What Happens to Nutrition Intake in the Post-Intensive Care Unit Hospitalization Period? An Observational Cohort Study in Critically Ill Adults.


Journal

JPEN. Journal of parenteral and enteral nutrition
ISSN: 1941-2444
Titre abrégé: JPEN J Parenter Enteral Nutr
Pays: United States
ID NLM: 7804134

Informations de publication

Date de publication:
01 2019
Historique:
received: 07 02 2018
revised: 01 04 2018
accepted: 12 04 2018
pubmed: 21 6 2018
medline: 18 8 2020
entrez: 21 6 2018
Statut: ppublish

Résumé

Little is currently known about nutrition intake and energy requirements in the post-intensive care unit (ICU) hospitalization period in critically ill patients. We aimed to describe energy and protein intake, and determine the feasibility of measuring energy expenditure during the post-ICU hospitalization period in critically ill adults. This is a nested cohort study within a randomized controlled trial in critically ill patients. After discharge from ICU, energy and protein intake was quantified periodically and indirect calorimetry attempted. Data are presented as n (%), mean (SD), and median (interquartile range [IQR]). Thirty-two patients were studied in the post-ICU hospitalization period, and 12 had indirect calorimetry. Mean age and BMI was 56 (18) years and 30 (8) kg/m Energy and protein intake in the post-ICU hospitalization period was less than estimated and measured energy requirements. Oral nutrition provided alone was the most common mode of nutrition therapy.

Sections du résumé

BACKGROUND
Little is currently known about nutrition intake and energy requirements in the post-intensive care unit (ICU) hospitalization period in critically ill patients. We aimed to describe energy and protein intake, and determine the feasibility of measuring energy expenditure during the post-ICU hospitalization period in critically ill adults.
METHODS
This is a nested cohort study within a randomized controlled trial in critically ill patients. After discharge from ICU, energy and protein intake was quantified periodically and indirect calorimetry attempted. Data are presented as n (%), mean (SD), and median (interquartile range [IQR]).
RESULTS
Thirty-two patients were studied in the post-ICU hospitalization period, and 12 had indirect calorimetry. Mean age and BMI was 56 (18) years and 30 (8) kg/m
CONCLUSIONS
Energy and protein intake in the post-ICU hospitalization period was less than estimated and measured energy requirements. Oral nutrition provided alone was the most common mode of nutrition therapy.

Identifiants

pubmed: 29924393
doi: 10.1002/jpen.1196
doi:

Substances chimiques

Dietary Proteins 0

Banques de données

ClinicalTrials.gov
['NCT03292237']

Types de publication

Journal Article Observational Study Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

88-95

Informations de copyright

© 2018 American Society for Parenteral and Enteral Nutrition.

Auteurs

Emma J Ridley (EJ)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.
Nutrition Department, The Alfred Hospital, Melbourne, Victoria, Australia.

Rachael L Parke (RL)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.
Cardiothoracic and Vascular Intensive Care Unit, Auckland City Hospital, Grafton, Auckland, New Zealand.
Medical Research Institute of New Zealand, Wellington, New Zealand.
Faculty of Medical and Health Sciences, University of Auckland, Grafton, Auckland, New Zealand.

Andrew R Davies (AR)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.

Michael Bailey (M)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.

Carol Hodgson (C)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.
Physiotherapy Department, Alfred Health, Melbourne, Victoria, Australia.

Adam M Deane (AM)

Intensive Care Unit, The Royal Melbourne Hospital, University of Melbourne, Melbourne, Victoria, Australia.

Shay McGuinness (S)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.
Cardiothoracic and Vascular Intensive Care Unit, Auckland City Hospital, Grafton, Auckland, New Zealand.
Faculty of Medical and Health Sciences, University of Auckland, Grafton, Auckland, New Zealand.

D James Cooper (DJ)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.
Intensive Care Unit, The Alfred Hospital, Melbourne, Victoria, Australia.

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Classifications MeSH