We validated the evaluation method of the official Japanese report of the Nutrition Support Team (NST) for the outcome of NST in an acute hospital and analyzed factors relevant to the outcome of NST. We identified the specific items corresponding to the each particles of NST outcome measurement. We then compared the objective nutritional date of the good responder group (GR) and the poor responder group (PR) for the NST intervention.
We classified the main interventional methods into 4 types: modification of food supply, enteral nutrition, parenteral nutrition, and drug administration. Subsequently, we analyzed the efficacy of these methods as NST interventional tools.
At enrollment, serum albumin (Alb), hemoglobin (Hb), and transthyretin (TTR) levels and the prognostic nutritional index (PNI) of the GR were significantly lower than those of the PR. After NST interventions, Alb, TTR, and Hb levels and PNI of the GR significantly improved. Enteral nutrition and modification of food supply could improve the energy sufficiency rate and the balance of energy intake of the study subjects.
The method of evaluation of the official Japanese report of the NST with respect to the outcome of the NST might be useful to some extent. Enteral nutrition and modification of food supply were useful in NST interventions.