Özet:

It is important to ensure proper nutrition to prevent malnutrition, mortality and the development of metabolic disorders in followed up patients in the intensive care unit. In case the patients gastrointestinal tract starts functioning, enteral feeding should be started in the early period. Patients should be given parenteral support when the gastrointestinal tract does not work. In this study, we compared the mortality, malnutrition and metabolic parameters of patients who received nutritional support via nasogastric catheter, percutaneous endoscopic gastrostomy and total parenteral nutrition. We retrospectively analyzed 117 patients’ data with no oral intake in the intensive care unit. Patients were divided into 3 groups according to nutritional practices. Group 1included 62 patients with PEG, group 2 included 28 patients with NG and group 3 had 27 patients with TPN support. In the comparison of mortality between groups, there was a significant decrease in PEG fed patients (p <0.001). There was also a significant decrease in mortality of NG group when compared to TPN group (p<0.01, Table2). In malnutrition comparison, serum albumin levels were significantly higher in PEG fed patients than in other groups (Table 3, p <0.03). There were significant improvements in metabolic parameters in the PEG group patients. We suggest that nutritional support should be provided to serious patients in intensive care unit as soon as possible in order to reduce morbidity, mortality and malnutrition, and we think that PEG procedure is safer and more effective nutritional practice than other procedures.

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