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European Journal of Trauma and Emergency Surgery

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01-02-2015 | Original Article

Early versus delayed enteral feeding in patients with abdominal trauma: a retrospective cohort study

Authors: Jianyi Yin, Jian Wang, Shaoyi Zhang, Danhua Yao, Qi Mao, Wencheng Kong, Lele Ren, Yousheng Li, Jieshou Li

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2015

Abstract

Purpose

Early enteral feeding within 24–48 h of intensive care unit admission is recommended for critically ill patients. This study aimed to determine if early enteral feeding could be safely implemented with purported benefits in patients with abdominal trauma.

Methods

A retrospective cohort study was performed that included 88 adult patients with abdominal trauma. Patients receiving enteral feeding within 72 h of surgical intensive care unit (SICU) admission (early-initiation group, n = 28) were compared to those receiving enteral feeding later (delayed-initiation group, n = 60).

Results

The two groups were comparable in demographic characteristics and injury severity. There were no differences in feeding intolerance (53.6 vs. 43.3 %, p = 0.37) and mortality at 28 days (0 vs. 5 %, p = 0.55) between the early-initiation group and the delayed-initiation group. However, patients in the early-initiation group had fewer infectious complications (17.9 vs. 40 %, p = 0.04) and shorter length of stay in SICU and hospital (p < 0.01) than patients in the delayed-initiation group.

Conclusions

Early enteral feeding administered within 72 h of SICU admission was associated with improved clinical outcomes without risk of increasing feeding intolerance in patients with abdominal trauma. Our results support the implementation of early enteral feeding in abdominal trauma management.

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Title: Early versus delayed enteral feeding in patients with abdominal trauma: a retrospective cohort study
Authors: Jianyi Yin
Jian Wang
Shaoyi Zhang
Danhua Yao
Qi Mao
Wencheng Kong
Lele Ren
Yousheng Li
Jieshou Li
Publication date: 01-02-2015
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Trauma and Emergency Surgery / Issue 1/2015
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-014-0425-4

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Early versus delayed enteral feeding in patients with abdominal trauma: a retrospective cohort study

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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