Date of Award

8-13-2024

Document Type

Open Access Thesis

Degree Name

MS in Physician Assistant Studies (PA)

Department

Physician Assistant Studies

First Advisor

Mary Ruggeri

Abstract

Background: Nutrition interventions for hospitalized patients can provide meaningful benefit on patient recovery outcome, length of hospital admission, and overall healthcare costs. Preventing and treating malnutrition is one aspect of optimizing patient outcomes following a prolonged clinical course, including stays in the intensive care unit (ICU).

Purpose: This literature review aims to address how nutrition status can be maximized for a patient’s post intensive care unit clinical course. While early enteral nutrition (EN) when appropriate is accepted as optimal care, there is little standardization for removal of devices to provide artificially administered nutrition and hydration (AANH).

Methods: A comprehensive literature review was conducted using PubMed and Google Scholar, using the search terms post extubation dysphagia, malnutrition, post ICU rehab, post ICU nutrition, ICU nutrition, feeding tube in the ICU, post extubation rehab phase, and dysphagia and feeding tube. Inclusion criteria were studies that were published in 2018 or later. Systematic reviews, case studies and research prior to 2018 was excluded unless it was needed to provide appropriate historical background or context for discussion.

Conclusions: In order to best time the removal of artificially administered nutrition and hydration devices to optimize patient rehabilitation and minimize determinate outcomes related to malnutrition, further research is warranted. Research should focus on assessing outcoming randomized control trials, with defined malnutrition criteria across institutions.

Identifier

SC 11.PAS.2024.Pass.R

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