2017
DOI: 10.1016/j.clnu.2016.06.010
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Indirect calorimetry in nutritional therapy. A position paper by the ICALIC study group

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Cited by 209 publications
(269 citation statements)
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“…The findings suggest that the estimate of 25 kcal/kg/d might be too high for the average of ICU patients . Our findings confirm to some extent the conclusions of a recent position paper published by the International Multicentric Study Group for Indirect Calorimetry, stating that use of IC improves clinical outcomes in critically ill patients . Contrary results have been reported by Allingstrup et al, who, in the early goal‐directed nutrition in ICU patients (EAT‐ICU) trial, have investigated the effects of early goal‐directed nutrition compared with SC in ICU settings.…”
Section: Discussionsupporting
confidence: 88%
“…The findings suggest that the estimate of 25 kcal/kg/d might be too high for the average of ICU patients . Our findings confirm to some extent the conclusions of a recent position paper published by the International Multicentric Study Group for Indirect Calorimetry, stating that use of IC improves clinical outcomes in critically ill patients . Contrary results have been reported by Allingstrup et al, who, in the early goal‐directed nutrition in ICU patients (EAT‐ICU) trial, have investigated the effects of early goal‐directed nutrition compared with SC in ICU settings.…”
Section: Discussionsupporting
confidence: 88%
“…IC devices derive energy expenditure by incorporating carbon dioxide (CO 2 ) production (VCO 2 ) and oxygen (O 2 ) consumption (VO 2 ) in the Weir equation. Values are obtained from breath‐to‐breath gas analysis and assume a stable nitrogen concentration . Thus, IC measures VO 2 and VCO 2 based on the assumption that gas exchange as a result of nutrient consumption and energy production is represented by the breath gas composition.…”
Section: Resultsmentioning
confidence: 99%
“…This goal is of no relevance of interpretation of the trials (like number or percentage of patients not reaching goal). The mean value of caloric delivery is similar (~20 kcal/kg/day), and it can be assumed that a similar percentage of patients have had either caloric overfeeding or caloric underfeeding (6) in both trials. Since the NUTRIREA-2 trial appears to have fed patients more aggressively while in (septic) shock, a worse outcome would have been expected (7).…”
Section: One Size Fits All?mentioning
confidence: 90%