Nutrition risk screening in the ICU

被引:15
作者
Kondrup, Jens [1 ]
机构
[1] Rigshosp, Copenhagen Univ Hosp, Clin Nutr Unit, Copenhagen, Denmark
关键词
ICU patients; nutrition risk; nutrition support; INTENSIVE-CARE; GUIDELINES;
D O I
10.1097/MCO.0000000000000551
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of review To review recent studies that may help to identify patients in the ICU who benefit from nutrition support. Recent findings One recent controlled trial did not show any clinical benefit of nutrition support among a sample of ICU patients who were hitherto believed to benefit from nutrition support. Several recent observational studies suggest benefit of nutrition support among patients who have a high nutric score, in itself derived from an observational study. Summary Regrettably, the decision about nutrition support in ICU patients still depends on physiological reasoning: a high degree of inflammation/stress metabolism, which will last for a considerable time, especially among those who are fragile (already malnourished, elderly, those with chronic diseases and/or other comorbidities).
引用
收藏
页码:159 / 161
页数:3
相关论文
共 10 条
  • [1] Early goal-directed nutrition versus standard of care in adult intensive care patients: the single-centre, randomised, outcome assessor-blinded EAT-ICU trial
    Allingstrup, Matilde Jo
    Kondrup, Jens
    Wiis, Jorgen
    Claudius, Casper
    Pedersen, Ulf Gottrup
    Hein-Rasmussen, Rikke
    Bjerregaard, Mads Rye
    Steensen, Morten
    Jensen, Tom Hartvig
    Lange, Theis
    Madsen, Martin Bruun
    Moller, Morten Hylander
    Perner, Anders
    [J]. INTENSIVE CARE MEDICINE, 2017, 43 (11) : 1637 - 1647
  • [2] Persistent inflammation and recovery after intensive care: A systematic review
    Griffith, David M.
    Vale, Matthew E.
    Campbell, Christine
    Lewis, Steff
    Walsh, Timothy S.
    [J]. JOURNAL OF CRITICAL CARE, 2016, 33 : 192 - 199
  • [3] Identifying critically ill patients who benefit the most from nutrition therapy: the development and initial validation of a novel risk assessment tool
    Heyland, Daren K.
    Dhaliwal, Rupinder
    Jiang, Xuran
    Day, Andrew G.
    [J]. CRITICAL CARE, 2011, 15 (06) : R268
  • [4] ESPEN guidelines for nutrition screening 2002
    Kondrup, J
    Allison, SP
    Elia, M
    Vellas, B
    Plauth, M
    [J]. CLINICAL NUTRITION, 2003, 22 (04) : 415 - 421
  • [5] Nutritional-risk scoring systems in the intensive care unit
    Kondrup, Jens
    [J]. CURRENT OPINION IN CLINICAL NUTRITION AND METABOLIC CARE, 2014, 17 (02) : 177 - 182
  • [6] Association of Energy and Protein Delivery on Skeletal Muscle Mass Changes in Critically Ill Adults: A Systematic Review
    Lambell, Kate J.
    King, Susannah J.
    Forsyth, Adrienne K.
    Tierney, Audrey C.
    [J]. JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 2018, 42 (07) : 1112 - 1122
  • [7] When timing and dose of nutrition support were examined, the modified Nutrition Risk in Critically Ill (mNUTRIC) score did not differentiate high-risk patients who would derive the most benefit from nutrition support: a prospective cohort study
    Lew, Charles Chin Han
    Wong, Gabriel Jun Yung
    Cheung, Ka Po
    Fraser, Robert J. L.
    Chua, Ai Ping
    Chong, Mary Foong Fong
    Miller, Michelle
    [J]. ANNALS OF INTENSIVE CARE, 2018, 8
  • [8] McClave SA, 2016, JPEN-PARENTER ENTER, V40, P159, DOI [10.1177/0148607115621863, 10.1097/CCM.0000000000001525]
  • [9] Identifying critically-ill patients who will benefit most from nutritional therapy: Further validation of the "modified NUTRIC" nutritional risk assessment tool
    Rahman, Adam
    Hasan, Rana M.
    Agarwala, Ravi
    Martin, Claudio
    Day, Andrew G.
    Heyland, Daren K.
    [J]. CLINICAL NUTRITION, 2016, 35 (01) : 158 - 162
  • [10] ESPEN guideline on clinical nutrition in the intensive care unit
    Singer, Pierre
    Blaser, Annika Reintam
    Berger, Mette M.
    Alhazzani, Waleed
    Calder, Philip C.
    Casaer, Michael P.
    Hiesmayr, Michael
    Mayer, Konstantin
    Carlos Montejo, Juan
    Pichard, Claude
    Preiser, Jean-Charles
    van Zanten, Arthur R. H.
    Oczkowski, Simon
    Szczeklik, Wojciech
    Bischoff, Stephan C.
    [J]. CLINICAL NUTRITION, 2019, 38 (01) : 48 - 79