Importance of target calorie intake in hospitalized patients

Harmandar, Ferda; Gömceli, İsmail; Yolcular, Başak Oğuz; Çekın, Ayhan Hilmi

doi:10.5152/tjg.2017.16718

Cited by 11 publications

(13 citation statements)

References 27 publications

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“…In our retrospective cohort study, only 36.9% of patients approached target calorie intake during SICU stay. Compared to other similar study focusing on target calorie approach in medical ICU patients, which reported 85.7% of target calorie accomplishment [13], surgical patients were less likely to achieve their caloric targets. Yeh et al also reported that mean received calorie for SICU patients were only 68% of requirements [2].…”

Section: Discussioncontrasting

confidence: 72%

“…We found that patients' mean albumin and CRP levels had a signi cant correlation with their in-hospital mortality. Harmandar et al reported observing a signi cant decrease in CRP levels in patients who achieved the target calorie intake but not in patients who failed to achieve their target calorie intake [13]. Some studies showed that although the initial serum albumin levels were re ective of the baseline nutrition status, serum albumin and serum prealbumin level trends did not correlate with calorie or protein de cits and should not be solely used to assess the adequacy of nutrition delivery [15,16].…”

Section: Discussionmentioning

confidence: 99%

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Target calorie intake achievements for patients treated in the surgical intensive care unit

Kim

Choi

Suh

et al. 2020

Preprint

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BackgroundAdequate nutritional therapy in critically ill patients is integral to an optimal outcome. This study determined which clinical factors affect the target calorie approach during SICU admission.MethodsConsecutive patients that were provided with nutritional support during their hospitalization in the Chung-Ang university hospital SICU from August 2014 to July 2016 were included in this retrospective study. Data on demographics, supplied calorie amount and method, lengths of stay in the hospital and the intensive care unit, and mortality outcomes when discharged from the SICU were collected and analyzed. ResultsIn 279 patients, 36.9% approached target calorie intake during SICU stay. In multivariate regression analysis, patients’ sex and nasogastric tube insertion were significant factors affecting target calorie approach. (OR 2.00 for female sex, 2.03 for nasogastric tube insertion; p-value 0.012 and 0.024 for each, respectively) When we divide the patients into two groups by SICU stay length, nasogastric tube insertion is more important variable in ≤7days of SICU stay for achieve the target calorie goal. (OR 4.13; p-value 0.006) As higher amounts of calories are supplied to the patients, total lymphocyte count (TLC) and C-reactive protein (CRP) levels improved significantly without changes in mortality.ConclusionExistence of nasogastric tube and patient sex were important clinical factors to reach target calorie supply for SICU patients and their importance is different according to SICU stay length.

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Section: Discussioncontrasting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Target calorie intake achievements for patients treated in the surgical intensive care unit

Kim

Choi

Suh

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In our retrospective cohort study, only 36.9% of patients approached target calorie intake during SICU stay. Compared to other similar study focusing on target calorie approach in medical ICU patients, which reported 85.7% of target calorie accomplishment [ 13 ], surgical patients were less likely to achieve their caloric targets. Yeh et al [ 2 ] also reported that mean received calorie for SICU patients was only 68% of requirements.…”

Section: Discussioncontrasting

confidence: 58%

“…We found that patients' mean albumin and CRP levels had a significant correlation with their in-hospital mortality. Harmandar et al [ 13 ] reported observing a significant decrease in CRP levels in patients who achieved the target calorie intake but not in patients who failed to achieve their target calorie intake. Some studies showed that although the initial serum albumin levels were reflective of the baseline nutrition status, serum albumin and serum prealbumin level trends did not correlate with calorie or protein deficits and should not be solely used to assess the adequacy of nutrition delivery [ 15 16 ].…”

Section: Discussionmentioning

confidence: 99%

Target Calorie Intake Achievements for Patients Treated in the Surgical Intensive Care Unit

et al. 2021

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Adequate nutritional support in critically ill patients is important, however, sometimes it has been neglected in perioperative period of patients at surgical intensive care units (SICU). The aim of this study was to investigate whether approaching target calorie intake of surgical patients influences on their clinical outcomes. A total of 279 patients who admitted at SICU in perioperative period from August 2014 to July 2016 at our hospital were analyzed. Demographics, supplied calorie amount and its method, lengths of SICU and hospital stay, and mortality of study population were collected. Among 279 patients, 103 patietns (36.9%) approached target calorie intake during SICU stay. Patients who approached target calorie intake had significantly decreased length of stay in SICU (10.78 ± 11.5 vs. 15.3 ± 9.9, p = 0.001) and hospital (54.52 ± 40.6 vs. 77.72±62.2, p < 0.001), than those did not, however there was no significant difference of mortality (9.7% vs. 8.5%, p = 0.829). Enteral feeding was a significant factor for target calorie achievement (odd ratio [OR], 2.029; 95% confidence interval [CI], 1.096–3.758; p = 0.024) and especially in patients with ≤ 7 days of SICU stay (OR, 4.13; 95% CI, 1.505–11.328; p = 0.006). Target calorie achievement in surgical patients improves clinical outcomes and enteral feeding, especially in early postoperative period would be an effective route of nutrition.

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“…Sufficient provision of energy reduces mortality [19,20,22,28], shortens ICU and hospital stay [18,29], decreases mechanical ventilation time [19,22,29], and reduces infectious complications [29,30]. Furthermore, sufficient provision of protein reduces mortality in adults [19,20,31] and improves quality of life (QOL) at 3month follow-up [31].…”

Section: Introductionmentioning

confidence: 99%

Review of evolution and current status of protein requirements and provision in acute illness and critical care

et al. 2021

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Nutrition therapy, by enteral, parenteral, or both routes combined, is a key component of the management of critically ill, surgical, burns, and oncology patients. Established evidence indicates overfeeding (provision of excessive calories) results in increased risk of infection, morbidity, and mortality. This has led to the practice of "permissive underfeeding" of calories; however, this can often lead to inadequate provision of guideline-recommended protein intakes. Acutely ill patients requiring nutritional therapy have high protein requirements, and studies demonstrate that provision of adequate protein can result in reduced mortality and improvement in quality of life. However, a significant challenge to adequate protein delivery is the current lack of concentrated protein solutions. Patients often have fluid administration restrictions and existing protein solutions are frequently not sufficiently concentrated to deliver a patient's protein requirements. This has led to the development of new enteral and parenteral nutrition solutions incorporating higher levels of protein in smaller volumes. This review article summarizes current evidence supporting the role of higher protein intakes, especially during the early phases of nutrition therapy in acute illness, methods for assessing protein requirements, as well as, the currently available high-protein enteral and parenteral nutrition solutions. There is sufficient evidence (albeit limited from true randomized, controlled studies) to indicate that earlier provision of guidelinerecommended protein intakes may be key to improving patient outcomes and that nutritional therapy that tailors caloric and protein intake to the patients' needs should be considered a desired standard of care.

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Importance of target calorie intake in hospitalized patients

Cited by 11 publications

References 27 publications

Target calorie intake achievements for patients treated in the surgical intensive care unit

Target calorie intake achievements for patients treated in the surgical intensive care unit

Target Calorie Intake Achievements for Patients Treated in the Surgical Intensive Care Unit

Review of evolution and current status of protein requirements and provision in acute illness and critical care

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