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Journal : World Nutrition Journal

Early nutrition approach in critically ill COVID-19 patients Niken Puruhita
World Nutrition Journal Vol. 4 No. S3 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S3.0003

Abstract

This presentation is aimed to describe several guidelines available indicating nutritional therapy in critically ill COVID-19 patients. Data from our ICU in dr. Kariadi General Hospital will be presented.
Energy target achievement and its determinants in critically ill COVID-19 patients in Indonesia Niken Puruhita; Febe Christianto; Luciana Sutanto; Banundari Rachmawati; Sofyan Harahap; Muchlis Ahsan Udji Sofro; Retnaningsih -; Riwanto; Hertanto Wahyu Subagio
World Nutrition Journal Vol. 4 No. 2 (2021): Volume 04 Issue 2, August 2021
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.i2.0006

Abstract

Introduction. Achievement of energy target in critically ill Covid-19 patients in Intensive Care Unit (ICU) is challenging. This study was aimed to depict the possibility of achieving energy target and its determinants in critically ill Covid-19 patients. Methods. A cross sectional study was conducted in ICU of dr. Kariadi Hospital Semarang, Indonesia. Secondary data were obtained from Covid-19 patients who were in ICU for minimum 3 days, from March to December 2020. Data collected included age, sex, Body Mass Index (BMI), comorbidities, Modified Nutrition Risk in Critically Ill (mNUTRIC) score, energy intake, route of nutrition delivery (enteral or combination of enteral and parenteral nutrition), lactate status, ICU length of stay (LOS), duration of mechanical ventilator and mortality. Risk Prevalence calculations were conducted to measure risks. Variables with significant associations and p< 0.25 were included in multiple logistic regression. Results. A total of 188 subjects were included in the analysis. Most patients were male (62.8%) and obese (61.8%). As much as 56.9% patients were able to achieve energy target of 20 kcal/kgBW on day 3 of ICU stay. Those with low risk mNUTRIC score and nutrition delivery was through enteral and parenteral route were more likely to achieve target energy of 20 kcal/kgBW in the first 3 days in the ICU. Conclusions. Achieving energy target of 20 kcal on day 3 of ICU stay for critically ill Covid-19 patients is feasible. Low mNutric score and nutrition delivery through enteral and parenteral route were two determinants for the achievement.
Feeding critically ill post Covid-19 patients Niken Puruhita
World Nutrition Journal Vol. 5 No. S3 (2022): Selected conference proceedings of the Nutri Virtual Symposium 2021
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V05.S3.0009

Abstract

Currently, there has been no nutritional therapy guideline available for discharged Covid-19 patients in ICU. Only a small study which was carried in post Covid-19 patients in ICU reported the resting energy expenditure recorded were 20 kcal/kg/day. These number is similar with nutrition therapy recommendations for acute phase critically ill patients provided by ESPEN.
Parenteral multivitamins in hospitalized patients Niken Puruhita
World Nutrition Journal Vol. 6 No. S1 (2022): Selected conference proceedings of the Nutri Virtual Symposium 2022
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V06.S1.0009

Abstract

Malnutrition, especially micronutrient malnutrition remain as major problems in hospitalized patients. Micronutrient malnutrition contributes to health status and recovery speed of patients. It may lead to poor wound healing and/or increasing the risk of complication which result in longer hospital stay or even, death. Critically or acutely ill patients who are in total parenteral nutrition therapy for longer period need intravenous micronutrients. Past publications reported Wernicke’s Beri-beri in patient who did not received vitamins along with total parenteral nutrition infusion after 4 weeks passed away regardless the amounts of macronutrients delivered.
Nutrition and inflammaging : unveiling the impact of diet on healthy aging Niken Puruhita
World Nutrition Journal Vol. 7 No. S1 (2023): Selected conference proceedings of the Nutri Symposium 2023
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/V07.S1.0013

Abstract

Aging is a declining process which leads to a poorer state of human health. The process involved immune system, known as immunosenescence, which is a multifactorial and dynamic process, involving both innate and acquired immunity. It is characterized by a progressive reduction in the ability to trigger immune responses against infections and vaccinations and lead to inflammaging. Immunosenescence plays a critical role in most chrocic diseases in older people, therefore, attempts are made to slow down or reverse the process.