Association between enteral nutrition support and neurological outcome in patients with acute intracranial haemorrhage: A retrospective cohort study
Association between the amount of enteral nutrition (EN) caloric intake and Glasgow coma scale scores at discharge (GCS dis ) in intracranial haemorrhage (ICH) was retrospectively investigated in 230 patients in a single center from 2015 and 2017. GCS dis was used as a dichotomous outcome (≤8 or >...
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| Veröffentlicht in: | Scientific reports 2019-11, Vol.9 (1), p.16507-7, Article 16507 |
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| description | Association between the amount of enteral nutrition (EN) caloric intake and Glasgow coma scale scores at discharge (GCS
dis
) in intracranial haemorrhage (ICH) was retrospectively investigated in 230 patients in a single center from 2015 and 2017. GCS
dis
was used as a dichotomous outcome (≤8 or >8: 56/230 vs. 174/230) and its association with the amount of EN caloric intake within 48 hours was analysed in four logistic models. Model 1 used EN as a continuous variable and showed association with favourable GCS
dis
(odds ratio [OR], 1.04; 95% confidence interval [CI], 1.01–1.08). Models 2 and 3 categorized EN into two (≤25 and >25 kcal/kg/48 hrs) and three caloric intake levels (≤10, 10~25, and >25 kcal/kg/48 hrs) respectively, and compared them with the lowest level; highest EN level associated with favourable GCS
dis
in both model 2 (OR, 2.77; 95%CI, 1.25–6.13) and 3 (OR, 4.68; 95%CI, 1.61–13.61). Model 4 transformed EN into four quartiles (Q1-Q4). Compared to Q1, OR increased stepwise from Q2 (OR 1.80, 95%CI 0.59–5.44) to Q4 (OR 4.71, 95%CI 1.49–14.80). Propensity score matching analysis of 69 matched pairs demonstrated consistent findings. In the early stage of ICH, increased EN was associated with favourable GCS
dis
. |
| doi_str_mv | 10.1038/s41598-019-53100-w |
| format | Article |
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dis
) in intracranial haemorrhage (ICH) was retrospectively investigated in 230 patients in a single center from 2015 and 2017. GCS
dis
was used as a dichotomous outcome (≤8 or >8: 56/230 vs. 174/230) and its association with the amount of EN caloric intake within 48 hours was analysed in four logistic models. Model 1 used EN as a continuous variable and showed association with favourable GCS
dis
(odds ratio [OR], 1.04; 95% confidence interval [CI], 1.01–1.08). Models 2 and 3 categorized EN into two (≤25 and >25 kcal/kg/48 hrs) and three caloric intake levels (≤10, 10~25, and >25 kcal/kg/48 hrs) respectively, and compared them with the lowest level; highest EN level associated with favourable GCS
dis
in both model 2 (OR, 2.77; 95%CI, 1.25–6.13) and 3 (OR, 4.68; 95%CI, 1.61–13.61). Model 4 transformed EN into four quartiles (Q1-Q4). Compared to Q1, OR increased stepwise from Q2 (OR 1.80, 95%CI 0.59–5.44) to Q4 (OR 4.71, 95%CI 1.49–14.80). Propensity score matching analysis of 69 matched pairs demonstrated consistent findings. In the early stage of ICH, increased EN was associated with favourable GCS
dis
.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-019-53100-w</identifier><identifier>PMID: 31712731</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/617/375 ; 692/699/1702 ; Cohort analysis ; Cohort Studies ; Coma ; Energy Intake ; Enteral nutrition ; Enteral Nutrition - methods ; Female ; Hemorrhage ; Humanities and Social Sciences ; Humans ; Intracranial Hemorrhages - complications ; Intracranial Hemorrhages - diagnosis ; Intracranial Hemorrhages - diet therapy ; Intracranial Hemorrhages - mortality ; Male ; multidisciplinary ; Nervous System Diseases - diagnosis ; Nervous System Diseases - etiology ; Nervous System Diseases - physiopathology ; Prognosis ; Propensity Score ; Retrospective Studies ; Science ; Science (multidisciplinary) ; Treatment Outcome</subject><ispartof>Scientific reports, 2019-11, Vol.9 (1), p.16507-7, Article 16507</ispartof><rights>The