Vet Med - Czech, 2023, 68(6):246-252 | DOI: 10.17221/26/2023-VETMED
Continuous versus intermittent enteral nutrition in hospitalised dogs and cats using a new scoring system: A prospective clinical studyOriginal Paper
- 1 Small Animal Clinic, Faculty of Veterinary Medicine, University of Veterinary Sciences Brno, Brno, Czech Republic
- 2 Department of Physiology, Faculty of Veterinary Medicine, University of Veterinary Sciences Brno, Brno, Czech Republic
- 3 Department of Mathematics, Faculty of Electrical Engineering and Communication, Brno University of Technology, Brno, Czech Republic
Nutrition is an important part of the critical care. The goals of this prospective clinical study were to create a scoring system for the assessment of patient nutritional status and to compare continuous and intermittent bolus feeding of enteral nutrition (EN). A total of 38 patients (21 dogs and 17 cats) were divided into Group C (continuous feeding; 23 patients) and Group I (intermittent feeding; 15 patients). The following variables were recorded for each patient in both groups: gastrointestinal (GI) complications, changes in body weight (BW), body condition score (BCS), muscle condition score (MCS), veterinary nutritional status score (VetNSS), length of hospitalisation and outcome. The normality of the data was assessed using the Shapiro-Wilk test. Fisher’s exact test, Mann-Whitney, Wilcoxon signed-rank tests, and the t-test were used in statistical analyses. Significant changes were found in VetNSS and BW between the 1st and 5th day in Group C. The VetNSS seems to be useful for monitoring the nutritional status of hospitalised patients. Anorectic dogs and cats can be successfully supported with either continuous or intermittent feeding methods with a similar risk of GI complications and outcomes.
Keywords: complications; nutritional score; nutritional support; outcome; tube feeding
Received: March 1, 2023; Revised: June 8, 2023; Accepted: June 13, 2023; Prepublished online: June 27, 2023; Published: June 30, 2023 Show citation
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References
- Brunetto MA, Gomes MO, Andre MR, Teshima E, Goncalves KN, Pereira GT, Ferraudo AS, Carciofi AC. Effects of nutritional support on hospital outcome in dogs and cats. J Vet Emerg Crit Care (San Antonio). 2010 Apr 1;20(2):224-31.
Go to original source...
Go to PubMed...
- Campbell JA, Jutkowitz LA, Santoro KA, Hauptman JG, Holahan ML, Brown AJ. Continuous versus intermittent delivery of nutrition via nasoenteric feeding tubes in hospitalized canine and feline patients: 91 patients (2002-2007). J Vet Emerg Crit Care (San Antonio). 2010 Apr 1;20(2):232-6.
Go to original source...
Go to PubMed...
- Chan DL. Nutritional support of the critically ill small animal patient. Vet Clin North Am Small Anim Pract. 2020 Nov;50(6):1411-22.
Go to original source...
Go to PubMed...
- De Lazzaro F, Alessandri F, Tarsitano MG, Bilotta F, Pugliese F. Safety and efficacy of continuous or intermittent enteral nutrition in patients in the intensive care unit: Systematic review of clinical evidence. JPEN J Parenter Enteral Nutr. 2022 Mar;46(3):486-98.
Go to original source...
Go to PubMed...
- de Ulibarri JI, Gonzalez-Madrono A, de Villar NG, Gonzalez P, Gonzalez B, Mancha A, Rodriguez F, Fernandez G. CONUT: A tool for controlling nutritional status. First validation in a hospital population. Nutr Hosp. 2005 Jan-Feb;20(1):38-45.
- Fabretti AK, Fonseca IC de B, Coelho AF, Silva CN, Pereira PM. Evaluation of clinical, laboratory, and electrophoretic profiles for diagnosis of malnutrition in hospitalized dogs. Semina Ciênc Agrár. 2015 Feb;36(1):217-30.
Go to original source...
- Fabretti AK, Siqueira RCS, Amaral HF, Gomes LA, Venturini D, Pereira PM. Laboratory profile of malnutrition in hospitalized dogs. Semina Ciênc Agrár. 2021 Aug;42(6):3273-88.
Go to original source...
