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:10/13/2017)... Las Vegas, Nevada (PRWEB) , ... October 13, 2017 , ... ... of 7® Hemp CBD Oil utilizing Purzorb™ technology. Applying the Purzorb™process to full spectrum ... CBD dose required and providing a CBD form that can be easily incorporated into ...
(Date:10/13/2017)... OBISPO, Calif. (PRWEB) , ... October 13, 2017 , ... ... or dementia. However, many long-term care insurance companies have a waiver for care if ... the 90-day elimination period, when the family pays for care, is often waived, so ...
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer at The House ... most popular and least understood books in the Holy Scriptures, Revelation. The Book of ... baffled scholars for centuries. Many have tossed it off as mere rubbish, but Yisrayl ...
(Date:10/13/2017)... ... October 13, 2017 , ... “America On The Brink”: the Christian history of ... Brink” is the creation of published author, William Nowers. Captain Nowers and his ... veteran, he spent thirty years in the Navy. Following his career as a ...
(Date:10/12/2017)... ... October 12, 2017 , ... The company ... of today’s consumer and regulatory authorities worldwide. From Children’s to Adults 50+, every ... meet the highest standard. , These products are also: Gluten Free, Non-GMO, ...
Breaking Medicine News(10 mins):
(Date:10/11/2017)... Holdings, Inc. ("Hill-Rom") (NYSE: HRC), today provided an update ... Puerto Rico , where the company manufactures ... Following a comprehensive onsite assessment, the ... temporary loss of power and minimal water damage due ... have resumed, and the company expects to return to ...
(Date:10/5/2017)... Ill. , Oct. 5, 2017  In ... Association of Oral and Maxillofacial Surgeons (AAOMS) released ... opioids – to be used as a first-line ... pain. Recognizing ... the AAOMS White Paper "Opioid Prescribing: Acute and ...
(Date:10/2/2017)... 2017 Diplomat Pharmacy, Inc. (NYSE: ... Consulting, LLC , and named its founder as Diplomat,s ... Tennessee , will operate under Diplomat ... service offerings for health care partners to include IT ... "In an interoperable world, technology delivers comprehensive ...
Breaking Medicine Technology: