Energy and protein intakes of hospitalised patients with acute respiratory failure receiving non-invasive ventilation

Reeves, Anneli; White, Hayden; Sosnowski, Kellie; Tran, Khoa D.; Jones, Mark; Palmer, Michelle

doi:10.1016/j.clnu.2013.11.012

Cited by 50 publications

(69 citation statements)

References 21 publications

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“…Mid meals may be easier for nursing staff to miss as they are not usually allocated a specific time (unlike main meals), may be selected by a patient and kept at the bedside for an extended time period rather than eaten immediately, and tend to be smaller in size [13] which may not be seen by nursing staff but may still contain a lot of nutrition, such as from high energy high protein drinks. In a recent local study where separate staff were trained just prior to research study commencement and mid meals were measured, 44% of food intake charts were excluded due to lack of completion using the same food intake chart completion criteria [14]. Ongoing care and longer term research studies (our study collected intake data over 10 months) may further increase the rate of missing data as staff turnover boosts the need for regular training [3,12].…”

Section: Discussionmentioning

confidence: 96%

The accuracy of food intake charts completed by nursing staff as part of usual care when no additional training in completing intake tools is provided

2015

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Section: Discussionmentioning

confidence: 96%

The accuracy of food intake charts completed by nursing staff as part of usual care when no additional training in completing intake tools is provided

2015

Self Cite

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“…Non-ventilated patients: Reeves et al [300] described the energy and protein intakes of patients with ARDS receiving noninvasive ventilation. From this small observational study, it is concluded that oral intake was inadequate, mainly with increasing time on non-invasive ventilation, and earlier during their hospital admission.…”

Section: Commentary To Recommendations 41 -43mentioning

confidence: 99%

ESPEN guideline on clinical nutrition in the intensive care unit

et al. 2019

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s u m m a r yFollowing the new ESPEN Standard Operating Procedures, the previous guidelines to provide best medical nutritional therapy to critically ill patients have been updated. These guidelines define who are the patients at risk, how to assess nutritional status of an ICU patient, how to define the amount of energy to provide, the route to choose and how to adapt according to various clinical conditions. When to start and how to progress in the administration of adequate provision of nutrients is also described. The best determination of amount and nature of carbohydrates, fat and protein are suggested. Special attention is given to glutamine and omega-3 fatty acids. Particular conditions frequently observed in intensive care such as patients with dysphagia, frail patients, multiple trauma patients, abdominal surgery, sepsis, and obesity are discussed to guide the practitioner toward the best evidence based therapy. Monitoring of this nutritional therapy is discussed in a separate document.

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“…Indeed, it has previously been shown that energy-protein intake among patients with acute respiratory distress syndrome on NIV is suboptimal. 13 The third phase of nutritional risk occurs when patients require admission to the intensive therapy unit (ITU). While the specifics of nutritional therapy on ITU are beyond the scope of this piece, the importance of preserving muscle mass and function during a catabolic state such as infective respiratory failure is worth highlighting.…”

Section: Undernutrition and Covid-19mentioning

confidence: 99%

Nutritional status and COVID-19: an opportunity for lasting change?

Mehta

2020

Clinical Medicine

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The coronavirus disease of 2019 (COVID-19) pandemic has placed many healthcare systems, including the NHS, under unprecedented pressure. Mortality appears to be highest among older people and those with comorbidities, who are also often the most at risk of undernutrition in society. Despite international efforts to identify a specific treatment, therapy remains supportive and is principally focused on optimising respiratory function. However, the timely identification and correction of undernutrition also have the potential to improve outcomes cost-effectively, and should not be forgotten. This piece outlines why nutritional status may be particularly compromised during this crisis, among both the population and hospital inpatients. Practical steps to improve nutritional status at a time when hospital services are particularly stretched are also considered. Finally, the case is made for behaviour change at all levels including government, the general population and healthcare professionals.

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Energy and protein intakes of hospitalised patients with acute respiratory failure receiving non-invasive ventilation

Cited by 50 publications

References 21 publications

The accuracy of food intake charts completed by nursing staff as part of usual care when no additional training in completing intake tools is provided

The accuracy of food intake charts completed by nursing staff as part of usual care when no additional training in completing intake tools is provided

ESPEN guideline on clinical nutrition in the intensive care unit

Nutritional status and COVID-19: an opportunity for lasting change?

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