- Hayes G, Mathews K, Doig G, Kruth S, Boston S, Nykamp S, Poljak Z, Dewey C. The Acute Patient Physiologic and Laboratory Evaluation (APPLE) score: A severity of illness stratification system for hospitalized dogs. J Vet Intern Med. 2010 Sep-Oct;24(5):1034-47.
Go to original source...
Go to PubMed...
- Hayes G, Mathews K, Doig G, Kruth S, Boston S, Nykamp S, Poljak Z, Dewey C. The Feline Acute Patient Physiologic and Laboratory Evaluation (Feline APPLE) score: a severity of illness stratification system for hospitalized cats. J Vet Intern Med. 2011 Jan-Feb;25(1):26-38.
Go to original source...
Go to PubMed...
- Holahan M, Abood S, Hauptman J, Koenigsknecht C, Brown A. Intermittent and continuous enteral nutrition in critically ill dogs: A prospective randomized trial. J Vet Intern Med. 2010 May-Jun;24(3):520-6.
Go to original source...
Go to PubMed...
- Keller U. Nutritional laboratory markers in malnutrition. J Clin Med. 2019 May 31;8(6):775.
Go to original source...
Go to PubMed...
- King LG, Boag A, Elmhurst SJ. BSAVA manual of canine and feline emergency and critical care. 3rd ed. Glouchester: BSAVA; 2018. 424 p.
- Kirby R, Linklater AKJ. Monitoring and intervention for the critically ill small animal: The rule of 20. Ames, USA: Wiley Blackwell; 2017. 410 p.
Go to original source...
- MacLeod JB, Lefton J, Houghton D, Roland C, Doherty J, Cohn SM, Barquist ES. Prospective randomized control trial of intermittent versus continuous gastric feeds for critically ill trauma patients. J Trauma. 2007 Jul;63(1):57-61.
Go to original source...
Go to PubMed...
- Mathews KA. Veterinary emergency and critical care manual. 3rd ed. Guelph, Canada: LifeLearn Inc.; 2017. 1295 p.
- Michel KE. Prognostic value of clinical nutritional assessment in canine patients. J Vet Emerg Crit Care. 1993 Jul;3(2):96-104.
Go to original source...
- R Core Team. R: A language and environment for statistical computing [Internet]. R Foundation for Statistical Computing, Vienna, Austria. 2013 [cited 2023 Feb 5]. Available from: http://www.R-project.org/.
- Schuetz P, Seres D, Lobo DN, Gomes F, Kaegi-Braun N, Stanga Z. Management of disease-related malnutrition for patients being treated in hospital. Lancet. 2021 Nov 20;398(10314):1927-38.
Go to original source...
Go to PubMed...
- Serpa LF, Kimura M, Faintuch J, Ceconello I. Effects of continuous versus bolus infusion of enteral nutrition in critical patients. Rev Hosp Clin Fac Med Sao Paulo. 2003 Jan-Feb;58(1):9-14.
Go to original source...
Go to PubMed...
- Singer P, Blaser AR, Berger MM, Alhazzani W, Calder PC, Casaer MP, Hiesmayr M, Mayer K, Montejo JC, Pichard C, Preiser JC, van Zanten ARH, Oczkowski S, Szczeklik W, Bischoff SC. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr. 2019 Feb;38(1):48-79.
Go to original source...
Go to PubMed...
- Vohanka S. Zvysena hladina kreatinkinazy [Elevated level of creatine kinase]. Interní Med. 2012 Aug-Sep;14(8-9):322-6. Czech.
- WSAVA Nutritional Assessment Guidelines Task Force Members; Freeman L, Becvarova I, Cave N, MacKay C, Nguyen P, Rama B, Takashima G, Tiffin R, Tsjimoto H, van Beukelen P. WSAVA nutritional assessment guidelines. J Small Anim Pract. 2011 Jul;52(7):385-96.
Go to original source...
Go to PubMed...
- You JW, Lee SJ, Kim YE, Cho YJ, Jeong YY, Kim HC, Lee JD, Kim JR, Hwang YS. Association between weight change and clinical outcomes in critically ill patients. J Crit Care. 2013 Dec;28(6):923-7.
Go to original source...
Go to PubMed...
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