NUTRITION SUPPORT COMPLICATIONS IN PATIENT WHO UNDERWENT CARDIAC SURGERY
Background: The nutrition support complications after cardiac surgery should be detected and treated on time. Aim: To show the incidence and type of nutritional support complication in patients after cardiac surgery. Methods: The prospective study included 415 patients who underwent cardiac surgery between 2010 and 2013 in Clinic for Cardiovascular Disease of University Clinical Center Tuzla. Complications of the delivery system for nutrition support (NS) and nutrition itself were analyzed. Results: The analysis showed that 95 (22.80%) patients received enteral nutrition (EN) and 47 (11.30%) total parenteral support (TPN). 41.54% patients who received EN had complications and 33.09% of those who received TPN had complications with no significant difference per support. The complications with highest incidence in group with EN were associated with gastrointestinal (GiT) tract dysfunction with diarrhea (14.04%) and high gastric residuals in (10.56%). The most significant complications in patients with TPN were hyperglycemia (16.90%) and catheter-related infection (11.97%). Complications in EN group were associated with commercial solutions (p<0.05). Conclusion: Complications of NS in Cardiac Surgery Intensive Care Unit are very frequent, diarrhea and hyperglycemia presenting the highest incidence. NS careful monitoring and strict protocols could decrease incidence of complications in patients underwent cardiac surgery and realize benefits of NS.