Education program on medical nutrition and length of stay of critically ill patients

Ribeiro, Mariane Albuquerque Lima; Pompílio, Carlos Eduardo; Horie, L.M.; Verotti, Cristiane Comeron Gimenez; Waitzberg, Dan Linetzky

doi:10.1016/j.clnu.2012.11.023

Cited by 32 publications

(19 citation statements)

References 30 publications

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“…La implementación de estas medidas se tradujo en una mejoría estadísticamente significativa en la provisión de nutrición, sin embargo, estos cambios en la práctica no se asociaron a mejoras en la mortalidad hospitalaria. En un estudio llevado a cabo en una UCI de Brasil, la implantación de un protocolo de nutrición tras un programa educacional mejoró la calidad de las prácticas de nutrición 15 . Cheater et al 16 , en una revisión sistemática de las intervenciones que pueden modificar la práctica clínica, concluyeron que la eficacia general de las intervenciones es modesta y que parecen más importantes las particularidades propias de cada institución que el tipo de medidas utilizadas para el cambio.…”

Section: Discussionunclassified

Análisis de los cambios en las prácticas de nutrición en UCI tras una intervención en el proceso

et al. 2015

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Section: Discussionunclassified

Análisis de los cambios en las prácticas de nutrición en UCI tras una intervención en el proceso

et al. 2015

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“…85 After implementing multifaceted nutritional education for ICU medical staff, Castro and colleagues reported a positive impact with improved quality of nutrition therapy and shortened length of ICU stay. 86 These reports demonstrate a need to heighten the awareness of clinicians for further research to drive development of evidence-based standards for nutrition support.…”

Section: Barriers To Adequate Prescription and Delivery Of Enteral Numentioning

confidence: 99%

Enteral Nutrition in the PICU: Current Status and Ongoing Challenges

Brown

Carpenter

Keller

et al. 2015

J Pediatr Intensive Care

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Malnutrition in the critically ill or injured child is associated with increased morbidities and mortality in the pediatric intensive care unit (PICU), whether present upon admission or acquired during the PICU stay. Particular subpopulations such as those with congenital heart disease or severe thermal injury are at highest risk for malnutrition which can worsen with illness progression. A growing body of evidence suggests the presence of a positive association between nutrition support during critical illness and patient outcomes. Enteral nutrition (EN), the preferred route of nutrient delivery, may be a crucial component of care provided in the PICU which modifies the response to critical illness or injury, resulting in improved outcomes. Numerous challenges exist in the delivery of the EN goal in critically ill children. These include accurate assessment of nutrient requirements, hemodynamic instability, feeding intolerance, feeding interruptions, and the lack of a standardized approach to nutrition support. This article describes the current state of the science and challenges related to EN prescription and delivery in the critically ill child. Suggestions for improving EN practice are then presented, in addition to a platform for further research inquiry.

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“…Det virker som en multifaktoriell tilnaerming med et sett av tiltak rettet mot barrierer er mest effektivt (20). I flere studier har økt oppmerksomhet på ernaering, undervisning og bruk av algoritmer vaert assosiert med økt EN til pasientene (15,(29)(30)(31)(32)(33).…”

Section: Noe For Deg?unclassified

“…Flere studier har evaluert effekten av å implementere retningslinjer for ernaering til intensivpasienten ved å måle ernaeringspraksis opp mot anbefalt praksis. I tillegg er det målt dødelighet, respiratortid, forekomst av infeksjoner, liggetid på intensivavdelingen og på sykehus (14)(15)(16)(17)(18). I de fleste studiene ble ernaeringspraksis forbedret, men kun i få studier hadde dette en effekt på pasientresultater (14)(15)(16)(17)(18).…”

Section: Introduksjonunclassified