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Original Article
- Nutrition
- Higher caloric intake through enteral nutrition is associated with lower hospital mortality rates in patients with candidemia and shock in Taiwan
- Chen-Yu Wang, Tsai-Jung Wang, Yu-Cheng Wu, Chiann-Yi Hsu
- Acute Crit Care. 2024;39(4):573-582. Published online November 20, 2024
- DOI: https://doi.org/10.4266/acc.2024.00843
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- 2 Web of Science
- 2 Crossref
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Abstract
PDF - Background
Candidemia is associated with markedly high intensive care unit (ICU) mortality rates. Although the Impact of Early Enteral vs. Parenteral Nutrition on Mortality in Patients Requiring Mechanical Ventilation and Catecholamines (NUTRIREA-2) trial indicated that early enteral nutrition (EN) did not reduce 28-day mortality rates among critically ill patients with shock, the European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines recommend avoiding EN in cases of uncontrolled shock. Whether increased caloric intake from EN positively impacts clinical outcomes in patients with candidemia and shock remains unclear.
Methods
We retrospectively collected data from a tertiary medical center between January 2015 and December 2018. We enrolled patients who developed shock within the first 7 days following ICU admission and received a diagnosis of candidemia during their ICU stay. Patients with an ICU stay shorter than 48 hours were excluded.
Results
The study included 106 patients, among whom the hospital mortality rate was 77.4% (82 patients). The median age of the patients was 71 years, and the median Acute Physiology and Chronic Health Evaluation II score was 29. The Cox regression model revealed that a higher 7-day average caloric intake through EN (hazard ratio, 0.61; 95% CI, 0.44–0.83) was significantly associated with lower hospital mortality rates. Our findings suggest EN as the preferred feeding route for critically ill patients with shock.
Conclusions
Increased caloric intake through EN may be associated with lower hospital mortality rates in patients with candidemia and shock. -
Citations
Citations to this article as recorded by
- Importance of Enteral Feeding: Enhancing Patient Care through Interventional Radiology
Abdifatah Omar, Hyeonseon Kim, Michelle Mai, Michelle Bae, Aaron Maxwell, Daehee Kim
Seminars in Interventional Radiology.2025; 42(01): 002. CrossRef - The impact of enteral feeding intolerance on the prognosis of patients with septic shock in South Korea
Hyun-Jun Park, Yoon Hae Ahn, Hong Yeul Lee, Sang-Min Lee, Jinwoo Lee
Acute and Critical Care.2025; 40(2): 304. CrossRef
- Importance of Enteral Feeding: Enhancing Patient Care through Interventional Radiology
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