Care Unit Outcomes Associated With Enteral Tube Feedings in a Medical Intensive

• BACKGROUND Underfeeding of patients reliant on enteral tube feedings most likely is due primarily to interruptions in the infusions. Strategies to improve energy intake require an understanding of such interruptions and associated outcomes. • OBJECTIVES To compare daily energy intake with goal energy intake; to ascertain frequency, duration, and reasons for interruptions in feedings; and to determine occurrences of feeding intolerance. • METHODS A prospective, descriptive study of a convenience sample of patients admitted during a 3-month period to a medical intensive care unit. Patients were included who were expected to receive continuous enteral tube feedings for at least 48 hours. Patients were studied until discontinuation of feedings, discharge from the unit, or death. • RESULTS Thirty-nine patients were studied for 276 feeding days. Patients received a mean of 64 % of goal energy intake. Mean length of interruptions in feeding was 5.23 hours per patient per day. Interruptions for performance of tests and procedures accounted for 35.7 % of the total cessation in feeding time. Next most time-consuming interruptions occurred with changes in body position (15%)