Table 1. Summary of each nutrition intervention.
| Variables | Number of admission | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1st | 2nd | 3rd | 4th | ||||||||
| HOD | #2 (Mar 20, 2020) | #5–7 (Mar 23–25, 2020) | #9–14 (Mar 27, 2020–Apr 1, 2020) | #17–19 (Apr 4, 2020–Apr 6, 2020) | #27 (Apr 14, 2020) | #30 (Apr 17, 2020) | #2 (Apr 29, 2020) | #6–9 (May 3–6, 2020) | #2–11 (May 13–22, 2020) | #2 (Jun 3, 2020) | #21 (Jun 22, 2020) |
| Clinical course | - | - | - | Diagnosed with DLBCL, first cycle of chemotherapy | Ileus | Tumor lysis syndrome | ICU stay, CRRT | IHD start | Second cycle of chemotherapy, grasin administration with ANC reduction | Hold chemotherapy because of fever and pneumonia, third cycle of chemotherapy | - |
| Symptoms | Abdominal pain, dyspepsia, constipation | Abdominal pain, dyspepsia, constipation | Abdominal pain, abdominal distension, constipation | Abdominal pain, constipation | Abdominal pain, abdominal bowel gas, constipation | General weakness, powerlessness | Abdominal pain, abdominal distension | Anorexia, general weakness, powerlessness | General weakness, powerlessness | Anorexia, general weakness, powerlessness | General weakness, powerlessness |
| Diet order | CKD diet (Na 2,000 mg) | CKD with light low sodium (Na 4,000 mg) | Low residual diet | High-protein diet | NPO | High-protein diet | NPO | HD diet | Sterilized-HD diet | HD diet | High-protein diet |
| Energy from oral intake (kcal, % calorie intake by oral diet) | 430/27 | 720/45 | 260/16 | 250/15 | 0/0 | 475/30 | 0/0 | 192/12 | 473/30 | 473/30 | 1,125/70 |
| PN type | - | Smofkabiven Peripheral 3-in-1 | Smofkabiven Peripheral 3-in-1 | Smofkabiven central | Combiflex | Combiflex | Combiflex | Combiflex | - | - | - |
| Energy from PN (kcal, % calorie intake by PN) | 0/0 | 662/41 | 662/41 | 1,071/67 | 1,122/70 | 1,122/70 | 1,122/59 | 1,122/70 | 0/0 | 0/0 | 0/0 |
| Total intake (kcal, % calorie intake by oral diet and PN) | 430/27 | 1,382/86 | 922/58 | 1,321/83 | 1,122/70 | 1,597/100 | 1,122/59 | 1,314/82 | 473/30 | 473/30 | 1,125/70 |
| Nutritional interventions | Nutrition counseling | Nutrition provision (parenteral nutrition), nutrition education and counseling for management CKD | Nutrition support | Nutrition provision (oral nutrition supplements provided, parenteral nutrition), nutrition education and counseling (chemotherapy) | Nutrition support | Nutrition counseling, nutrition support | Nutrition counseling | Nutrition counseling, nutrition support | Nutrition counseling, nutrition provision (oral nutrition supplements provided) | Nutrition counseling, nutrition provision (changing meal plan) | Nutrition counseling |
HOD, hospital onset of day; DLBCL, diffuse large B cell lymphoma; CKD, chronic kidney disease; NPO, nothing per oral; ICU, intensive care unit; PN, parenteral nutrition; CRRT, continuous renal replacement therapy; IHD, intermittent hemodialysis; ANC, absolute neutrophil count; HD, hemodialysis.