Targeted Physician Education Positively Affects Delivery of Nutrition Therapy and Patient Outcomes: Results of a Prospective Clinical Trial

Ryan T Hurt, Stephen A. McClave, David C. Evans, Chris Jones, Keith R. Miller, Thomas H. Frazier, Mahad A. Minhas, Cynthia C. Lowen, Allyson Stout, Jithinraj Edakkanambeth Varayil, Paul J. Matheson, Glen A. Franklin

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Background: Malnutrition is a continuing epidemic among hospitalized patients. We hypothesize that targeted physician education should help reduce caloric deficits and improve patient outcomes. Materials and Methods: We performed a prospective trial of patients (n = 121) assigned to 1 of 2 trauma groups. The experimental group (EG) received targeted education consisting of strategies to increase delivery of early enteral nutrition. Strategies included early enteral access, avoidance of nil per os (NPO) and clear liquid diets (CLD), volume-based feeding, early resumption of feeds postprocedure, and charting caloric deficits. The control group (CG) did not receive targeted education but was allowed to practice in a standard ad hoc fashion. Both groups were provided with dietitian recommendations on a multidisciplinary nutrition team per standard practice. Results: The EG received a higher percentage of measured goal calories (30.1 ± 18.5%, 22.1 ± 23.7%, P =.024) compared with the CG. Mean caloric deficit was not significantly different between groups (-6796 ± 4164 kcal vs '8817 ± 7087 kcal, P =.305). CLD days per patient (0.1 ± 0.5 vs 0.6 ± 0.9), length of stay in the intensive care unit (3.5 ± 5.5 vs 5.2 ± 6.8 days), and duration of mechanical ventilation (1.6 ± 3.7 vs 2.8 ± 5.0 days) were all reduced in the EG compared with the CG (P

Original languageEnglish (US)
Pages (from-to)948-952
Number of pages5
JournalJournal of Parenteral and Enteral Nutrition
Volume39
Issue number8
DOIs
StatePublished - Nov 1 2015

Keywords

  • enteral nutrition
  • nutrition
  • nutrition support practice
  • nutrition support teams
  • outcomes research/quality

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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    Hurt, R. T., McClave, S. A., Evans, D. C., Jones, C., Miller, K. R., Frazier, T. H., Minhas, M. A., Lowen, C. C., Stout, A., Edakkanambeth Varayil, J., Matheson, P. J., & Franklin, G. A. (2015). Targeted Physician Education Positively Affects Delivery of Nutrition Therapy and Patient Outcomes: Results of a Prospective Clinical Trial. Journal of Parenteral and Enteral Nutrition, 39(8), 948-952. https://doi.org/10.1177/0148607114540332