| The impact of implementation of a nutrition support algorithm on nutrition care outcomes in an intensive care unit. | |
| | |
MedLine Citation:
|
PMID: 23135707 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
BACKGROUND: A nutrition support algorithm is an operational version of a guideline that is adapted to local requirements and easy to apply in clinical practice. The purpose of this study was to determine the impact of implementing a nutrition support algorithm on nutrition care outcomes in an intensive care unit (ICU) in Switzerland without a designated dietitian. METHODS: The retrospective study included data collection on 2 cohorts of critically ill patients before (n = 56) and after (n = 56) implementation of a nutrition support algorithm based on the guidelines published by the Society of Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition guidelines. RESULTS: There were significant differences between groups for the mean delivery of total energy in the pre- vs postimplementation group (909 ± 444 vs 1097 ± 420 kcal/d; P = .023) and mean delivery of protein per day (35 ± 17.9 vs 59.1 ± 27.3 g; P < .001). For patients staying at least 7 days in the ICU, the cumulative energy deficit decreased from -5664 ± 3613 kcal in the preimplementation group to -2972 ± 2420 kcal (P = .011) in the postimplementation group. No significant differences in the route of feeding and timing of enteral nutrition initiation were found. CONCLUSIONS: Implementation of a nutrition support algorithm resulted in improved provision of energy and protein delivery. This may be further improved with routine nutrition assessment by a dietitian or a designated nutrition support team. |
| | |
Authors:
|
Caroline M Kiss; Laura Byham-Gray; Robert Denmark; Rene Loetscher; Rebecca A Brody |
Related Documents
:
|
12458777 - Supporting foster parents: caring voices. 7506407 - Pediatric hypospadias surgery. 11380727 - Negotiating lay and professional roles in the care of children with complex health care... 10778887 - Effect on families and caregivers of caring for a child with laryngomalacia. 12883577 - Information needs and information seeking in primary care: a study of nurse practitioners. 130797 - The "unrecognized" spigelian hernia. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition Volume: 27 ISSN: 1941-2452 ISO Abbreviation: Nutr Clin Pract Publication Date: 2012 Dec |
Date Detail:
|
Created Date: 2012-11-08 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8606733 Medline TA: Nutr Clin Pract Country: United States |
Other Details:
|
Languages: eng Pagination: 793-801 Citation Subset: IM; N |
Affiliation:
|
Caroline M. Kiss, University Hospital Basel, Ernährungsberatung, Basel, 4031, Switzerland; clinical.nutrition@bluewin.ch. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Association of monocyte chemoattractant protein-1 -2518A>G polymorphism with occurrence, severity, a...
Next Document: The adenoviral oncogene E1A-13S interacts with a specific isoform of the tumor suppressor PML to enh...