EVALUATION OF THE NUTRITIONAL STATUS AND RESULTS OF PATIENTS FOLLOWED IN THE PALLIATIVE CARE CENTER

Apply

EVALUATION OF THE NUTRITIONAL STATUS AND RESULTS OF PATIENTS FOLLOWED IN THE PALLIATIVE CARE CENTER

Journal Title: Kocatepe Medical Journal - Year 2024, Vol 25, Issue 2

Abstract

OBJECTIVE: The aim of this study is to examine the nutritional status and results of the patients followed in the palliative care center. MATERIAL AND METHODS: 250 consecutive patients who were hospitalized in the palliative care center were included in this study. The patients were grouped according to their nutritional status during hospitalization and discharge. RESULTS: The mean age of the patients subjected to this study is 73±19.22 years. Out of these patients, 125 are female. The average daily calorie requirement of the patients was calculated as 1463.71±21.55 kcal/day, while the maximum tolerated calorie intake was determined to be 1030.54 ±320.54 kcal/day in our patient (P =0.039). No significant change was detected between the calculated calories and the calories consumed by diabetic individuals (P = 0.083). When the nutritional patterns were examined, it was determined that 51.60 % of the patients were orally fed at the time of admission to the palliative care center, the rate of patients fed with a Percutan gastrostomy (PEG)/Percutan jejunostomy (PEJ)/nasogastric tube was 32.05%, and 13.21% of the patients fed total parenteral nutrition (TPN). 67.06% of the patients were discharged with oral feeding, 30.53% with PEG/PEJ/nasogastric tube and 4 (2.39%) with long-term TPN feeding methods. When the patients were divided into percentages according to their calorie consumption, we found that the hospitalization day was significantly shorter in the group consuming 0-25 percentile calories (P = 0.021) but had a significantly higher rate of mortality (%71.42) (P=0.018). In the group with 50-75 percentile calorie intake, mortality was observed significantly at the lowest rate during hospitalization, with 14 (13.59%) patients. (P=0.003). Infections (28.57%) were significantly higher in the 0-25 group (P = 0.051). CONCLUSIONS: At palliative care centers, besides end-of-life management, all needs of patients should be identified. Instead of making strict calorie calculations, it is necessary to develop new nutritional goals compatible with all patients.

Authors and Affiliations

Nuray YILMAZ ÇAKMAK, Emine Büşra YALÇINTAŞ, Kadriye KAHVECİ

Keywords

REFLECTION OF A PARENT'S EXPERIENCE OF CIRCUMCISION ON THE NEXT GENERATION

OBJECTIVE: In our study, the effect of their circumcision experience on the anxiety level of healthcare professionals and their first-degree relatives, and what kind of effects on circumcision are reflected in their chil...

HOW ARE NEW CARDIOVASCULAR RISK MARKERS PLASMA ATEROGENIC INDEX, NEUTROPHIL / LYMPHOCYTE RATIO AND MONOCYTE HDL RATIO AFFECTED IN OBESITY? A CROSS-SECTIONAL RETROSPECTIVE STUDY

ABSTRACT OBJECTIVE: In World Health Organization (WHO) definition, body mass index (BMI) 25 and over is classified as slightly overweight, 30 and over classified as obese, and obesity has increasing prevalence worldwide...

EP ID EP740644
DOI https://doi.org/10.18229/kocatepetip.1397603
Views 34
Downloads 0