| Summary: | 博士 === 靜宜大學 === 食品營養學系 === 107 === The changes of metabolic pressure in patients with cardiopulmonary failure lead the nutritional deterioration and affect the recovery. Therefore, the nutritional status of cardiopulmonary failure patients is an important issue need to be attended.This study aims to investigate the effects of nutritional intervention on the prognosis of patients with cardiopulmonary failure undergoing extracorporeal membrane oxygenation (ECMO) therapy. An institutional review board-approved retrospective study was conducted on patients receiving ECMO therapy in the intensive care unit of the China Medical University Hospital, Taiwan, from January 2013 to December 2013. The study included 102 patients with cardiopulmonary failure receiving ECMO therapy. The data demonstrated that higher survival rates were closely related to lower age and acute physiology and chronic health evaluation (APACHE II) scores among the patients. In addition, compared to patients who deceased, those who survived had a higher total calorie intake. Most patients could tolerate bolus feeding and polymeric formulas. Furthermore, patients who underwent nutritional therapy with nutritional goals greater than 80% achieved a better outcome and lower mortality than other patients. Early nutritional intervention could benefit patients undergoing ECMO, and those who reached the delivery goal of 80% had significantly better outcomes than other patients. In conclusion, enteral feeding could begin early and was well tolerated by patients receiving ECMO therapy. The results might be benefit in establishing personalized nutrition goals for oriental population when caring for critically ill patients.
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