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:6/25/2016)... ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library on June 21 due ... up a new, often overlooked aspect of head lice: the parasite’s ability to live away ... a common occurrence, but a necessary one in the event that lice have simply gotten ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson ... Recently, he has implemented orthobiologic procedures as a method for treating his patients. ... the first doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons ...
(Date:6/24/2016)... ... June 24, 2016 , ... Those who have experienced traumatic events may ... to unhealthy avenues, such as drug or alcohol abuse, as a coping mechanism. To ... for healthy coping following a traumatic event. , Trauma sufferers tend to feel a ...
(Date:6/24/2016)... ... ... Global law firm Greenberg Traurig, P.A. announced that 20 Florida attorneys are ... for this recognition are considered among the top 2 percent of lawyers practicing within ... of this year’s Legal Elite Hall of Fame: Miami Shareholders Mark D. Bloom, ...
(Date:6/24/2016)... ... 2016 , ... People across the U.S. are sharpening their pencils and honing ... contest in which patients and their families pay tribute to a genetic counselor by ... Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , In ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Revolutionary technology includes multi-speaker listening to ... leaders in advanced audiology and hearing aid technology, has ... the world,s first internet connected hearing aid that opens ...      (Photo: http://photos.prnewswire.com/prnh/20160622/382240 ) , ... firsts,: , TwinLink™ - the first dual ...
(Date:6/23/2016)... , June 23, 2016 The vast majority ... outpatient dialysis facility.  Treatments are usually 3 times a ... per visit, including travel time, equipment preparation and wait ... but especially grueling for patients who are elderly and ... skilled nursing and rehabilitation centers for some duration of ...
(Date:6/23/2016)... FRANKLIN, Tenn. , June 23, 2016 ... for automating, integrating and transforming the patient ... launch of several innovative new products and ... depth of its revenue cycle offerings. These ... establish more efficient workflows, remain compliant in ...
Breaking Medicine Technology: