Calorie and protein delivery in critically ill surgical and non-surgical patients receiving enteral nutrition therapy

ABSTRACT Providing enteral nutritional therapy to critically ill patients is a challenge, especially during the first days after starting intensive care. These challenges appear to be greater in critically ill surgical patients. Objectives: Describe and compare enteral nutrition practices in critic...

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Autores principales:	Factum,Clarissa Simon, Moreira,Túlio Henrique de Souza, Rocha,Camila Dias Nascimento, Saldanha,Marcelle Ferreira, Silva,Flávia Moraes, Jansen,Ann Kristine
Lenguaje:	English
Publicado:	Sociedad Chilena de Nutrición, Bromatología y Toxicología 2020
Materias:	Energy needs Enteral nutrition Intensive care Protein need Surgical procedures
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75182020000600916
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spelling	oai:scielo:S0717-751820200006009162020-12-26Calorie and protein delivery in critically ill surgical and non-surgical patients receiving enteral nutrition therapyFactum,Clarissa SimonMoreira,Túlio Henrique de SouzaRocha,Camila Dias NascimentoSaldanha,Marcelle FerreiraSilva,Flávia MoraesJansen,Ann Kristine Energy needs Enteral nutrition Intensive care Protein need Surgical procedures ABSTRACT Providing enteral nutritional therapy to critically ill patients is a challenge, especially during the first days after starting intensive care. These challenges appear to be greater in critically ill surgical patients. Objectives: Describe and compare enteral nutrition practices in critically ill surgical and non-surgical patients. Methods: We conducted a prospective cohort study of surgical and non-surgical patients receiving exclusive enteral nutritional therapy. The values for calorie and protein delivery during the first week after admission to the intensive care unit were recorded. Results: 103 patients were enrolled (54.4% male, mean age: 63.9 years, 26.2% surgical). The median time of initiation of enteral nutritional therapy was the third day in non-surgical and the fourth day in surgical patients. Surgical patients had a lower calorie and protein delivery than non-surgical patients on the second to fourth days after admission. At the end of the first week, 20.2% of the patients had not received any diet, and there was no significant difference in nutrient delivery between the groups. Of the surgical and non-surgical patients, 42.9% and 39.3% were receiving ≥20 kcal/kg/day, and 28.6% and 34.4% were receiving ≥1.2 g/kg of protein per day, respectively. Conclusion: There was a delay in starting patients on enteral nutritional therapy and calorie and protein delivery was low, especially among surgical patients. By the end of the first week, calorie and protein delivery was similar in both groups.info:eu-repo/semantics/openAccessSociedad Chilena de Nutrición, Bromatología y ToxicologíaRevista chilena de nutrición v.47 n.6 20202020-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75182020000600916en10.4067/S0717-75182020000600916
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Energy needs Enteral nutrition Intensive care Protein need Surgical procedures
spellingShingle	Energy needs Enteral nutrition Intensive care Protein need Surgical procedures Factum,Clarissa Simon Moreira,Túlio Henrique de Souza Rocha,Camila Dias Nascimento Saldanha,Marcelle Ferreira Silva,Flávia Moraes Jansen,Ann Kristine Calorie and protein delivery in critically ill surgical and non-surgical patients receiving enteral nutrition therapy
description	ABSTRACT Providing enteral nutritional therapy to critically ill patients is a challenge, especially during the first days after starting intensive care. These challenges appear to be greater in critically ill surgical patients. Objectives: Describe and compare enteral nutrition practices in critically ill surgical and non-surgical patients. Methods: We conducted a prospective cohort study of surgical and non-surgical patients receiving exclusive enteral nutritional therapy. The values for calorie and protein delivery during the first week after admission to the intensive care unit were recorded. Results: 103 patients were enrolled (54.4% male, mean age: 63.9 years, 26.2% surgical). The median time of initiation of enteral nutritional therapy was the third day in non-surgical and the fourth day in surgical patients. Surgical patients had a lower calorie and protein delivery than non-surgical patients on the second to fourth days after admission. At the end of the first week, 20.2% of the patients had not received any diet, and there was no significant difference in nutrient delivery between the groups. Of the surgical and non-surgical patients, 42.9% and 39.3% were receiving ≥20 kcal/kg/day, and 28.6% and 34.4% were receiving ≥1.2 g/kg of protein per day, respectively. Conclusion: There was a delay in starting patients on enteral nutritional therapy and calorie and protein delivery was low, especially among surgical patients. By the end of the first week, calorie and protein delivery was similar in both groups.
author	Factum,Clarissa Simon Moreira,Túlio Henrique de Souza Rocha,Camila Dias Nascimento Saldanha,Marcelle Ferreira Silva,Flávia Moraes Jansen,Ann Kristine
author_facet	Factum,Clarissa Simon Moreira,Túlio Henrique de Souza Rocha,Camila Dias Nascimento Saldanha,Marcelle Ferreira Silva,Flávia Moraes Jansen,Ann Kristine
author_sort	Factum,Clarissa Simon
title	Calorie and protein delivery in critically ill surgical and non-surgical patients receiving enteral nutrition therapy
title_short	Calorie and protein delivery in critically ill surgical and non-surgical patients receiving enteral nutrition therapy
title_full	Calorie and protein delivery in critically ill surgical and non-surgical patients receiving enteral nutrition therapy
title_fullStr	Calorie and protein delivery in critically ill surgical and non-surgical patients receiving enteral nutrition therapy
title_full_unstemmed	Calorie and protein delivery in critically ill surgical and non-surgical patients receiving enteral nutrition therapy
title_sort	calorie and protein delivery in critically ill surgical and non-surgical patients receiving enteral nutrition therapy
publisher	Sociedad Chilena de Nutrición, Bromatología y Toxicología
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75182020000600916
work_keys_str_mv	AT factumclarissasimon calorieandproteindeliveryincriticallyillsurgicalandnonsurgicalpatientsreceivingenteralnutritiontherapy AT moreiratuliohenriquedesouza calorieandproteindeliveryincriticallyillsurgicalandnonsurgicalpatientsreceivingenteralnutritiontherapy AT rochacamiladiasnascimento calorieandproteindeliveryincriticallyillsurgicalandnonsurgicalpatientsreceivingenteralnutritiontherapy AT saldanhamarcelleferreira calorieandproteindeliveryincriticallyillsurgicalandnonsurgicalpatientsreceivingenteralnutritiontherapy AT silvaflaviamoraes calorieandproteindeliveryincriticallyillsurgicalandnonsurgicalpatientsreceivingenteralnutritiontherapy AT jansenannkristine calorieandproteindeliveryincriticallyillsurgicalandnonsurgicalpatientsreceivingenteralnutritiontherapy
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Calorie and protein delivery in critically ill surgical and non-surgical patients receiving enteral nutrition therapy

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