Malnutrition Increases Morbidity and Mortality Essay

Malnutrition is defined as state of being poorly nourished or the imbalance between intake and requirement that changes metabolism, loss of body mass, and impaired function.1 Malnutrition is a common problem among patients with severe or chronic diseases. The main cause of malnutrition in developed countries is disease. Either acute or chronic disorder can aggravate malnutrition in many ways such as change in metabolism due to infection or inflammation, response to trauma, absorption, or appetite. Other than pathological causes for malnutrition, socioeconomic factors such as isolation and low income may contribute more in developing malnutrition. Dementia, anorexia, immobilization, and poor dentition are factors that can worsen the case†¦show more content†¦Enteral nutrition not only reduce loss of lean body mass and catabolism, but also preserve visceral protein metabolism and modulate the acute phase response, which is why it is an important mode of acute therapy in criti cally ill patients.6 These effects are helpful to maintain the structure and function of GI tract. There are studies done in past few years that compared EN and TPN in patients with acute pancreatitis (AP). A meta-analysis was conducted by Cao et al.7 to compare the efficacy of enteral nutrition (EN) versus total parenteral nutrition (TPN) in patients with severe acute pancreatitis (SAP). The author searched for Randomized controlled trials (RCT) in PubMed, EMBASE, and the Cochrane Library from 1996-2008 for published articles and no language restrictions were used. The RCTs that compared EN and TPN in adult patients (/= 18 years) with SAP were included. Trials had to report at least 1 of the following: infections, organ failure, artificial nutrition related complications, pancreatitis and non-pancreatitis related complications, and mortality. Exacerbations of chronic pancreatitis and pregnant patients were excluded. All patients in the included trials were enrolled within 96hrs ofShow MoreRelatedEssay On Malnutrition995 Words   |  4 Pagescriteria for malnutrition did not exist [22]. In particular, NRS2002 was originally designed to screen patients who would benefit from receiving nutritional support [12] and therefore its use might be linked with an increased number of patients classified to be at moderate/high risk of malnutrition, as a larger number of patients could indeed benefit from receiving nutritional support. On the other hand, MUST is the only tool that was specifically developed for screening of malnutrition [13,14]. ThereforeRead MoreThe Mortality Of Alzheimer s Disease971 Words   |  4 Pagesin death. 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