Author(s): Murali T1, Jagadish Chandran S. K2, Vinoth Kumar J. V3
WHO defines malnutrition as underweight is a serious public health problem that has been linked to a substantial increase in the risk of mortality and morbidity. Critically ill patients admitted in ICU will require approximately 25 kcal/kg to 50 kcal/kg of nutrition depending on the severity of disease and length of stay in ICU. Most of the deaths after prolonged ICU stay occur due to indirect causes or hospital-acquired causes, one among is malnutrition, which led to catabolism, loss of lean body mass and increased risk of infection.
MATERIALS AND METHODS
Patients were assessed irrespective of age, sex and comorbid diseases and diagnosis using SGA score within 24 hours of admission into MICU.
Male are little older in well-nourished group and almost comparable in moderately nourished group. Severely malnourished group seen in only male patients with mean age of 95.16. In females, moderately malnourished group are older than well-nourished group. Male patients shows that more moderately malnourished (54%) patients when compared to well-nourished patients. Female patients also showed more moderately malnourished (57.89%) patients were observed compared to well-nourished (42.10%) patients. Overall, diabetes and hypertension are the comorbidities, which is associated with moderately and severely malnourished patients.
Most of the patients admitted to ICU has pre-existing malnourishment, which is seen in both gender group. This shows that one need to concentrate more on nutritional aspect for the better and speedy recovery of the patients.