Success of nutrition support team intervention and its association with poor prognostic factors at our hospital

Abstract

 We analyzed 138 patients managed by the nutrition support team (NST) in fiscal 2018 to evaluate the success of NST intervention and its association with poor prognostic factors. We examined the age, sex, disease, number of days between admission and NST intervention, prognostic nutritional index，number of interventions, outcome, and nutrition assessment after the intervention. We also examined the nutrition administration route, dose of energy and protein, weight, and blood examination results before and after the intervention. Intervention significantly improved the dose of energy and protein, serum transthyretin, total cholesterol value, and CRP level. Fifteen patients were assessed as having a“worsened”condition after the intervention, or were dead at the time of discharge. We defined them as the“poor prognosis group”and analyzed the relationship between this group and the factors before the intervention. Multivariate analysis revealed the number of days between admission and NST intervention and serum cholinesterase level before the intervention to be independent prognostic factors. Our study demonstrated that NST intervention at our hospital was partially effective and that the duration and nutritional quality before NST interventions are important for the prognosis．