Effects of implementation of a computerized nutritional protocol in mechanically ventilated critically ill patients: A single-centre before and after study

Clinical Nutrition ESPEN
Eva BousieArthur R H van Zanten

Abstract

Optimal nutrition, defined as adequate intake of energy, macronutrients -especially proteins- and micronutrients impacts on outcome of patients admitted to the Intensive Care Unit (ICU). However, both nutrition below and over target have been associated with increased morbidity and mortality. Computerized nutrition protocols may help to improve nutrition adequacy. In July 2014 a computerized nutritional protocol was implemented in our ICU. We designed a study to address the effects of this protocol implementation on energy and protein adequacy and outcome. A retrospective pre-post analysis of nutrition adequacy in adult mechanically ventilated critically ill patients before and after the implementation of an electronic nutritional protocol to initiate feeding and with hourly feedback. Primary outcome was adequacy of total caloric intake from day 2-7, secondary outcomes were adequacy of protein intake, clinical outcome results (length of ICU and hospital stay, ICU and hospital mortality, duration of tube feeding, duration of mechanical ventilation, number of patients with parenteral nutrition), and glucose and electrolyte abnormalities. In total 146 patients were included (73 patients before and 73 patients after implementation)...Continue Reading

References

Dec 17, 2014·Critical Care : the Official Journal of the Critical Care Forum·Peter J M WeijsHeleen M Oudemans-van Straaten

❮ Previous
Next ❯

Citations

Jun 7, 2019·JPEN. Journal of Parenteral and Enteral Nutrition·Marie-Sophie Louise Yvonne de KoningArthur Raymond Hubert van Zanten
Aug 30, 2020·JPEN. Journal of Parenteral and Enteral Nutrition·Jean-Charles PreiserAndré Van Gossum
Mar 30, 2020·Journal of Clinical Monitoring and Computing·Aude de WattevilleClaudia-Paula Heidegger
Sep 15, 2016·European Journal of Clinical Nutrition·E BousieA R H van Zanten
Nov 23, 2019·Critical Care : the Official Journal of the Critical Care Forum·Arthur Raymond Hubert van ZantenPaul Edmund Wischmeyer
Feb 6, 2020·Critical Care : the Official Journal of the Critical Care Forum·W A C KoekkoekA R H van Zanten
Jan 5, 2021·Current Opinion in Clinical Nutrition and Metabolic Care·Annika Reintam Blaser, Arthur Raymond Hubert van Zanten

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.