Objective:To analyze the risk factors associated with enteral feeding intolerance in traumatic patients admitted into intensive care unit. Methods:Retrospective analysis of 98 traumatic patients in ICU from July 2013 to July 2015 was performed

and age

serum albumin

glucose

enteral nutrition initial time

ISS score

APACHEⅡscore

Glasgow score and types of trauma of brain injury

multiple injury

spinal cord injury

bone fracture patients and others were compared between tolerance group and intolerance group.Those whose P value remained less than 0.2 in the single factor analysis were evaluated by multivariate logistic regression analy sis.Results:Single factor analysis showed that serum albumin

glucose

enteral nutrition initial time

APACHEⅡscore

Glasgow score and5 types of trauma remained statistically significant(P<0.05). Besides

the P value of ISS score was less than 0.2 with its figure of 0.108.Multivariate logistic regression analysis showed that serum albumin(OR=0.171

P=0.007

95%CI=0.048 to 0.616)

glucose(OR=10.493

P=0.001

95%CI=2.534 to 43.448)

enteral nutrition initial time(OR=11.540

P=0.004

95%CI=2.205 to 60.392)

Glasgow score(OR=0.136

P=0.034

95%CI=0.021 to 0.858)

APACHEⅡscore(OR=4.361

P=0.037

95%CI=1.096 to 17.350)were the main independent risk factors of feeding intolerance. However

there was no statistical significance in the incidence of feeding intolerance among the 5types of trauma when compared with brain injury patients

except for the other type. Conclusion:Traumatic patients with hypoproteinemia

hyperglycemia

delayed enteral nutrition

lower Glasgow score and higher APACHEⅡscore can aggravate the risk of feeding intolerance.