Author(s) 2019</rights><rights>2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-e26e49e187726cb61262dc219a7375bc52c29c93b33c6bff4b72196b310dceaf3</citedby><cites>FETCH-LOGICAL-c474t-e26e49e187726cb61262dc219a7375bc52c29c93b33c6bff4b72196b310dceaf3</cites><orcidid>0000-0002-6752-2829</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848122/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848122/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,27905,27906,41101,42170,51557,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31712731$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheng, Xuping</creatorcontrib><creatorcontrib>Ru, Weizhe</creatorcontrib><creatorcontrib>Du, Kailei</creatorcontrib><creatorcontrib>Jiang, Xuandong</creatorcontrib><creatorcontrib>Hu, Yongxia</creatorcontrib><creatorcontrib>Zhang, Weimin</creatorcontrib><creatorcontrib>Xu, Yingting</creatorcontrib><creatorcontrib>Shen, Yanfei</creatorcontrib><title>Association between enteral nutrition support and neurological outcome in patients with acute intracranial haemorrhage: A retrospective cohort study</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>Association between the amount of enteral nutrition (EN) caloric intake and Glasgow coma scale scores at discharge (GCS
dis
) in intracranial haemorrhage (ICH) was retrospectively investigated in 230 patients in a single center from 2015 and 2017. GCS
dis
was used as a dichotomous outcome (≤8 or >8: 56/230 vs. 174/230) and its association with the amount of EN caloric intake within 48 hours was analysed in four logistic models. Model 1 used EN as a continuous variable and showed association with favourable GCS
dis
(odds ratio [OR], 1.04; 95% confidence interval [CI], 1.01–1.08). Models 2 and 3 categorized EN into two (≤25 and >25 kcal/kg/48 hrs) and three caloric intake levels (≤10, 10~25, and >25 kcal/kg/48 hrs) respectively, and compared them with the lowest level; highest EN level associated with favourable GCS
dis
in both model 2 (OR, 2.77; 95%CI, 1.25–6.13) and 3 (OR, 4.68; 95%CI, 1.61–13.61). Model 4 transformed EN into four quartiles (Q1-Q4). Compared to Q1, OR increased stepwise from Q2 (OR 1.80, 95%CI 0.59–5.44) to Q4 (OR 4.71, 95%CI 1.49–14.80). Propensity score matching analysis of 69 matched pairs demonstrated consistent findings. In the early stage of ICH, increased EN was associated with favourable GCS
dis
.</description><subject>692/617/375</subject><subject>692/699/1702</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Coma</subject><subject>Energy Intake</subject><subject>Enteral nutrition</subject><subject>Enteral Nutrition - methods</subject><subject>Female</subject><subject>Hemorrhage</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Intracranial Hemorrhages - complications</subject><subject>Intracranial Hemorrhages - diagnosis</subject><subject>Intracranial Hemorrhages - diet therapy</subject><subject>Intracranial Hemorrhages - mortality</subject><subject>Male</subject><subject>multidisciplinary</subject><subject>Nervous System Diseases - diagnosis</subject><subject>Nervous System Diseases - etiology</subject><subject>Nervous System Diseases - physiopathology</subject><subject>Prognosis</subject><subject>Propensity Score</subject><subject>Retrospective Studies</subject><subject>Science</subject><subject>Science (multidisciplinary)</subject><subject>Treatment Outcome</subject><issn>2045-2322</issn><issn>2045-2322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kctu1TAQhi1ERavSF2CBLLFhE_AtccIC6ajiJlVi064tx2dy4iqxgy896nv0gXF62lJY4I2tmW_-mfGP0BtKPlDC249R0LprK0K7quaUkGr_Ap0wIuqKccZePnsfo7MYr0k5NesE7V6hY04lZZLTE3S3idEbq5P1DveQ9gAOg0sQ9IRdTsHeZ2JeFh8S1m6LHeTgJ7-zpiA-J-NnwNbhpYiUyoj3No1Ym5zWcAraBO1sYUcNsw9h1Dv4hDc4QAo-LmCSvQFs_Lg2iClvb1-jo0FPEc4e7lN09fXL5fn36uLntx_nm4vKCClSBawB0QFtpWSN6RvKGrY1jHZacln3pmaGdabjPeem6YdB9LIkm75819aAHvgp-nzQXXI_Q4mt005qCXbW4VZ5bdXfGWdHtfM3qmlFSxkrAu8fBIL_lSEmNdtoYJq0A5-jYpwKQilraUHf_YNe-xxcWW-luGykaEih2IEy5WtigOFpGErU6rs6-K6K7-red7UvRW-fr_FU8uhyAfgBiCXldhD-9P6P7G-Nyb4P</recordid><startdate>20191111</startdate><enddate>20191111</enddate><creator>Cheng, Xuping</creator><creator>Ru, Weizhe</creator><creator>Du, Kailei</creator><creator>Jiang, Xuandong</creator><creator>Hu, Yongxia</creator><creator>Zhang, Weimin</creator><creator>Xu, Yingting</creator><creator>Shen, Yanfei</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6752-2829</orcidid></search><sort><creationdate>20191111</creationdate><title>Association