Factors predicting adherence to the Canadian Clinical Practice Guidelines for nutrition support in mechanically ventilated, critically ill adult patients

Journal of Critical Care
Naomi E JonesDaren K Heyland

Abstract

The aim of this study was to determine factors that are associated with adherence to the Canadian nutrition support clinical practice guidelines (CPGs). We conducted a secondary analysis of data from a prospective observational cohort study of nutrition support practices in 58 intensive care units (ICUs) across Canada, grouped into 50 clusters. Adequacy of enteral nutrition (EN) (energy received from EN / energy prescribed by the dietitian x 100), was used as a marker of adherence to the guidelines. We applied hierarchical modeling techniques to examine the impact of various hospital, ICU, and patient factors on EN adequacy. The overall average EN adequacy was 51.3% (SE, 1.8%). In a multiple regression analysis, after adjusting for varying days of observation, hospital type (academic 54.3% vs community 45.2%, P < .001), admission category of the patient (medical 60.2% vs surgical 39.2%, P < .001), and sex of the patient (male 46.5% vs female 52.8%, P < .001) were found to be significant predictors of EN adequacy and adherence to the Canadian nutrition support CPGs. Specific hospital, ICU, and patient characteristics influence adherence to the Canadian nutrition support CPGs. Further research is required to illuminate the mechan...Continue Reading

References

Oct 7, 1992·JAMA : the Journal of the American Medical Association·E B KeelerR H Brook
Dec 24, 1998·JAMA : the Journal of the American Medical Association·D K HeylandJ W Drover
Jul 20, 1999·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·F A CluzeauS E Moran
Aug 31, 2001·JAMA : the Journal of the American Medical Association·D K HeylandU Suchner
Oct 6, 2001·Critical Care Medicine·R J BrilliUNKNOWN American College of Critical Care Medicine Task Force on Models of Critical Care Delivery. The American College of Critical
Feb 14, 2002·JPEN. Journal of Parenteral and Enteral Nutrition·UNKNOWN ASPEN Board of Directors and the Clinical Guidelines Task Force
Sep 18, 2002·The Milbank Quarterly·John Z Ayanian, Joel S Weissman
Oct 31, 2002·JPEN. Journal of Parenteral and Enteral Nutrition·Daren K HeylandJan Greenwood
Jan 29, 2003·JPEN. Journal of Parenteral and Enteral Nutrition·Daren K HeylandAndrew Day
Sep 16, 2003·JPEN. Journal of Parenteral and Enteral Nutrition·Daren K HeylandUNKNOWN Canadian Critical Care Clinical Practice Guidelines Committee
Jan 22, 2004·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Claudio M MartinUNKNOWN Southwestern Ontario Critical Care Research Network
Feb 5, 2005·Quality & Safety in Health Care·S MichieUNKNOWN "Psychological Theory" Group

❮ Previous
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Citations

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
Dec 1, 2010·Journal of Burn Care & Research : Official Publication of the American Burn Association·Michael J MosierDavid N Herndon
Oct 8, 2005·Postgraduate Medical Journal·R D Griffiths, T Bongers
Mar 19, 2009·World Journal of Gastroenterology : WJG·Eva NivNachum Vaisman
Dec 12, 2012·ISRN Gastroenterology·Fabrizio Cardin
Dec 1, 2011·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·N ZachariasU Schmidt
Dec 17, 2009·Current Medical Research and Opinion·Stella S DaskalopoulouDimitri P Mikhailidis
Sep 18, 2012·Journal of Critical Care·Naomi E CahillUNKNOWN Canadian Critical Care Trials Group
Nov 26, 2010·JPEN. Journal of Parenteral and Enteral Nutrition·Naomi E CahillDaren K Heyland
Nov 26, 2010·JPEN. Journal of Parenteral and Enteral Nutrition·Peter DodekDaren K Heyland
Feb 7, 2015·JPEN. Journal of Parenteral and Enteral Nutrition·Naomi E CahillDaren K Heyland
Dec 18, 2013·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Naomi E CahillUNKNOWN Canadian Critical Care Trials Group
Sep 25, 2014·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Andréa Maria Cordeiro Ventura, Dan L Waitzberg
Jun 21, 2011·Critical Care Medicine·Leanne M AitkenTom Ahrens
Aug 5, 2015·The Cochrane Database of Systematic Reviews·Sana AlkhawajaFemida Gwadry-Sridhar
Sep 9, 2015·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Corinne Schultz Ellis

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