Abstract
[Purpose] We investigated the factors correlation with early enteral nutrition therapy in the patients of severe pneumonia.
[Patients and methods] Twenty patients aged 75 and over who admitted to our hospital from October 1, 2010 to October 31, 2011 were in this study. We diagnosed them malnourished and having risks of refeeding syndrome, so we gradually restored nutrition via naso-gastric tube. We extract the clinical findings and blood sampling correlation with number of days, Refeeding Days, which take to reach the energy target (25kcal/kg/day) . We categorized the patients into two groups, according to Refeeding Days bordering on seven days, and according to administration of phosphorus, then compared each clinical backgrounds of two groups.
[Results] CURB-65 which judges the severity of pneumonia, phosphorus and cholinesterase (ChE) had correlation with Refeeding days. In the two groups separated by Refeeding Days, there is a significant difference for each CURB-65, phosphorus and ChE. Although a significant difference was not accepted, there is a tendency of low ChE value in the group with the administration of phosphorus (P = 0.062) .
[Conclusion] Refeeding days had correlation with CURB-65, phosphorus and ChE. We could conclude that we need to continuously monitor the above items when we practice early enteral nutrition therapy.
