Monitoring Nutrition in Critical Illness: What Can We Use?

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
Suzie Ferrie, Erica Tsang

Abstract

Nutrition monitoring in the context of critical care presents unique challenges. Traditionally used anthropometric and biochemical markers may be difficult to obtain or confounded by factors such as fluid status and the inflammatory response. A previous survey identified 15 parameters in common use, all of which have confounding influences during critical illness. A literature search was conducted to assess current use of commonly used nutrition-monitoring parameters and to explore other possible methods that might be more useful. More than 1000 journal articles were reviewed to identify indicators of nutrition status or nutrition progress that have been used in ICU studies. The most recent 200 articles were examined to quantify the number of occurrences for each indicator. Each parameter was rated for availability and feasibility in the ICU. There were 53 parameters found, including the 15 already identified as commonly used; 27 were used in ≥3 recent studies. Less-well-established nutrition indicators with potential for use in the ICU (moderate or high feasibility and availability) included ultrasound measurement of arm or leg muscle thickness, fatigue scoring with the Chalder scale, urinary creatinine assay, and serum insuli...Continue Reading

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Citations

Oct 18, 2019·Intensive Care Medicine·Jan GunstGreet Hermans
Jan 29, 2020·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Tracy BruenLaura Byham-Gray
Jun 26, 2020·JPEN. Journal of Parenteral and Enteral Nutrition·Kate FetterplaceAdam M Deane
Jul 24, 2020·JPEN. Journal of Parenteral and Enteral Nutrition·Camila Neves RodriguesMaria Isabel Toulson Davisson Correia
May 29, 2018·Journal of Nutrition and Metabolism·Carlos Alfredo Galindo MartínOctavio Augusto Lescas Méndez

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