Development of a prediction model for enteral feeding intolerance in intensive care unit patients:A prospective cohort study

作     者：Xue-Mei Lu Deng-Shuai Jia Rui Wang Qing Yang Shan-Shan Jin Lan Chen 

作者机构：School of NursingShanghai Jiao Tong UniversityShanghai 200025China Department of NursingShanghai General HospitalShanghai Jiao Tong UniversityShanghai 200080China Department of Critical Care MedicineShanghai General HospitalShanghai Jiao Tong UniversityShanghai 200080China 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2022年第14卷第12期

页      面：1363-1374页

核心收录：

学科分类：1002[医学-临床医学] 1011[医学-护理学（可授医学、理学学位）] 10[医学] 

主　　题：Enteral feeding intolerance Critical care medicine Clinical prediction model Nutrition assessment Nutritional support Critical care nursing 

摘      要：BACKGROUND Enteral nutrition(EN)is essential for critically ill ***,some patients will have enteral feeding intolerance(EFI)in the process of *** To develop a clinical prediction model to predict the risk of EFI in patients receiving EN in the intensive care *** A prospective cohort study was *** enrolled patients’basic information,medical status,nutritional support,and gastrointestinal(GI)symptoms were *** baseline data and influencing factors were *** regression analysis was used to establish the model,and the bootstrap resampling method was used to conduct internal *** The sample cohort included 203 patients,and 37.93%of the patients were diagnosed with *** the final regression analysis,age,GI disease,early feeding,mechanical ventilation before EN started,and abnormal serum sodium were *** the internal validation,500 bootstrap resample samples were performed,and the area under the curve was 0.70(95%CI:0.63-0.77).CONCLUSION This clinical prediction model can be applied to predict the risk of EFI.