Malnutrition in the ICU Patient Population

Powers, Jan; Samaan, Karen

doi:10.1016/j.ccell.2014.01.003

Cited by 35 publications

(33 citation statements)

References 51 publications

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“…Prevalence in the hospital setting can vary depending on the location and population. One study estimates that 30%–50% of hospitalized patients in the United States have at least some evidence of malnutrition . A study by Mogensen et al evaluating malnutrition and outcomes found that of the 4644 mechanically ventilated patients included in this study, approximately 30% had a history of decreased oral intake or clinical signs of malnutrition, and 3% had evidence of weight loss or were underweight based on a low body mass index (BMI) .…”

Section: Malnutritionmentioning

confidence: 93%

“…As previously mentioned, clinicians often, however, fail to recognize the existence of malnutrition and sarcopenia, which are frequently present in this patient population. It has been shown that patients with a BMI of 30 experience malnutrition and sarcopenia, which may not be identified by standard bedside screening tools . In addition, obese patients experience altered energy metabolism.…”

Section: Disease‐specific Enmentioning

confidence: 99%

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Enteral Nutrition in the Mechanically Ventilated Patient

Allen

Hoffman

2019

Nut in Clin Prac

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Mechanically ventilated patients are unable to take food orally and therefore are dependent on enteral nutrition for provision of both energy and protein requirements. Enteral nutrition is supportive therapy and may impact patient outcomes in the intensive care unit. Early enteral nutrition has been shown to decrease complications and hospital length of stay and improve the prognosis at discharge. Nutrition support is unique for patients on mechanical ventilation and, as recently published literature shows, should be tailored to the individuals' underlying pathology. This review will discuss the most current literature and recommendations for enteral nutrition in patients receiving mechanical ventilation. (Nutr Clin Pract. 2019;34:540-557)

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Section: Malnutritionmentioning

confidence: 93%

Section: Disease‐specific Enmentioning

confidence: 99%

Enteral Nutrition in the Mechanically Ventilated Patient

Allen

Hoffman

2019

Nut in Clin Prac

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“…In the univariate analyses, Child-Pugh score (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15) and PD avg showed statistically significant associations with an overall 28-day ICU mortality. After adjusting for these variables, only the PD avg still showed an association with an overall 28-day ICU mortality.…”

Section: Logistic Regression Analysismentioning

confidence: 99%

“…Early appropriate calories and proteins provision through enteral nutrition are essential for critically ill patients due to universally extensive loss of total body protein mass during critical illness [1][2][3][4] . Loss of up to 18% of muscle mass is expected in the first 10 days of intensive care unit (ICU) admission in order to provide the required amino acids for synthesis of acute-phase proteins and immunoglobulins [5][6][7][8][9] . This rate of muscle protein catabolism can be minimized by early provision of an appropriate protein density through either enteral or parenteral feeding [10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

The Correlation Between Early Protein Density Provision and 28-Day Overall Mortality in Critically Ill Patients Who Are Taking Standard Enteral Nutritional Formulas

Alobeidullah¹,

Services²,

Jdaitawi³

et al. 2018

IRJPS

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Objectives: Early appropriate enteral calories and proteins are essential for critically ill patients due to universally extensive loss of total body protein mass during critical illness. The objective of this study was to test the inverse correlation and positive prognostic efficacy between average protein density input enterally during first week of ICU admission (PD avg) and 28-day overall ICU mortality. Methods: We performed a retrospective analysis of patients admitted to our adult ICU between April 2017 and Sep 2018. Patients were excluded if they discharged or died before 1 week of ICU admission. A receiver operating characteristic (ROC) and sensitivity analysis were conducted to test the predictive ability and optimal cutoff point of PD avg for critically ill patients who were taking Ensure ® , Nutrison ® , or Resource ® Optimum. Results: A total of 163 critically ill patients were finally included in this study. The mean age was 58.37±9.96 years, and 112 (68.71%) were male. The overall 28-day ICU mortality rate was 39.26% (64 patients). The PD avg was significantly higher in survivors than in nonsurvivors (3.72±0.74 vs 3.50±0.36; P<0.05). The prognostic value of the PD avg to predict overall 28-day ICU mortality was 0.663; 95% CI, 0.579 to 0.748. Conclusion: Early protein density input enterally during first week of ICU admission has an inverse correlation and a significant predictive capability with 28-day overall ICU mortality. In order to minimize the critically ill patient's mortality as possible, we must use an enteral formula with PD not less than 3.53 g/100 Cal.

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“…Realizar triagem do estado nutricional, prévia, em pacientes críticos ajuda a identificar pacientes em risco nutricional e facilita o início da terapia nutricional 4 . Esta triagem ou avaliação nutricional inicial inclui vários componentes: história médica, história dietética, dados bioquímicos e medidas antropométricas.…”

Section: Introductionunclassified

Avaliação do estado nutricional de crianças e adolescentes na admissão em uma unidade de terapia intensiva pediátrica

et al. 2018

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Objetivo: Avaliar o estado nutricional de crianças e adolescentes na admissão em unidade de terapia intensiva pediátrica de um hospital público de referência.Materiais e Métodos: Estudo transversal que avaliou 277 pacientes, de 0 a 19 anos que foram admitidos na unidade de terapia intensiva pediátrica, nas primeiras 72 h de internação, no ano de 2013. As variáveis avaliadas, a partir dos prontuários, foram as medidas antropométricas de peso e estatura. Para verificar a associação do estado nutricional com as demais variáveis, utilizou-se o teste qui-quadrado, sendo considerado significativo p<0,05.Resultados: Entre os 277 pacientes, 53,4% (n=148) eram do sexo masculino. Encontrou-se 10,5% (n=21) de desnutrição, 20,1% (n=40) de excesso de peso e 69,34% (n=138) de eutrofia. Destaca-se, que a desnutrição foi mais prevalente entre os menores de 2 anos, enquanto o excesso de peso foi maior na faixa etária de 2 a 10 anos. Em 28,79% (n=57) da amostra foi encontrado baixa estatura, com maior prevalência entre os menores de 2 anos (p<0,001), podendo estar associado ao elevado número de prematuros na amostra (n=26, p=0,003).Conclusão: Na admissão de crianças e adolescentes internados em unidade de terapia intensiva pediátrica, desnutrição foi o estado nutricional menos prevalente quando comparamos com outros estudos. O número expressivo de prematuros pode estar associado à alta prevalência de baixa estatura encontrada.

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Malnutrition in the ICU Patient Population

Cited by 35 publications

References 51 publications

Enteral Nutrition in the Mechanically Ventilated Patient

Enteral Nutrition in the Mechanically Ventilated Patient

The Correlation Between Early Protein Density Provision and 28-Day Overall Mortality in Critically Ill Patients Who Are Taking Standard Enteral Nutritional Formulas

Avaliação do estado nutricional de crianças e adolescentes na admissão em uma unidade de terapia intensiva pediátrica

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