Nutrition therapy for critically ill patients across the Asia–Pacific and Middle East regions: A consensus statement

Sioson, Marianna S.; Martindale, Robert G.; Abayadeera, Anuja; Abouchaleh, Nabil; Aditianingsih, Dita; Bhurayanontachai, Rungsun; Chiou, Wei Chin; Higashibeppu, Naoki; Nor, Mohd Basri Mat; Osland, Emma; Palo, Jose Emmanuel; Ramakrishnan, Nagarajan; Shalabi, Medhat M.; Tam, Luu Ngan; Tan, Jonathan

doi:10.1016/j.clnesp.2017.11.008

Cited by 37 publications

(36 citation statements)

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“…To our knowledge, there is one other published study showing that protein targets can be achieved with a VHPF, although the formula was based on hydrolyzed protein [ 25 ]. It has been suggested that a predigested formula may potentially be beneficial in improving tolerance [ 24 ], but data are lacking to support this hypothesis, and nutritional guidelines recommend the use of polymeric formulas in critically ill patients [ 11 , 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Very high intact-protein formula successfully provides protein intake according to nutritional recommendations in overweight critically ill patients: a double-blind randomized trial

et al. 2018

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BackgroundOptimal energy and protein provision through enteral nutrition is essential for critically ill patients. However, in clinical practice, the intake achieved is often far below the recommended targets. Because no polymeric formula with sufficient protein content is available, adequate protein intake can be achieved only by supplemental amino acids or semi-elemental formula administration. In the present study, we investigated whether protein intake can be increased with a new, very high intact-protein formula (VHPF) for enteral feeding.MethodsIn this randomized, controlled, double-blind, multicenter trial, 44 overweight (body mass index ≥ 25 kg/m2) intensive care unit patients received either a VHPF (8 g/100 kcal) or a commercially available standard high protein formula (SHPF) (5 g/100 kcal). Protein and energy intake, gastrointestinal tolerance (gastric residual volume, vomiting, diarrhea, and constipation), adverse events, and serious adverse events were recorded. Total serum amino acid levels were measured at baseline and day 5.ResultsThe primary outcome, protein intake at day 5, was 1.49 g/kg body weight (95% CI 1.21–1.78) and 0.76 g/kg body weight (95% CI 0.49–1.03, P < 0.001) for VHPF and SHPF, respectively. Daily protein intake was statistically significantly higher in the VHPF group compared with the SHPF group from day 2 to day 10. Protein intake in the VHPF group as a percentage of target (1.5 g/kg ideal body weight) was 74.7% (IQR 53.2–87.6%) and 111.6% (IQR 51.7–130.7%) during days 1–3 and days 4–10, respectively. Serum amino acid concentrations were higher at day 5 in the VHPF group than in the SHPF group (P = 0.031). No differences were found in energy intake, measures of gastrointestinal tolerance, and safety.ConclusionsEnteral feeding with VHPF (8 g/100 kcal) resulted in higher protein intake and plasma amino acid concentrations than an isocaloric SHPF (5 g/100 kcal), without an increase in energy intake. This VHPF facilitates feeding according to nutritional guidelines and is suitable as a first-line nutritional treatment for critically ill overweight patients.Trial registrationNetherlands Trial Register, NTR5643. Registered on 2 February 2016.Electronic supplementary materialThe online version of this article (10.1186/s13054-018-2070-5) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Very high intact-protein formula successfully provides protein intake according to nutritional recommendations in overweight critically ill patients: a double-blind randomized trial

et al. 2018

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“…In a study performed by Park et al, the presence of a nutritional support team had a positive and significant effect on the nutritional and clinical outcomes of ICU patients [48]. Evidence suggests that using these guidelines and nutritional protocols can help increase nutritional adequacy and prevent complications arising from inappropriate nutrition in ICU patients [50][51][52]. ICU patients are a heterogeneous group, and in order to meet their nutritional needs, a single approach cannot be used for each patient.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status in Intensive Care Unit: A Meta-Analysis and Systematic Review

Gubari

Hosseinzadeh‐Attar

Hosseini

et al. 2020

GMJ

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It is important to consider the nutritional status of patients in the intensive care unit (ICU) since it is a key element in the ability to overcome and survive critical illnesses and clinical outcomes. The aim of the present study was to provide a meta-analysis and systematic overview in determining the nutritional status of patients in ICU by examining other studies. All studies published during 2015-2019 on nutritional status in ICU were retrieved from Medline (via PubMed), Embase, Scopus, and Web of Science databases. Finally, 23 articles were included in the meta-analysis. Results obtained from these studies showed that the nutritional status of patients in ICU was inappropriate (the pooled proportion of malnutrition was 0.51 in the type of study stratified), in which many patients in this unit had different degrees of malnutrition (moderate-mild malnourished and severe malnutrition is 0.46 and 20%, respectively). According to the results of this study, the nutritional status of patients in ICU was unsatisfactory; hence, it is necessary to consider the nutritional status along with other therapeutic measures at the beginning of the patient’s admission.[GMJ.2020;9:e1678]

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“…Это особенно важно для больных с ОРДС на ИВЛ, так как микроаспирации вследствие нарушения пассажа химу- Науковий огляд / Scientific Review са или нарушения технологии энтерального питания сопряжены с возникновением аспирационных пневмоний и ухудшением респираторной функции. Сывороточные и растительные белки -это «быстрые» некоагулируемые белки, которые быстрее перевариваются и усваиваются, чем казеин, как «медленный» белок [1][2][3][4][5][6][7][8][9][10][11][12].…”

Section: положение на животеunclassified

“…- Науковий огляд / Scientific Review мией [12,13]. Несколько ретроспективных и небольших проспективных исследований показали, что ЭП во время положения лежа на животе не увеличивает риск возникновения желудочно-кишечных или легочных осложнений, поэтому мы рекомендуем пациенту, для которого требуется положение лежа на животе, получать раннее ЭП [14].…”

Section: рекомендация 5 выбор смесиunclassified

Обзор Международных Рекомендаций По Нутритивной Поддержке У Больных С COVID-19, Находящихся В Отделении Интенсивной Терапии

Kobelyatskyi¹

2021

ЕМ

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Nutrition therapy for critically ill patients across the Asia–Pacific and Middle East regions: A consensus statement

Abstract: The objective of the Working Group in formulating these statements is to guide healthcare professionals in practicing appropriate clinical nutrition in the ICU, with a focus on improving quality of care, which will translate into improved patient outcomes.

Cited by 37 publications

References 54 publications

Very high intact-protein formula successfully provides protein intake according to nutritional recommendations in overweight critically ill patients: a double-blind randomized trial

Very high intact-protein formula successfully provides protein intake according to nutritional recommendations in overweight critically ill patients: a double-blind randomized trial

Nutritional Status in Intensive Care Unit: A Meta-Analysis and Systematic Review

Обзор Международных Рекомендаций По Нутритивной Поддержке У Больных С COVID-19, Находящихся В Отделении Интенсивной Терапии

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