients who were discharged (331) and those who died in the hospital (177). Patients were further divided into four groups at the time of discharge from the hospital: oral nutrition, enteral nutrition, peripheral parenteral nutrition and TPN. The effectiveness of TPN was evaluated using serum albumin level and the COntrolling NUTrition Status Score (CONUT) nutritional evaluation tool. Results: While the nutritional status of patients of oral and enteral nutrition improved upon discharge, the CONUT of TPN patients without oral or enteral nutrition did not improve and serum albumin levels of the patients deteriorated. Conclusion: To discharge patients alive and safe, efforts must be made to continue oral and enteral nutrition for as long as possible.

DOI 10.11648/j.ss.20211003.20
Published in Social Sciences (Volume 10, Issue 3, June 2021)
Page(s) 150-154
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Elderly Inpatients, Artificial Hydration and Nutrition (AHN), Total Parenteral Nutrition (TPN), Serum Albumin Level (ALB), Controlling Nutrition Status Score (CONUT)

References
[1] M. Niwano, N. Murata, K. Kikuchi, et al: Examination of nutritional methods at the end of nutritional support for elderly patients. Nutrition Management Expert 2018; 15: 51-57.
[2] S. Iijima. 104th Advice, Combination pattern of intravenous nutrition and oral intake: Low nutrition to fast-paced NST rounds. Nutrition Care 2019; 12 (4): 384-389.
[3] J. Ignacio de Ulibarri, A. Gonzalez-Madrono, N. GP de Villar, et al: CONUT: A tool for Controlling Nutrition Status. First validation in a hospital population. Nutr Hosp 2005; 20: 38-45.
[4] Y. Kanda. Investigation of the freely available Easy-to-use software ‘EZR' for medical statistics. Bone Marrow Transplantation 2013; 48: 452–458.
[5] N. Shirotani. Parenteral Nutrition: Total Parenteral Nutrition and Peripheral Parenteral Nutrition. Japanese J Clin Physi 2006; 36: 67-73.
[6] The Japanese Society of Parenteral Enteral Nutrition. Venous Parenteral Nutrition Guidelines. 3rd Edition, Shourinsha; 2013, 14-15.
[7] AS. Detsky, JR. McLaughlin, JP. Baker, et al: What is subjective global assessment of nutritional status? JPEN 1987; 11: 8-13.
[8] British Association for Parenteral Enteral Nutrition: Malnutrition Advisory Group (MAG). MAG-guidelines for Detection and Management of Malnutrition. Redditch, UK, 2000.
[9] J. Kondrup, SP. Allison, M. Elia, et al: ESPEN Guidelines for Nutrition Screening 2002. Clin Nutr 2003; 22: 415–421.
[10] B. Vellas B, Y. Guigoz, PJ. Garry, et al: The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 1999; 15: 116-122.
[11] T. Miyagishi, T. Higashi, Y. Akaishi, et al: Clinical features and prognosis of terminal ill patients in a long-term care hospital with particular regard to the implications of artificial nutrition. Nippon Ronen Igakkai Zasshi 2007; 44: 219-223.
[12] K. Kosaka, T. Satoh, M. Fuji, et al. Proposals for end-of-life care for the elderly. Jpn J Geriat 2008; 45: 398-40.
[13] A. Iguchi. Terminal care of the elderly. Jpn J Geriat 2005; 42: 285-287.
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    Mototaka Niwano, Kyoko Aoyama. (2021). A Comparative Study Evaluating Improvements in Nutritional Status by Oral and Enteral Versus Parenteral Nutrition in Elderly Inpatients of an Emergency Hospital. Social Sciences, 10(3), 150-154. https://doi.org/10.11648/j.ss.20211003.20

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    ACS Style

    Mototaka Niwano; Kyoko Aoyama. A Comparative Study Evaluating Improvements in Nutritional Status by Oral and Enteral Versus Parenteral Nutrition in Elderly Inpatients of an Emergency Hospital. Soc. Sci. 2021, 10(3), 150-154. doi: 10.11648/j.ss.20211003.20

