Energy deficit is clinically relevant for critically ill patients: yes

Pichard, Claude; Oshima, Taku; Berger, Mette M.

doi:10.1007/s00134-014-3597-9

Cited by 18 publications

(10 citation statements)

References 21 publications

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“…Only patients with EN, associated or not with oral diet therapy can recover the catabolism generated by CHF [ 20 , 21 ]. Other studies corroborate the early onset in stable myocardiopathic patients, around 24 - 48 h after cardiac decompensation [ 2 , 3 , 22 ].…”

Section: Discussionsupporting

confidence: 56%

Major Predictors of Incidence of Congestive Heart Failure and the Responsive Character of Enteral Nutrition: Meta-Analysis

Ramirez¹,

Soriano²,

Filho³

et al. 2018

Cardiol Res

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BackgroundStatistical data from the USA estimate that 5.7 million Americans over 20 years of age have congestive heart failure (CHF) and this number is expected to increase approximately 46.0% between 2012 and 2030. In Brazil, there are no epidemiological studies involving the incidence of heart failure; however, according to other countries, it can be estimated that up to 6.4 million Brazilians suffer from this syndrome. Randomized and controlled clinical studies on the efficacy of enteral nutrition (EN) in patients with CHF are lacking. The aim of the present study was to perform a systematic review of the main predictors of CHF that promote EN, as well as to find if the literary findings were conclusive in the efficacy of EN for treatment and prophylaxis of CHF.MethodsA total of 105 papers were submitted to the eligibility analysis, after which 28 studies were selected, following the rules of the systematic review - PRISMA. The search strategy was followed in MEDLINE/Pubmed, Web of Science, ScienceDirect Journals (Elsevier), Scopus (Elsevier) and ONEFile (Gale), with the following steps: search for mesh terms and use of bouleanos “and” between terms and “or” between historical findings.ResultsThe present study listed the major predictors of CHF with indication for EN. After testing the normality of each group of variables of causes of decompensation in CHF, it was analyzed that all the variables did not present normal distribution, with P < 0.10. Thus, a non-parametric Kruskal-Wallis analysis was performed, obtaining P > 0.05 in all analyses, that is, in all groups of causes of decompensation in CHF, there was no statistical difference in each group studied.ConclusionThere is still no known influence of the efficacy of EN on increasing survival and reducing the morbidity of patients with CHF because there are few clinical trials that have evaluated this question; however, EN is very indicated in the attempt to mitigate the weight loss in these patients.

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Section: Discussionsupporting

confidence: 56%

Major Predictors of Incidence of Congestive Heart Failure and the Responsive Character of Enteral Nutrition: Meta-Analysis

Ramirez¹,

Soriano²,

Filho³

et al. 2018

Cardiol Res

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“…the first 96 hours), critically ill patients feature a loss of fat-free mass up to 440 g/day, which is associated with increased morbidity and prolonged recovery [1]. One could hypothesize that patients with fat-free mass loss at day 5 should more suffer from functional impairment or ICU-acquired weakness [28][29][30], or could be at increased risk of late mortality (post-28-day).…”

Section: Discussionmentioning

confidence: 99%

Fat-free mass at admission predicts 28-day mortality in intensive care unit patients: the international prospective observational study Phase Angle Project

Thibault

Makhlouf

Mulliez³

et al. 2016

Intensive Care Med

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121

113

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“…It is recognized that the predictive equations are inaccurate in estimating energy requirements, and indirect calorimetry (IC) is the gold standard in determining such requirements for critically ill patients 69 , 70 . Unfortunately, the high cost and technical difficulties associated with the use of IC limit its availability 71 , 72 . Moreover, in a secondary analysis of the INS 2007–2009, Compher and colleagues 73 were unable to demonstrate an impact of the method of estimating energy requirements on clinical outcomes.…”

Section: Pep Up Componentsmentioning

confidence: 99%

“…Therefore, the primary focus for practitioners is to aim for more optimal energy delivery 7 , 8 . The development of an accurate, easy‐to‐use, and affordable calorimeter is eagerly awaited 71 …”

Section: Pep Up Componentsmentioning

confidence: 99%

Enhanced Protein‐Energy Provision via the Enteral Route in Critically Ill Patients (PEP uP Protocol)

et al. 2015

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Nutrition support is an integral part of care among critically ill patients. However, critically ill patients are commonly underfed, leading to consequences such as increased length of hospital and intensive care unit stay, time on mechanical ventilation, infectious complications, and mortality. Nevertheless, the prevalence of underfeeding has not resolved since the first description of this problem more than 15 years ago. This may be due to the traditional conservative feeding approaches. A novel feeding protocol (the Enhanced Protein-Energy Provision via the Enteral Route Feeding Protocol in Critically Ill Patients [PEP uP] protocol) was proposed and proven to improve feeding adequacy significantly. However, some of the components in the protocol are controversial and subject to debate. This article is a review of the supporting evidences and some of the controversy associated with each component of the PEP uP protocol.

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Energy deficit is clinically relevant for critically ill patients: yes

Cited by 18 publications

References 21 publications

Major Predictors of Incidence of Congestive Heart Failure and the Responsive Character of Enteral Nutrition: Meta-Analysis

Major Predictors of Incidence of Congestive Heart Failure and the Responsive Character of Enteral Nutrition: Meta-Analysis

Fat-free mass at admission predicts 28-day mortality in intensive care unit patients: the international prospective observational study Phase Angle Project

Enhanced Protein‐Energy Provision via the Enteral Route in Critically Ill Patients (PEP uP Protocol)

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