Результаты исследований: Научные публикации в периодических изданиях › статья › Рецензирование
Current practices in nutrition therapy in cardiac surgery patients : An international multicenter observational study. / Stoppe, Christian; Dresen, Ellen; Wendt, Sebastian; Elke, Gunnar; Patel, Jayshil J; McKeever, Liam; Chourdakis, Michael; McDonald, Bernard; Meybohm, Patrick; Lindner, Matthias; Arora, Rakesh C; O'Brien, Ben; von Dossow, Vera; Efremov, Sergey; Lomivorotov, Vladimir; Compher, Charlene; Yaung, Jill; Imai, Taryne; Nurok, Michael; Ho, Andrea; von Loeffelholz, Christian; Hing, Foong Pui; Jiang, Xuran; Heyland, Daren K.
в: Journal of Parenteral and Enteral Nutrition, Том 47, № 5, 07.2023, стр. 604-613.Результаты исследований: Научные публикации в периодических изданиях › статья › Рецензирование
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TY - JOUR
T1 - Current practices in nutrition therapy in cardiac surgery patients
T2 - An international multicenter observational study
AU - Stoppe, Christian
AU - Dresen, Ellen
AU - Wendt, Sebastian
AU - Elke, Gunnar
AU - Patel, Jayshil J
AU - McKeever, Liam
AU - Chourdakis, Michael
AU - McDonald, Bernard
AU - Meybohm, Patrick
AU - Lindner, Matthias
AU - Arora, Rakesh C
AU - O'Brien, Ben
AU - von Dossow, Vera
AU - Efremov, Sergey
AU - Lomivorotov, Vladimir
AU - Compher, Charlene
AU - Yaung, Jill
AU - Imai, Taryne
AU - Nurok, Michael
AU - Ho, Andrea
AU - von Loeffelholz, Christian
AU - Hing, Foong Pui
AU - Jiang, Xuran
AU - Heyland, Daren K
N1 - © 2023 The Authors. Journal of Parenteral and Enteral Nutrition published by Wiley Periodicals LLC on behalf of American Society for Parenteral and Enteral Nutrition.
PY - 2023/7
Y1 - 2023/7
N2 - BACKGROUND: Cardiac surgery patients with a prolonged stay in the intensive care unit (ICU) are at high risk for acquired malnutrition. Medical nutrition therapy practices for cardiac surgery patients are unknown. The objective of this study is to describe the current nutrition practices in critically ill cardiac surgery patients worldwide.METHODS: We conducted a prospective observational study in 13 international ICUs involving mechanically ventilated cardiac surgery patients with an ICU stay of at least 72 h. Collected data included the energy and protein prescription, type of and time to the initiation of nutrition, and actual quantity of energy and protein delivered (maximum: 12 days).RESULTS: Among 237 enrolled patients, enteral nutrition (EN) was started, on average, 45 h after ICU admission (range, 0-277 h; site average, 53 [range, 10-79 h]). EN was prescribed for 187 (79%) patients and combined EN and parenteral nutrition in 33 (14%). Overall, patients received 44.2% (0.0%-117.2%) of the prescribed energy and 39.7% (0.0%-122.8%) of the prescribed protein. At a site level, the average nutrition adequacy was 47.5% (30.5%-78.6%) for energy and 43.6% (21.7%-76.6%) for protein received from all nutrition sources.CONCLUSION: Critically ill cardiac surgery patients with prolonged ICU stay experience significant delays in starting EN and receive low levels of energy and protein. There exists tremendous variability in site performance, whereas achieving optimal nutrition performance is doable.
AB - BACKGROUND: Cardiac surgery patients with a prolonged stay in the intensive care unit (ICU) are at high risk for acquired malnutrition. Medical nutrition therapy practices for cardiac surgery patients are unknown. The objective of this study is to describe the current nutrition practices in critically ill cardiac surgery patients worldwide.METHODS: We conducted a prospective observational study in 13 international ICUs involving mechanically ventilated cardiac surgery patients with an ICU stay of at least 72 h. Collected data included the energy and protein prescription, type of and time to the initiation of nutrition, and actual quantity of energy and protein delivered (maximum: 12 days).RESULTS: Among 237 enrolled patients, enteral nutrition (EN) was started, on average, 45 h after ICU admission (range, 0-277 h; site average, 53 [range, 10-79 h]). EN was prescribed for 187 (79%) patients and combined EN and parenteral nutrition in 33 (14%). Overall, patients received 44.2% (0.0%-117.2%) of the prescribed energy and 39.7% (0.0%-122.8%) of the prescribed protein. At a site level, the average nutrition adequacy was 47.5% (30.5%-78.6%) for energy and 43.6% (21.7%-76.6%) for protein received from all nutrition sources.CONCLUSION: Critically ill cardiac surgery patients with prolonged ICU stay experience significant delays in starting EN and receive low levels of energy and protein. There exists tremendous variability in site performance, whereas achieving optimal nutrition performance is doable.
KW - Humans
KW - Critical Illness/therapy
KW - Energy Intake
KW - Nutritional Support
KW - Enteral Nutrition
KW - Intensive Care Units
KW - Cardiac Surgical Procedures
U2 - 10.1002/jpen.2495
DO - 10.1002/jpen.2495
M3 - Article
C2 - 36912124
VL - 47
SP - 604
EP - 613
JO - Journal of Parenteral and Enteral Nutrition
JF - Journal of Parenteral and Enteral Nutrition
SN - 0148-6071
IS - 5
ER -
ID: 116437389