Nutrition risk assessment in the ICU

Hiesmayr, Michael

doi:10.1097/mco.0b013e328350767e

Cited by 53 publications

(30 citation statements)

References 36 publications

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“…Proper nutrition is essential in critically ill patients to compensate uncontrolled anabolism and catabolism, maintaining a competent immune system, and improving patient outcome during intensive care unit (ICU) stay [3]. Several authors show the impact of the severe metabolic situation in the critical care patient on nutritional status [4], and its relationship with nutritional deficiency [5].…”

Section: Introductionmentioning

confidence: 99%

Pyridoxal-5′-phosphate deficiency is associated with hyperhomocysteinemia regardless of antioxidant, thiamine, riboflavin, cobalamine, and folate status in critically ill patients

et al. 2016

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Section: Introductionmentioning

confidence: 99%

Pyridoxal-5′-phosphate deficiency is associated with hyperhomocysteinemia regardless of antioxidant, thiamine, riboflavin, cobalamine, and folate status in critically ill patients

et al. 2016

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“…Early onset of parenteral nutritional support, when used with enteral nutritional support to increase caloric supply, is associated with prolonged mechanical ventilation. On the other hand, insufficient caloric supply is related to poor prognosis, but overnutrition is clearly harmful since is related to hyperglycemia, hypercapnia, fluid overload, and hepatic steatosis (Hiesmayr 2012). Nutritional support should be managed carefully as RS could deteriorate the situation in severely ill patients.…”

Section: Applications To Critical or Intensive Carementioning

confidence: 99%

“…Many patients are admitted to ICUs due to a systemic dysfunction which requires organic artificial support or nursery care which cannot be offered on the ward (Hiesmayr 2012). Although RS is not exclusive of ICU patients, it has important implications in critical and intensive care.…”

Section: Applications To Critical or Intensive Carementioning

confidence: 99%

“…Nutritional support is one of the standard cares in ICUs, but controversy exists about the timing and the way of the initiation (Cove and Pinsky 2011;Hiesmayr 2012). Early onset of parenteral nutritional support, when used with enteral nutritional support to increase caloric supply, is associated with prolonged mechanical ventilation.…”

Section: Applications To Critical or Intensive Carementioning

confidence: 99%

See 1 more Smart Citation

Etiology and Complications of Refeeding Syndrome in the ICU

Leandro-Merhi¹,

Aquino²,

Oliveira³

2015

Diet and Nutrition in Critical Care

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“…Patients in critical care units for more than 1-2 days need nutritional risk assessment, including evaluation of gastrointestinal function, and close monitoring 39 . They may need nutritional support to compensate for energy deficits.…”

Section: Discussionmentioning

confidence: 99%

Malnutrition in the ICU: Current recommendations for the assessment of nutritional status and a review of the use of albumin as an indicator of malnutrition

Fuhrmann

Panamonta²,

Roaten³

2013

SW Resp Crit Care Chron

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CasePatient X is a 55-year-old man, 72 inches tall, weighing 86 kg, status post motor vehicle accident with multisystem trauma. The patient is currently receiving sedation, pain control, and maintenance IV fluids; he received 3 liters of NS bolus, 2 units of FFP, and 2 units of PRBCs on admission. On admission, labs included CRP -2.1mg/dL, Alb -4.5 gm/dL and transthyretin (TTR, prealbumin) -17mg/dL. Labs on day three showed that the CRP was 37 mg/dL, Alb 1.2 gm/dL, and transthyretin 10 mg/dL. In an overall assessment of the patient, the clinician states that based on the most recent labs, enteral or parenteral nutrition needs to be started due to malnutrition as indicated by his low albumin. DisCussion Malnutrition in the iCuMalnutrition is very common in critically ill patients, and its development is a function of the patients' preexisting nutritional status and severity of illness (degree of hypermetabolism). The characteristics of ICU patients have changed during the last decade; they now tend to be older and their medical disorders more complex with frequent comorbidity. These factors may contribute to malnutrition in the ICU. The combination of stress and undernutrition is associated with negative energy balances and the loss of lean body mass 1 . Critically ill patients often have a history of decreased food intake from anorexia, gastrointestinal symptoms, depression, anxiety, and other medical and surgical factors on presentation. Their food intake may have also been restricted for diagnostic or therapeutic procedures during hospital stay, and they may have nutrient loss from diarrhea, vomiting, polyuria, wounds, drainage tubes, and renal replacement therapy 2,3 .The major physiologic change

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Nutrition risk assessment in the ICU

Abstract: Safe and efficient nutrition care may only be obtained when gastrointestinal function and metabolic tolerance of nutrients are regularly assessed.

Cited by 53 publications

References 36 publications

Pyridoxal-5′-phosphate deficiency is associated with hyperhomocysteinemia regardless of antioxidant, thiamine, riboflavin, cobalamine, and folate status in critically ill patients

Pyridoxal-5′-phosphate deficiency is associated with hyperhomocysteinemia regardless of antioxidant, thiamine, riboflavin, cobalamine, and folate status in critically ill patients

Etiology and Complications of Refeeding Syndrome in the ICU

Malnutrition in the ICU: Current recommendations for the assessment of nutritional status and a review of the use of albumin as an indicator of malnutrition

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