Table 4 |
||||||
| Effects of the timing of enteral feeding initiation (early feeding) on different clinical and nutritional outcomes | ||||||
| Measured outcomes | APACHE II <20 | APACHE II ≥20 | ||||
| (n = 47) | (n = 61) | |||||
| Multiple linear regression† | β | S.E. | p | β | S.E. | p |
| Clinical outcomes | ||||||
| Frequency of feeding complications (times/d) | −0.045 | 0.070 | 0.526 | 0.084 | 0.042 | 0.05 |
| Length of ICU stay (d) | −0.003 | 3.350 | 0.999 | 9.401 | 2.785 | 0.001 |
| Length of hospital stay (d) | −10.731 | 8.187 | 0.197 | 10.654 | 6.155 | 0.089 |
| Nutritional outcomes | ||||||
| % of target caloric intake | −0.230 | 7.832 | 0.977 | 4.509 | 6.709 | 0.504 |
| % of target protein intake | −0.444 | 8.898 | 0.960 | 1.412 | 8.777 | 0.873 |
| Albumin on 7th feeding day (g/L) | 92.569 | 183.796 | 0.618 | 220.398 | 153.507 | 0.158 |
| Prealbumin on 4th feeding day (mg/dL) | −0.574 | 2.527 | 0.821 | 1.961 | 1.874 | 0.300 |
| Prealbumin on 7th feeding day (mg/dL) | −1.882 | 2.916 | 0.524 | 3.110 | 1.688 | 0.072 |
| 24-h UUN on 14th feeding day (g/d) | 6.455 | 4.435 | 0.180 | 5.343 | 1.730 | 0.006 |
| 24-h UUN on 21st feeding day (g/d) | 5.398 | 0.516 | 0.061 | 6.816 | 1.864 | 0.008 |
| NB on 7th feeding day (g/d) | −8.615 | 2.219 | 0.001 | −3.687 | 2.116 | 0.089 |
| NB on 14th feeding day (g/d) | −5.954 | 4.407 | 0.210 | −7.126 | 2.194 | 0.004 |
| Logistic regression† | Adjusted OR | 95 % CI | p | Adjusted OR | 95 % CI | p |
| Clinical outcomes | ||||||
| VAP | 2.697 | 0.38-19.0 | 0.319 | 2.062 | 0.56-7.56 | 0.275 |
| Hospital mortality | 0.400 | 0.09-1.77 | 0.227 | 1.083 | 0.36-3.29 | 0.888 |
| Diarrhea | 0.519 | 0.09-2.99 | 0.463 | 9.455 | 1.81-49.44 | 0.008 |
| GI bleeding | 0.433 | 0.03-6.58 | 0.547 | 7.075 | 1.24-40.32 | 0.028 |
APACHE, Acute Physiology and Chronic Health Evaluation; NB, nitrogen balance; UUN, urinary urea nitrogen; VAP, ventilator-associated pneumonia; ICU, intensive care unit.
†Multiple linear or logistic regression for examining the effects of the timing of enteral feeding initiation (X) on measured outcomes (Y) after adjusting for gender, age and illness severity. Coding for the timing of enteral feeding initiation (X): early feeding = 1, late feeding = 0.
Huang et al. Nutrition Journal 2012 11:30 doi:10.1186/1475-2891-11-30