Abstract
The effects of nutritional support in congestive heart failure patients who had needed for prolonged intensive care after cardiovascular surgery Introduction and Goal: The effects of enteral alone versus combined enteral and parenteral nutri- tional support on biochemical parameters, morbidity and mortality were investigated in need for pro- longed intensive care after cardiovascular surgery in patients with chronic heart failure. Material and Methods: Patients were randomly divided into two groups (n=30) depending on enteral nutrition (Group 1, n=30), Group 2; combined enteral and parenteral nutrition (Group 2, n=30). On day 1, 7 and 14; glucose, cholesterol, triglyceride, albumin, alanin aminotransferase (ALT), aspartate ami- notransferase (AST), lactate dehydrogenase (LDH); alkalane phospatase (ALP), total bilirubin, gamma glutamil transferase (GGT) and electrolytes were evaluated. Side effects and mortality were recorded. Results: Demographics and all biochemical parameters revelaed no difference between groups (p>0.05). Within group comparisons revealed no change in glucose levels in Group 1 whereas, there was increase in Group 2 (p=0.01). Cholesterol and triglyceride levels in Group 1 and 2 showed a rise whereas, albumin levels decreased (p 0.05). Conclusion: Early enteral nutritional support should be considered first in postoperative period. If the required energy amount can not be achieved, enteral and parenteral nutrition can be used together.
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Schedule a callMore From: SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital
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