Navigation Links
ICU Nutritional Program Failed to Boost Outcomes
Date:12/16/2008

Early feeding didn't cut length of stay either, study finds

TUESDAY, Dec. 16 (HealthDay News) -- Providing earlier nutritional support for intensive care unit (ICU) patients didn't reduce their length of stay in the ICU or their risk of death, according to a study by researchers in Australia and New Zealand.

Previous research had suggested that early nutritional support (provided within 24 hours of injury or ICU admission) was important for critically ill patients and reduced their risk of death. However, up to 40 percent of eligible patients remain unfed after 48 hours in the ICU.

In this study of 1,118 adult patients, the researchers examined whether guidelines could improve ICU feeding practices and patient outcomes. ICUs were randomly assigned as either guideline or control sites. The guideline consisted of 18 specific interventions, supported by educational outreach visits.

Many more patients in the guideline ICUs received nutritional support (94.3 percent vs. 72.7 percent) and were fed within 24 hours of ICU admission (60.8 percent vs. 37.3 percent). Patients in guideline ICUs were fed much sooner -- an average of 0.75 days vs. 1.37 days to start of enteral nutrition (food provided through a feeding tube placed through the nose and into the stomach or small intestine), and an average of 1.04 days vs. 1.40 days to start of parenteral nutrition (intravenous feeding).

The study also found that patients in the guideline ICUs achieved caloric goals more often and were fed on a greater proportion of ICU days (8.08 vs. 6.90 fed days per 10 patient days).

However, there were no significant differences between guideline ICU and control ICU patients in terms of ICU or hospital death rates or average length of stay in the ICU or hospital. Kidney dysfunction was significantly lower in the guideline ICU patients, but there was no difference in the use of renal replacement therapy, such as dialysis.

"Although the successful implementation of the guideline resulted in significant practice change, it did not result in reduced hospital mortality in critically ill patients," the researchers concluded.

The study was published in the Dec. 17 issue of the Journal of the American Medical Association.

More information

The Society of Critical Care Medicine has more about critical care.



-- Robert Preidt



SOURCE: Journal of the American Medical Association, news release, Dec. 16, 2008


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Nestle Launches New Research Program on the Specific Nutritional Needs of Athletes
2. Cornell Nutritional Expert, Vermont Baby Formula Company Urge Parents Not to Dilute Formula with Extra Water
3. Photos: Georgia Pecan Campaign Emphasizes Nutritional Importance of Breakfast
4. Dr. Lark Creates Nutritional Supplement to Restore Thick Hair and Strong Nails
5. Suze Orman Joins got milk? Milk Mustache Campaign: New Ad Encourages Families To Invest in Milks Nutritional Assets
6. 89 percent of childrens food products provide poor nutritional quality
7. NuVal(TM) Nutritional Scoring System Will Debut in Major U.S. Chains This September
8. GNC and WebMD Announce Agreement To Provide Consumers with Health and Nutritional Information While Promoting the Benefits of a Healthy Lifestyle
9. Hero Nutritionals Introduces a New Adult Vitamin for the Taste Buds
10. Wyeth to Expand State-of-the-Art Nutritional Manufacturing Facility in Singapore
11. Wyeth to Invest $280 Million to Build State-of-the-Art Nutritional Manufacturing Facility in China
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
ICU Nutritional Program Failed to Boost Outcomes
(Date:7/21/2017)... ... July 21, 2017 , ... Hospital M&A activity slowed ... . The number of hospital acquisitions rose to 23 in the second quarter, up ... up 15% from the 20 announced deals in the year-ago second quarter. Only four ...
(Date:7/21/2017)... NJ (PRWEB) , ... July 21, 2017 , ... ... has received a $5,000 grant from the C. R. Bard Foundation, ... Day Center at Somerset Hills , a service available through the nonprofit home ...
(Date:7/21/2017)... ... , ... West Dermatology is pleased to announce the newest addition to their ... Vu will join West Dermatology’s large network of medical and cosmetic dermatology practices, bringing ... and more. She graduated from the University of Florida College of Medicine Physician Assistant ...
(Date:7/20/2017)... ... , ... TransPixel Volume 2 is a set of transitions that create a ... isolates horizontal and vertical lines of pixels and sorts their pixels by darkness, brightness, ... and can be changed using a drop-down menu. Create amazing and artistic transitions using ...
(Date:7/20/2017)... ... July 20, 2017 , ... Coats Rose, P.C. , ... announce their expansion to the Midwest with the establishment of the firm’s new ... Bell, and of counsels, John Peck and Robert Bruns, will establish and anchor ...
Breaking Medicine News(10 mins):
(Date:7/10/2017)... July 10, 2017 Locus Biosciences Inc. today ... support the development of CRISPR-Cas3 antimicrobial therapeutics. Financing for ... leading Chinese Internet services provider, and joined by the ... infectious disease product programs targeting antibiotic resistant infections and ... Founded by Dr. Rodolphe Barrangou and Dr. ...
(Date:7/5/2017)... , July 5, 2017   BioLife Solutions , ... manufacturer and marketer of proprietary clinical grade cell and ... media ("BioLife"), today announced that it has reached ... holder and largest shareholder, to modify its existing credit ... to the modification, WAVI agreed to exchange its existing ...
(Date:6/27/2017)... TEL AVIV, Israel , June 27, 2017 /PRNewswire/ ... a specialty clinical-stage pharmaceutical company specializing in the development ... ring The Nasdaq Stock Market Opening Bell in ... 28, 2017 in honor of its initial public offering ... Nasdaq Capital Market in March 2017. Dr. ...
Breaking Medicine Technology: