Tình trạng dinh dưỡng của người bệnh nhiễm khuẩn huyết tại Trung tâm Hồi sức Tích cực - Bệnh viện Trung ương Quân đội 108

Abstract

Objective: To survey on the risk of malnutrition and some related factors of patients with sepsis at Intensive Care Center - 108 Military Central Hospital. Subject and method: A prospective descriptive study of 126 patients diagnosed with sepsis treated at the Intensive Care Center of the 108 Military Central Hospital from November, 2020 to August 2021. Patients were assessed nutritional status according to BMI and NUTRIC score. Result: 60.32% were men, average age 58.18 ± 15.22 years old; The main starting point was respiratory tract infection, accounting for 45.24%; septic shock, accounting for 29.36%. The rate of reflux accounted for 27.77%; the rate of gastric ulcer accounted for 6.34%. Serum albumin rate < 35g/dl (72.22%); Lymphocyte < 2G/l (69.37%), mean value 1.35 ± 1.22G/l. There were 90.48% of patients increased CRP and 34.13% of patients decreased total protein. The proportion of patients at high risk of malnutrition according to the NUTRIC scale was 29.37%; average NUTRIC score was 3.02 ± 2.2; Malnutrition according to BMI classification was 19.05%. Patients with BMI < 18.5 had a risk of malnutrition according to NUCTRIC 2.45 times higher than patients with BMI ≥ 18.5 with p<0.05. Patients ≥ 60 years of age were at greater risk of malnutrition than patients < 60 years of age. Conclusion: Patients with sepsis at high risk of malnutrition require appropriate early nutritional interventions to avoid complications and improve outcomes