A Retrospective Study of Energy and Protein Intake Among Intensive Care Unit Patients
Critically ill patients admitted to the intensive care unit (ICU) are subjected to catabolic stress. To compensate for the severe loss of muscles, international guidelines stress on the importance of supplementing ICU patients with higher protein and energy. There is however a controversy about the...
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| Format: | masterThesis |
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2021
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| Online Access: | http://hdl.handle.net/10725/13681 https://doi.org/10.26756/th.2022.231 http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php |
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| _version_ | 1864513467972583424 |
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| author | Chalhoub, May |
| author_facet | Chalhoub, May |
| author_role | author |
| dc.creator.none.fl_str_mv | Chalhoub, May |
| dc.date.none.fl_str_mv | 2021 2021-06-04 2022-06-15T09:06:07Z 2022-06-15T09:06:07Z |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10725/13681 https://doi.org/10.26756/th.2022.231 http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php |
| dc.language.none.fl_str_mv | en |
| dc.publisher.none.fl_str_mv | Lebanese American University |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Critical care medicine -- Case studies Patients -- Nutrition Proteins in human nutrition Energy metabolism Lebanese American University -- Dissertations Dissertations, Academic |
| dc.title.none.fl_str_mv | A Retrospective Study of Energy and Protein Intake Among Intensive Care Unit Patients |
| dc.type.none.fl_str_mv | Thesis info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/masterThesis |
| description | Critically ill patients admitted to the intensive care unit (ICU) are subjected to catabolic stress. To compensate for the severe loss of muscles, international guidelines stress on the importance of supplementing ICU patients with higher protein and energy. There is however a controversy about the adequate amount and progression of protein and energy administration. The present study therefore aimed to investigate the association between protein and energy intake and ICU length of stay (LOS). A retrospective data analysis was conducted on ICU patients (53.6% males and 46.4% females, age 70.43±14.74) who resided in the intensive care of the LAU Medical Center Rizk Hospital for more than three days. Day to day protein and caloric intakes, clinical, and demographic information were collected from the patients’ charts. Binary logistic regressions were used to examine the relationship between LOS and intakes, as well as other covariates. Protein and caloric intake on days three and five showed no significant association with LOS. However, intakes on day five showed a significant inverse association with sepsis (p=0.019 for protein and p=0.042 for energy). Logistic regression analyses assessing the determinants of sepsis showed that it was significantly associated with protein and energy intake (R2=5.9%), mechanical ventilation, and presence ulcers. The present study findings suggest that sepsis could be a possible mediator in how protein and energy intake can affect ICU LOS. |
| eu_rights_str_mv | openAccess |
| format | masterThesis |
| id | LAURepo_575eab4256702be9b7bf7a37aa16e4a3 |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/13681 |
| publishDate | 2021 |
| publisher.none.fl_str_mv | Lebanese American University |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
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| spelling | A Retrospective Study of Energy and Protein Intake Among Intensive Care Unit PatientsChalhoub, MayCritical care medicine -- Case studiesPatients -- NutritionProteins in human nutritionEnergy metabolismLebanese American University -- DissertationsDissertations, AcademicCritically ill patients admitted to the intensive care unit (ICU) are subjected to catabolic stress. To compensate for the severe loss of muscles, international guidelines stress on the importance of supplementing ICU patients with higher protein and energy. There is however a controversy about the adequate amount and progression of protein and energy administration. The present study therefore aimed to investigate the association between protein and energy intake and ICU length of stay (LOS). A retrospective data analysis was conducted on ICU patients (53.6% males and 46.4% females, age 70.43±14.74) who resided in the intensive care of the LAU Medical Center Rizk Hospital for more than three days. Day to day protein and caloric intakes, clinical, and demographic information were collected from the patients’ charts. Binary logistic regressions were used to examine the relationship between LOS and intakes, as well as other covariates. Protein and caloric intake on days three and five showed no significant association with LOS. However, intakes on day five showed a significant inverse association with sepsis (p=0.019 for protein and p=0.042 for energy). Logistic regression analyses assessing the determinants of sepsis showed that it was significantly associated with protein and energy intake (R2=5.9%), mechanical ventilation, and presence ulcers. The present study findings suggest that sepsis could be a possible mediator in how protein and energy intake can affect ICU LOS.1 online resource (xiv, 51 leaves): col. ill.Includes bibliographical references (leaf 43-51)Lebanese American University2022-06-15T09:06:07Z2022-06-15T09:06:07Z20212021-06-04Thesisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesishttp://hdl.handle.net/10725/13681https://doi.org/10.26756/th.2022.231http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.phpeninfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/136812022-07-05T08:29:17Z |
| spellingShingle | A Retrospective Study of Energy and Protein Intake Among Intensive Care Unit Patients Chalhoub, May Critical care medicine -- Case studies Patients -- Nutrition Proteins in human nutrition Energy metabolism Lebanese American University -- Dissertations Dissertations, Academic |
| status_str | publishedVersion |
| title | A Retrospective Study of Energy and Protein Intake Among Intensive Care Unit Patients |
| title_full | A Retrospective Study of Energy and Protein Intake Among Intensive Care Unit Patients |
| title_fullStr | A Retrospective Study of Energy and Protein Intake Among Intensive Care Unit Patients |
| title_full_unstemmed | A Retrospective Study of Energy and Protein Intake Among Intensive Care Unit Patients |
| title_short | A Retrospective Study of Energy and Protein Intake Among Intensive Care Unit Patients |
| title_sort | A Retrospective Study of Energy and Protein Intake Among Intensive Care Unit Patients |
| topic | Critical care medicine -- Case studies Patients -- Nutrition Proteins in human nutrition Energy metabolism Lebanese American University -- Dissertations Dissertations, Academic |
| url | http://hdl.handle.net/10725/13681 https://doi.org/10.26756/th.2022.231 http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php |