Article (Scientific journals)
Nutrition During Critical Care: An Audit on Actual Energy and Protein Intakes
ROUGIER, Loïc; PREISER, Jean-Charles; FADEUR, Marjorie et al.
2021In JPEN Journal of Parenteral and Eternal Nutrition
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Keywords :
critical care; quality improvement; protein deficit; nutrition; oral intake
Abstract :
[en] Introduction: Oral nutrition is delivered frequently in intensive care units (ICUs) but rarely studied. The primary objective of this study was to quantify nutrition intakes in patients exclusively orally fed (OF) and in those receiving medical nutrition solutions or both. Methods: Adults who stayed in a mixed ICU for ≥3 days were studied. Nutrition deficits were calculated as the difference between estimated energy or protein targets (determined by weight-based formulas) and actual intakes (recorded on a daily basis by nurses). Total volumes of enteral or parenteral nutrition solutions, propofol, and glucose infused over 24 hours were collected and energy and protein amounts were calculated. In OF patients, food intake at each meal (breakfast, lunch, and dinner) was estimated using the "one-quarter portion" method. Results: Among the 289 included patients aged 67 (57-75.5) years, 253 were fed and received, on average, 14.3 (7.8-19) kcal/kg/d and 0.53 (0.27-0.8) g/kg/d protein. In OF patients (n = 126), intakes were 9.7 (5.8-19) kcal/kg/d and 0.35 (0.17-0.57) g/kg/d protein. In the subset of OF patients with ICU stay ≥ 7 days (n = 37), respectively, 51% and 94% never received ≥80% of their energy and protein targets. Conclusion: Nutrition intakes were lower by oral feeding compared with other exclusive or combined medical nutrition. Compared with the prescribed amounts, the deficit was larger for proteins than for energy
Disciplines :
Endocrinology, metabolism & nutrition
Author, co-author :
ROUGIER, Loïc ;  Centre Hospitalier Universitaire de Liège - CHU > Département d'Anesthésie et réanimation > Service d'anesthésie - réanimation
PREISER, Jean-Charles
FADEUR, Marjorie ;  Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service de diabétologie, nutrition, maladies métaboliques
VERBRUGGE, Anne-Marie ;  Centre Hospitalier Universitaire de Liège - CHU > Département des Services Logistiques > Secteur diététique
Paquot, Nicolas ;  Université de Liège - ULiège > Département des sciences de la santé publique > Diabétologie, nutrition et maladies métaboliques
LEDOUX, Didier  ;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service des soins intensifs
Misset, Benoît ;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service des soins intensifs
ROUSSEAU, Anne-Françoise  ;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service des soins intensifs
Language :
English
Title :
Nutrition During Critical Care: An Audit on Actual Energy and Protein Intakes
Publication date :
2021
Journal title :
JPEN Journal of Parenteral and Eternal Nutrition
ISSN :
0148-6071
eISSN :
1941-2444
Publisher :
SAGE Publications, New York, United States - New York
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 26 November 2020

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