ESPEN guidelines on nutritional support for polymorbid internal medicine patients

Gomes, Filomena; Schuetz, Philipp; Bounoure, Lisa; Austin, P.; Ballesteros-Pomar, María D.; Cederholm, Tommy; Fletcher, Jane; Laviano, Alessandro; Norman, Kristina; Poulia, Kalliopi-Anna; Ravasco, Paula; Schneider, Stéphane; Stanga, Zeno; Weekes, C. Elizabeth; Bischoff, Stephan C.

doi:10.1016/j.clnu.2017.06.025

Cited by 280 publications

(281 citation statements)

References 90 publications

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“…In 2018, the European Society for Clinical Nutrition and Metabolism reported new guidelines on nutritional support for polymorbid internal medicine patients . They set 12 clinical questions, carried out systematic reviews and made recommendations.…”

Section: Dietary Therapymentioning

confidence: 99%

“…In 2018, the European Society for Clinical Nutrition and Metabolism reported new guidelines on nutritional support for polymorbid internal medicine patients. 34 They set 12 clinical questions, carried out systematic reviews and made recommendations. However, the resulting guideline does not consider nutritional therapy for the coexistence of specific chronic diseases, but only provides general recommendations.…”

Section: Dietary Therapymentioning

confidence: 99%

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Era of geriatric medical challenges: Multimorbidity among older patients

Kuzuya¹

2019

Geriatrics Gerontology Int

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The number of older adults is increasing worldwide, including in Asian countries. Various problems associated with medical care for older adults are being highlighted in aging societies. As the number of chronic diseases increases with age, older adults are more likely to have multiple chronic diseases simultaneously (multimorbidity). Multimorbidity results in poor health‐related outcomes, leading to increased use and cost of healthcare. Above all, it leads to deterioration in older adults’ quality of life. However, it is unclear whether any medical interventions are effective for multimorbidity, which means medical practitioners currently offer medical care “in the dark.” It is therefore necessary for researchers and medical professionals involved in geriatric medicine to establish ways to manage multimorbidity among older adults. This means that the development of research in this field is essential. Geriatr Gerontol Int 2019; 19: 699–704.

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Section: Dietary Therapymentioning

confidence: 99%

Section: Dietary Therapymentioning

confidence: 99%

Era of geriatric medical challenges: Multimorbidity among older patients

Kuzuya¹

2019

Geriatrics Gerontology Int

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“…What is known Variable results have been reported from various studies with various methodologies [90][91][92][93][94]. Despite nutrition support being available for many years, there is limited conclusive evidence favoring any aspect of its use.…”

Section: Determine the Efficacy Of "Blood Purification" Therapies Sucmentioning

confidence: 99%

Surviving sepsis campaign: research priorities for sepsis and septic shock

et al. 2018

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Objective: To identify research priorities in the management, epidemiology, outcome and underlying causes of sepsis and septic shock.Design: A consensus committee of 16 international experts representing the European Society of Intensive Care Medicine and Society of Critical Care Medicine was convened at the annual meetings of both societies. Subgroups had teleconference and electronic-based discussion. The entire committee iteratively developed the entire document and recommendations.Methods: Each committee member independently gave their top five priorities for sepsis research. A total of 88 suggestions (ESM 1 -supplemental table 1) were grouped into categories by the committee co-chairs, leading to the formation of seven subgroups: infection, fluids and vasoactive agents, adjunctive therapy, administration/epidemiology, scoring/identification, post-intensive care unit, and basic/translational science. Each subgroup had teleconferences to go over each priority followed by formal voting within each subgroup. The entire committee also voted on top priorities across all subgroups except for basic/translational science. Results:The Surviving Sepsis Research Committee provides 26 priorities for sepsis and septic shock. Of these, the top six clinical priorities were identified and include the following questions: (1) can targeted/personalized/precision medicine approaches determine which therapies will work for which patients at which times?; (2) what are ideal endpoints for volume resuscitation and how should volume resuscitation be titrated?; (3) should rapid diagnostic tests be implemented in clinical practice?; (4) should empiric antibiotic combination therapy be used in sepsis or septic shock?; (5) what are the predictors of sepsis long-term morbidity and mortality?; and (6) what information identifies organ dysfunction?Conclusions: While the Surviving Sepsis Campaign guidelines give multiple recommendations on the treatment of sepsis, significant knowledge gaps remain, both in bedside issues directly applicable to clinicians, as well as understanding the fundamental mechanisms underlying the development and progression of sepsis. The priorities identified represent a roadmap for research in sepsis and septic shock.

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“…Nutrition should be titrated up to meet higher requirements because the delivery of the highest energy during the initial phase may be counterproductive. Guidelines for polymorbid patients should be followed (40)(41)(42). Partial isocaloric replacement of carbohydrates with lipids may be considered to reduce the production of CO 2 by 30% per caloric unit (43).…”

Section: Nutritional Care In Covid-19mentioning

confidence: 99%