Title: Analysis of influencing factors and nursing strategies for enteral nutrition patients
complicated with refeeding syndrome in ICU
Version: 1 Date: 12 Feb 2025
Reviewer's report:
The article is based on a retrospective analysis of 173 patients admitted to the ICU in 2020-2021.
The division into the control and observational group is well justified, and the inclusion and
exclusion criteria are clearly defined. The study employs statistical analysis using the t-test,
chi-square test, and multivariate logistic regression, which allows for inferences about the
relationships between risk factors and refeeding syndrome (RS). However, the lack of long-term
patient follow-up and the limited number of participants may affect the generalizability of the
results.
The study results indicate that the key risk factors for RS include: age # 60 years, high NRS
2002 score, long mechanical ventilation time (# 3 days), high APACHE II score, rapid feeding
rate (>50 ml/h), protein intake # 1.2 g/kg, and enteral feeding temperature. It has been shown
that the use of targeted nursing strategies contributes to the improvement of electrolyte levels
(phosphorus, potassium, magnesium), albumin, and prealbumin in patients with RS, confirming
the effectiveness of the intervention.
The conclusions of the article are consistent with the study results. The importance of early
identification of risk factors and the implementation of individualized nursing strategies to
reduce the incidence of RS is emphasized.
The discussion in the article addresses the most important aspects of the results. The authors
compare their findings with other studies, emphasizing the importance of monitoring patients
for RS and the significance of targeted nursing interventions. However, it could be more detailed
in terms of clinical implications and possible methodological limitations of the study, such as
the influence of other independent variables that may have affected the outcome.
The study has some limitations, including the lack of long-term patient follow-up and the
absence of an analysis of the influence of other potential factors (e.g., type of comorbidities).
The article is a valuable contribution to the topic of refeeding syndrome in ICU patients. The
results provide important information on risk factors and the effectiveness of nursing strategies.
The study's limitations indicate the need for further research in this area.
Title: Analysis of influencing factors and nursing strategies for enteral nutrition patients
complicated with refeeding syndrome in ICU
Version: 1 Date: 12 Feb 2025
Reviewer's report:
The article is based on a retrospective analysis of 173 patients admitted to the ICU in 2020-2021.
The division into the control and observational group is well justified, and the inclusion and
exclusion criteria are clearly defined. The study employs statistical analysis using the t-test,
chi-square test, and multivariate logistic regression, which allows for inferences about the
relationships between risk factors and refeeding syndrome (RS). However, the lack of long-term
patient follow-up and the limited number of participants may affect the generalizability of the
results.
The study results indicate that the key risk factors for RS include: age # 60 years, high NRS
2002 score, long mechanical ventilation time (# 3 days), high APACHE II score, rapid feeding
rate (>50 ml/h), protein intake # 1.2 g/kg, and enteral feeding temperature. It has been shown
that the use of targeted nursing strategies contributes to the improvement of electrolyte levels
(phosphorus, potassium, magnesium), albumin, and prealbumin in patients with RS, confirming
the effectiveness of the intervention.
The conclusions of the article are consistent with the study results. The importance of early
identification of risk factors and the implementation of individualized nursing strategies to
reduce the incidence of RS is emphasized.
The discussion in the article addresses the most important aspects of the results. The authors
compare their findings with other studies, emphasizing the importance of monitoring patients
for RS and the significance of targeted nursing interventions. However, it could be more detailed
in terms of clinical implications and possible methodological limitations of the study, such as
the influence of other independent variables that may have affected the outcome.
The study has some limitations, including the lack of long-term patient follow-up and the
absence of an analysis of the influence of other potential factors (e.g., type of comorbidities).
The article is a valuable contribution to the topic of refeeding syndrome in ICU patients. The
results provide important information on risk factors and the effectiveness of nursing strategies.
The study's limitations indicate the need for further research in this area.
Please review this paper.
user
Title: Analysis of influencing factors and nursing strategies for enteral nutrition patients
complicated with refeeding syndrome in ICU
Version: 1 Date: 12 Feb 2025
Reviewer's report:
The article is based on a retrospective analysis of 173 patients admitted to the ICU in 2020-2021.
The division into the control and observational group is well justified, and the inclusion and
exclusion criteria are clearly defined. The study employs statistical analysis using the t-test,
chi-square test, and multivariate logistic regression, which allows for inferences about the
relationships between risk factors and refeeding syndrome (RS). However, the lack of long-term
patient follow-up and the limited number of participants may affect the generalizability of the
results.
The study results indicate that the key risk factors for RS include: age # 60 years, high NRS
2002 score, long mechanical ventilation time (# 3 days), high APACHE II score, rapid feeding
rate (>50 ml/h), protein intake # 1.2 g/kg, and enteral feeding temperature. It has been shown
that the use of targeted nursing strategies contributes to the improvement of electrolyte levels
(phosphorus, potassium, magnesium), albumin, and prealbumin in patients with RS, confirming
the effectiveness of the intervention.
The conclusions of the article are consistent with the study results. The importance of early
identification of risk factors and the implementation of individualized nursing strategies to
reduce the incidence of RS is emphasized.
The discussion in the article addresses the most important aspects of the results. The authors
compare their findings with other studies, emphasizing the importance of monitoring patients
for RS and the significance of targeted nursing interventions. However, it could be more detailed
in terms of clinical implications and possible methodological limitations of the study, such as
the influence of other independent variables that may have affected the outcome.
The study has some limitations, including the lack of long-term patient follow-up and the
absence of an analysis of the influence of other potential factors (e.g., type of comorbidities).
The article is a valuable contribution to the topic of refeeding syndrome in ICU patients. The
results provide important information on risk factors and the effectiveness of nursing strategies.
The study's limitations indicate the need for further research in this area.
assistant