Annals of Clinical Nutrition and Metabolism

Letter from Editor: JCN 편집이사 박치민 (삼성서울병원), JCN 편집이사 설은미 (서울대학교병원); J Clin Nutr 2020;12(1):1-1. Published online June 30, 2020; DOI: https://doi.org/10.15747/jcn.2020.12.1.1

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Nutrition Support Nurse: Roles and Tasks: Jeong Yun Park, Jung Mi Song, Ja Kyung Min; J Clin Nutr 2020;12(1):2-6. Published online June 30, 2020; DOI: https://doi.org/10.15747/jcn.2020.12.1.2

Abstract PDF: Nutrition care is important for patients’ well-being. With legislation for reimbursement for nutrition support team activities from the Korea Ministry of Health and Welfare, this has increased the importance of nurses’ role in nutrition. Nutrition support nurses (NSNs) focus on the optimization of nutritional health and prevention of nutrition-related illness and injury. NSN performs as an advanced practice nurse, a core member of a nutrition support team, an educator or consultant, a policy maker in nutrition care, and a researcher or a member of quality improvement. NSNs should develop their core competency to fulfill their roles in nutrition care and the need to participate in qualified nutrition support education programs. Further, the tasks and duties of NSNs should be specifically identified so that NSNs can fulfill their roles.

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The Influence of Pediatric Nutrition Support Team on Hospitalized Pediatric Patients Receiving Parenteral Nutrition: Sijin Baek, Juhyun Rho, Hyung Wook Namgung, Eunsook Lee, Euni Lee, Hye Ran Yang; J Clin Nutr 2020;12(1):7-13. Published online June 30, 2020; DOI: https://doi.org/10.15747/jcn.2020.12.1.7

Abstract PDF: Purpose: Malnutrition is a common problem in hospitalized patients that can increase the risk of complications, including infections and length of hospitalization. Appropriate nutritional support is important, particularly in pediatric patients, because growth and development are closely related to the nutritional supply. This study examined the status of nutritional support for pediatric patients in general wards to determine if interventions of the pediatric nutrition support team (pNST) contribute to appropriate nutritional support and help improve their nutritional status.
Methods: Between July 2016 and June 2017, all pediatric inpatients who received parenteral nutrition support at the Seoul National University Bundang Hospital were recruited and divided into the NST group and non-NST group according to the activities of pNST. The nutritional status was assessed in all subjects, and the calories and proteins delivered through nutritional support in each group were calculated and then compared with the recommended requirements in pediatric patients.
Results: The number of patients recruited was 174: 100 (57.5%) in the NST group and 74 (42.5%) in the non-NST group. Significantly more calories and protein were supplied in the NST group than the non-NST group in hospitalized children aged between four and 17 years (P<0.05). In the non-NST group, the amounts of calories supplied were insufficient compared to the recommended requirements. The proportion of patients supplied with the appropriate number of calories was 60.0% in the NST group and 20.0% in the non-NST group (P<0.001), and the proportion of cases supplied with the appropriate amount of protein was 87.0% in the NST group and 62.2% in the non-NST group (P<0.001).
Conclusion: Interventions of the pediatric nutrition support team contributed to the sufficient supply of calories and protein and the improvement of clinical outcomes in hospitalized children on parenteral nutrition therapy.

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Incidence of Potential Intravenous Drug Incompatibilities in the Intensive Care Units of a University Hospital: Sunmin Lee; J Clin Nutr 2020;12(1):14-20. Published online June 30, 2020; DOI: https://doi.org/10.15747/jcn.2020.12.1.14

Abstract PDF: Purpose: Potential incompatibility (PI) between drugs infused together is frequent but under-recognized in intensive care units (ICU). This paper describes the frequency of the inappropriate coadministration of infused medications via the Y-site and identifies the most frequent and relevant drug incompatibilities in a single-center, cross-sectional observational study.
Methods: This research was a retrospective cross-sectional study of 100 patients conducted between July and December 2019 in an ICU. The medical records of 100 patients in the ICU were collected, and their compatibility was assessed based on published compatibility data.
Results: PI was detected in approximately 48.5% of patients (1.5 incompatibility/patient ratio). Most incompatibilities detected were classified as follows: the untested (84.4%), variable (9.7%), incompatibility (3.9%), or no data (1.9%). Acetylcysteine was the most frequent drug implied in PI. A difference was observed between the lengths of ICU and PI incidences (P=0.01). In the correlation between PI and APACHE II (Acute Physiology and Chronic Health Evaluation II), there was a weak correlation between APACHE II and PI (r=0.283, P<0.05).
Conclusion: PI is common in an ICU, with a higher prevalence of non-tested incompatibilities. The number of drugs and prescription of acetylcysteine, pantoprazole, meropenem piperacillin/tazobactam, or phytonadione are the risk factors for PI.

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