Effects on nutritional care practice after implementation of a flow chart-based nutrition support protocol in an intensive care unit

Nursing Open
Kristina WikjordSigne Søvik

Abstract

Enteral nutrition (EN) is associated with improved outcome in critically ill patients and is more affordable. We compared nutritional care practice in our ICU before and after modification of our nutrition support protocol: Several comprehensive documents were substituted with one flow chart and early EN was encouraged. Retrospective observational study. Nutritional data were collected from admission up to 7 days in 25 patients before and 25 patients after protocol modification. The percentage of patients receiving EN within 72 hr of admission increased from 64% before to 88% after protocol modification. Cumulative percentage energy from EN during ICU days 1-4 increased from 26-89% of total kcal. Overall amount of nutrition administered enterally increased, with a corresponding marked decline in use of parenteral nutrition. Pre-modification, >80% of patients received >65% of their calculated nutrition requirements by ICU Day 4; post-modification this goal was achieved by Day 7.

References

Aug 14, 1999·Critical Care Medicine·S A McClaveH L Snider
Sep 22, 2001·The American Journal of Clinical Nutrition·C L BraunschweigX Wang
May 15, 2002·JPEN. Journal of Parenteral and Enteral Nutrition·Emad H IbrahimMarin H Kollef
Sep 16, 2003·JPEN. Journal of Parenteral and Enteral Nutrition·Daren K HeylandUNKNOWN Canadian Critical Care Clinical Practice Guidelines Committee
Jan 13, 2005·Critical Care Medicine·John Victor PeterJennie Phillips-Hughes
Oct 7, 2005·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Jennifer Wooley, Richard Pomerantz
Jan 21, 2006·Journal of Clinical Nursing·Hilde Wøien, Ida Torunn Bjørk
May 16, 2006·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·K G KreymannUNKNOWN ESPEN (European Society for Parenteral and Enteral Nutrition)
Sep 22, 2007·Nursing in Critical Care·Kirsty Dobson, Alexa Scott
Dec 18, 2008·JAMA : the Journal of the American Medical Association·Gordon S DoigUNKNOWN Nutrition Guidelines Investigators of the ANZICS Clinical Trials Group
Jun 2, 2009·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Stephen A McClave, Daren K Heyland
Jun 10, 2009·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Pierre Singer ESPEN
May 1, 2010·Critical Care : the Official Journal of the Critical Care Forum·Daren K HeylandStephen A McClave
Jul 1, 2011·The New England Journal of Medicine·Michael P CasaerGreet Van den Berghe
Feb 7, 2012·JAMA : the Journal of the American Medical Association·UNKNOWN National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials NetworkPeter Rock
Aug 1, 2012·Journal of Clinical Nursing·Hyunjung KimHeejeong Kwak
Nov 9, 2012·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Caroline M KissRebecca A Brody
Dec 4, 2013·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Rupinder DhaliwalDaren K Heyland
Jun 28, 2014·British Journal of Anaesthesia·J-C PreiserA B J Groeneveld
May 21, 2015·The New England Journal of Medicine·Yaseen M ArabiUNKNOWN PermiT Trial Group
May 1, 2016·Critical Care : the Official Journal of the Critical Care Forum·Gunnar ElkeDaren K Heyland
Jul 16, 2016·Healthcare·Florian FischerAlexander Kraemer
Nov 7, 2016·Critical Care : the Official Journal of the Critical Care Forum·Hasan M Al-DorziYaseen M Arabi

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Citations

Feb 20, 2021·Nursing in Critical Care·Claire L CrossfieldTracey K Bucknall

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