between enteral nutrition support and neurological outcome in patients with acute intracranial haemorrhage: A retrospective cohort study</title><author>Cheng, Xuping ; Ru, Weizhe ; Du, Kailei ; Jiang, Xuandong ; Hu, Yongxia ; Zhang, Weimin ; Xu, Yingting ; Shen, Yanfei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-e26e49e187726cb61262dc219a7375bc52c29c93b33c6bff4b72196b310dceaf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>692/617/375</topic><topic>692/699/1702</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Coma</topic><topic>Energy Intake</topic><topic>Enteral nutrition</topic><topic>Enteral Nutrition - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheng, Xuping</au><au>Ru, Weizhe</au><au>Du, Kailei</au><au>Jiang, Xuandong</au><au>Hu, Yongxia</au><au>Zhang, Weimin</au><au>Xu, Yingting</au><au>Shen, Yanfei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between enteral nutrition support and neurological outcome in patients with acute intracranial haemorrhage: A retrospective cohort study</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2019-11-11</date><risdate>2019</risdate><volume>9</volume><issue>1</issue><spage>16507</spage><epage>7</epage><pages>16507-7</pages><artnum>16507</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>Association between the amount of enteral nutrition (EN) caloric intake and Glasgow coma scale scores at discharge (GCS
dis
) in intracranial haemorrhage (ICH) was retrospectively investigated in 230 patients in a single center from 2015 and 2017. GCS
dis
was used as a dichotomous outcome (≤8 or >8: 56/230 vs. 174/230) and its association with the amount of EN caloric intake within 48 hours was analysed in four logistic models. Model 1 used EN as a continuous variable and showed association with favourable GCS
dis
(odds ratio [OR], 1.04; 95% confidence interval [CI], 1.01–1.08). Models 2 and 3 categorized EN into two (≤25 and >25 kcal/kg/48 hrs) and three caloric intake levels (≤10, 10~25, and >25 kcal/kg/48 hrs) respectively, and compared them with the lowest level; highest EN level associated with favourable GCS
dis
in both model 2 (OR, 2.77; 95%CI, 1.25–6.13) and 3 (OR, 4.68; 95%CI, 1.61–13.61). Model 4 transformed EN into four quartiles (Q1-Q4). Compared to Q1, OR increased stepwise from Q2 (OR 1.80, 95%CI 0.59–5.44) to Q4 (OR 4.71, 95%CI 1.49–14.80). Propensity score matching analysis of 69 matched pairs demonstrated consistent findings. In the early stage of ICH, increased EN was associated with favourable GCS
dis
.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>31712731</pmid><doi>10.1038/s41598-019-53100-w</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-6752-2829</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | 692/617/375 692/699/1702 Cohort analysis Cohort Studies Coma Energy Intake Enteral nutrition Enteral Nutrition - methods Female Hemorrhage Humanities and Social Sciences Humans Intracranial Hemorrhages - complications Intracranial Hemorrhages - diagnosis Intracranial Hemorrhages - diet therapy Intracranial Hemorrhages - mortality Male multidisciplinary Nervous System Diseases - diagnosis Nervous System Diseases - etiology Nervous System Diseases - physiopathology Prognosis Propensity Score Retrospective Studies Science Science (multidisciplinary) Treatment Outcome |
| title | Association between enteral nutrition support and neurological outcome in patients with acute intracranial haemorrhage: A retrospective cohort study |
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