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    AMA Style

    Mototaka Niwano, Kyoko Aoyama. A Comparative Study Evaluating Improvements in Nutritional Status by Oral and Enteral Versus Parenteral Nutrition in Elderly Inpatients of an Emergency Hospital. Soc Sci. 2021;10(3):150-154. doi: 10.11648/j.ss.20211003.20

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  • @article{10.11648/j.ss.20211003.20,
      author = {Mototaka Niwano and Kyoko Aoyama},
      title = {A Comparative Study Evaluating Improvements in Nutritional Status by Oral and Enteral Versus Parenteral Nutrition in Elderly Inpatients of an Emergency Hospital},
      journal = {Social Sciences},
      volume = {10},
      number = {3},
      pages = {150-154},
      doi = {10.11648/j.ss.20211003.20},
      url = {https://doi.org/10.11648/j.ss.20211003.20},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ss.20211003.20},
      abstract = {Aim: Elderly patients hospitalized in the internal medicine department who do not have sufficient oral nutritional intake and fall into low nutrition require artificial hydration and nutrition. Here, the effectiveness of total parenteral nutrition (TPN) was compared to the nutritional administration methods for discharged patients. Methods: 508 elderly inpatients who were admitted to the internal medicine department of an emergency hospital and administered TPN over 9 years were divided into two groups: patients who were discharged (331) and those who died in the hospital (177). Patients were further divided into four groups at the time of discharge from the hospital: oral nutrition, enteral nutrition, peripheral parenteral nutrition and TPN. The effectiveness of TPN was evaluated using serum albumin level and the COntrolling NUTrition Status Score (CONUT) nutritional evaluation tool. Results: While the nutritional status of patients of oral and enteral nutrition improved upon discharge, the CONUT of TPN patients without oral or enteral nutrition did not improve and serum albumin levels of the patients deteriorated. Conclusion: To discharge patients alive and safe, efforts must be made to continue oral and enteral nutrition for as long as possible.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - A Comparative Study Evaluating Improvements in Nutritional Status by Oral and Enteral Versus Parenteral Nutrition in Elderly Inpatients of an Emergency Hospital
    AU  - Mototaka Niwano
    AU  - Kyoko Aoyama
    Y1  - 2021/06/25
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ss.20211003.20
    DO  - 10.11648/j.ss.20211003.20
    T2  - Social Sciences
    JF  - Social Sciences
    JO  - Social Sciences
    SP  - 150
    EP  - 154
    PB  - Science Publishing Group
    SN  - 2326-988X
    UR  - https://doi.org/10.11648/j.ss.20211003.20
    AB  - Aim: Elderly patients hospitalized in the internal medicine department who do not have sufficient oral nutritional intake and fall into low nutrition require artificial hydration and nutrition. Here, the effectiveness of total parenteral nutrition (TPN) was compared to the nutritional administration methods for discharged patients. Methods: 508 elderly inpatients who were admitted to the internal medicine department of an emergency hospital and administered TPN over 9 years were divided into two groups: patients who were discharged (331) and those who died in the hospital (177). Patients were further divided into four groups at the time of discharge from the hospital: oral nutrition, enteral nutrition, peripheral parenteral nutrition and TPN. The effectiveness of TPN was evaluated using serum albumin level and the COntrolling NUTrition Status Score (CONUT) nutritional evaluation tool. Results: While the nutritional status of patients of oral and enteral nutrition improved upon discharge, the CONUT of TPN patients without oral or enteral nutrition did not improve and serum albumin levels of the patients deteriorated. Conclusion: To discharge patients alive and safe, efforts must be made to continue oral and enteral nutrition for as long as possible.
    VL  - 10
    IS  - 3
    ER  - 

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Author Information
  • General Medical Department, Kikuna Memorial Hospital, Yokohama, Japan

  • General Medical Department, Kikuna Memorial Hospital, Yokohama, Japan

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