Effect of Protein-Fortified Diet on Nitrogen Balance in Critically Ill Patients: Results from the OPINiB Trial.


Journal

Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595

Informations de publication

Date de publication:
28 Apr 2019
Historique:
received: 11 04 2019
revised: 24 04 2019
accepted: 26 04 2019
entrez: 1 5 2019
pubmed: 1 5 2019
medline: 30 11 2019
Statut: epublish

Résumé

Nitrogen balance (NB) is considered a good marker of adequate protein intake and it has been suggested to be a good predictor of patients' health outcomes. However, in literature, there is a lack of large randomized trials examining NB-guided protein intake in patients in intensive care units (ICUs). A randomized controlled trial enrolling patients admitted to ICU was done to compare changes in NB. Participants were randomized to a standard or protein-fortified diet (protein intake of 1.8 g/kg/day according to the guidelines of the Society of Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition). The primary endpoint was represented by the NB on Day 1, 3, and study exit. Forty patients were enrolled in the study (19 in the protein-fortified group). The longitudinal analysis showed that, on Day 3, patients randomized to the protein-fortified diet were more likely (

Identifiants

pubmed: 31035354
pii: nu11050972
doi: 10.3390/nu11050972
pmc: PMC6567073
pii:
doi:

Substances chimiques

Dietary Proteins 0
Nitrogen N762921K75

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Matteo Danielis (M)

Department of Anaesthesia and Intensive Care, Azienda Sanitaria Universitaria Integrata di Udine, Udine 33100, Italy. matteo.danielis@asuiud.sanita.fvg.it.

Giulia Lorenzoni (G)

Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova 35131, Italy. giulia.lorenzoni@unipd.it.

Danila Azzolina (D)

Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova 35131, Italy. danila.azzolina@unipd.it.

Anna Iacobucci (A)

Department of Anaesthesia and Intensive Care, Azienda Sanitaria Universitaria Integrata di Udine, Udine 33100, Italy. anna.iacobucci@asuiud.sanita.fvg.it.

Omar Trombini (O)

Department of Anaesthesia and Intensive Care, Azienda Sanitaria Universitaria Integrata di Udine, Udine 33100, Italy. omar.trombini@asuiud.sanita.fvg.it.

Amato De Monte (A)

Department of Anaesthesia and Intensive Care, Azienda Sanitaria Universitaria Integrata di Udine, Udine 33100, Italy. amato.demonte@asuiud.sanita.fvg.it.

Dario Gregori (D)

Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova 35131, Italy. dario.gregori@unipd.it.

Fabio Beltrame (F)

Department of Anaesthesia and Intensive Care, Azienda Sanitaria Universitaria Integrata di Udine, Udine 33100, Italy. fabio.beltrame@asuiud.sanita.fvg.it.

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Classifications MeSH