Journal ArticleDOI
Use of 3 tools to assess nutrition risk in the intensive care unit.
TLDR
Traditional screening and assessment tools did not uniformly identify patients as malnourished or at nutrition risk in the ICU and therefore may be inappropriate for use in this population.Abstract:
Background: Identifying patients at nutrition risk proves difficult in the intensive care unit (ICU) due to the nature of critical illness. No consensus exists on the most appropriate method to identify these patients. Traditional screens and assessments are often limited due to their subjective nature. The purpose of the quality improvement project was to compare proportions of ICU patients deemed at nutrition risk using 3 different tools. Material and Methods: A convenience sample of 294 patients admitted to the ICU was used. Patients were assessed using the institution’s routine nutrition screening method, the Subjective Global Assessment (SGA), and the NUTrition Risk in Critically ill (NUTRIC) score. Information was collected on demographics, severity of illness, hospital and ICU length of stay (LOS), and disposition. Descriptive statistics were used to examine counts/proportions of risk categories; means ± SD were used to summarize demographic and clinical variables. Results: A total of 139 patients ...read more
Citations
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Journal ArticleDOI
ESPEN guideline on clinical nutrition in the intensive care unit
Pierre Singer,Annika Reintam Blaser,Mette M. Berger,Waleed Alhazzani,Philip C. Calder,Michael P Casaer,Michael Hiesmayr,Konstantin Mayer,J.C. Montejo,Claude Pichard,Jean-Charles Preiser,Arthur R. H. van Zanten,Simon Oczkowski,Wojciech Szczeklik,Stephan C. Bischoff +14 more
TL;DR: Particular conditions frequently observed in intensive care such as patients with dysphagia, frail patients, multiple trauma patients, abdominal surgery, sepsis, and obesity are discussed to guide the practitioner toward the best evidence based therapy.
Journal ArticleDOI
Association Between Malnutrition and Clinical Outcomes in the Intensive Care Unit: A Systematic Review
Charles Chin Han Lew,Rosalie Yandell,Robert J. Fraser,Ai Ping Chua,Mary Foong-Fong Chong,Michelle Miller +5 more
TL;DR: In this paper, the authors focused on determining whether malnutrition diagnosed by validated nutrition assessment tools such as the Subjective Global Assessment (SGA) or Mini Nutritional Assessment (MNA) is independently associated with poorer clinical outcomes in the ICU and if the use of nutrition screening tools demonstrate a similar association.
Journal ArticleDOI
Serum creatinine level, a surrogate of muscle mass, predicts mortality in critically ill patients
TL;DR: The perspectives of the uses of SCr and other methods for prediction of muscle mass and outcomes of ICU patients and Imaging techniques, such as computed tomography and ultrasound, have recently been studied for muscle mass assessment and demonstrated promising data.
Journal ArticleDOI
Recomendaciones para el tratamiento de los pacientes críticos de los Grupos de Trabajo de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC)
A. Hernández-Tejedor,Oscar Peñuelas,G. Sirgo Rodríguez,Juan Antonio Llompart-Pou,E. Palencia Herrejón,Angel Estella,M.P. Fuset Cabanes,M.A. Alcalá-Llorente,P. Ramírez Galleymore,B. Obón Azuara,J.A. Lorente Balanza,C. Vaquerizo Alonso,M.A. Ballesteros Sanz,M. García García,J. Caballero López,A. Socias Mir,A. Serrano Lázaro,J.M. Pérez Villares,M.E. Herrera-Gutiérrez +18 more
TL;DR: Estas recomendaciones se basan en the opinion of expertos y en el conocimiento cientifico y pretenden servir de guia para los intensivistas como una ayuda en el manejo of los pacientes criticos.
Journal ArticleDOI
Nutritional assessment of critically ill patients: validation of the modified NUTRIC score
Manon Ch de Vries,Wac Kristine Koekkoek,Marieke H Opdam,Dick van Blokland,Arthur R. H. van Zanten +4 more
TL;DR: The prognostic performance of the mNUTRIC-score for 28-day mortality is fair and comparable to other validation studies, and the commonly used MUST-score is recommended to be abandoned.
References
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Journal ArticleDOI
Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)
Nilesh M. Mehta,Heather E. Skillman,Sharon Y. Irving,Jorge A. Coss-Bu,Sarah Vermilyea,Elizabeth Anne Farrington,Liam McKeever,Amber M. Hall,Praveen S. Goday,Carol L. Braunschweig +9 more
TL;DR: The guidelines reiterate the importance of nutrition assessment-particularly, the detection of malnourished patients who are most vulnerable and therefore may benefit from timely intervention and there is a need for renewed focus on accurate estimation of energy needs and attention to optimizing protein intake.
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What is subjective global assessment of nutritional status
Allan S. Detsky,McLaughlin,Jeffrey P. Baker,Johnston N,S Whittaker,Rena A. Mendelson,K.N. Jeejeebhoy +6 more
TL;DR: It is concluded that SGA can easily be taught to a variety of clinicians (residents, nurses), and that this technique is reproducible.
Journal ArticleDOI
Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient
Stephen A. McClave,Robert G. Martindale,Vincent W. Vanek,Mary McCarthy,Pamela R. Roberts,Beth Taylor,Juan B. Ochoa,Lena Napolitano,Gail A. Cresci +8 more
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Assessing the Nutritional Status of the Elderly: the Mini Nutritional Assessment as Part of the Geriatric Evaluation
Journal ArticleDOI
Prognostic nutritional index in gastrointestinal surgery
TL;DR: A multiparameter index of nutritional status was defined relating the risk of postoperative complications to baseline nutritional status, providing an accurate, quantitative estimate of operative risk, permitting rational selection of patients to receive preoperative nutritional support.