Current practices in medical nutrition therapy in the cardiac surgical critical care setting - an international multicenter observational study

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Current practices in medical nutrition therapy in the cardiac surgical critical care setting - an international multicenter observational study. / Stoppe, Christian; Dresen, Ellen; Wendt, Sebastian et al.

In: JPEN. Journal of parenteral and enteral nutrition, Vol. 47, No. 5, 07.2023, p. 604-613.

Research output: Contribution to journal › Article › peer-review

Harvard

Stoppe, C, Dresen, E, Wendt, S, Elke, G, Patel, JJ, McKeever, L, Chourdakis, M, McDonald, B, Meybohm, P, Lindner, M, Arora, RC, O Brien, B, von Dossow, V, Efremov, S, Lomivorotov, V, Compher, C, Yaung, J, Imai, T, Nurok, M, Ho, A, von Loeffelholz, C, Hing, FP, Jiang, X & Heyland, DK 2023, 'Current practices in medical nutrition therapy in the cardiac surgical critical care setting - an international multicenter observational study', JPEN. Journal of parenteral and enteral nutrition, vol. 47, no. 5, pp. 604-613. https://doi.org/10.1002/jpen.2495

APA

Stoppe, C., Dresen, E., Wendt, S., Elke, G., Patel, J. J., McKeever, L., Chourdakis, M., McDonald, B., Meybohm, P., Lindner, M., Arora, R. C., O Brien, B., von Dossow, V., Efremov, S., Lomivorotov, V., Compher, C., Yaung, J., Imai, T., Nurok, M., ... Heyland, D. K. (2023). Current practices in medical nutrition therapy in the cardiac surgical critical care setting - an international multicenter observational study. JPEN. Journal of parenteral and enteral nutrition, 47(5), 604-613. https://doi.org/10.1002/jpen.2495

Vancouver

Stoppe C, Dresen E, Wendt S, Elke G, Patel JJ, McKeever L et al. Current practices in medical nutrition therapy in the cardiac surgical critical care setting - an international multicenter observational study. JPEN. Journal of parenteral and enteral nutrition. 2023 Jul;47(5):604-613. Epub 2023 Mar 13. doi: 10.1002/jpen.2495

Author

Stoppe, Christian ; Dresen, Ellen ; Wendt, Sebastian et al. / Current practices in medical nutrition therapy in the cardiac surgical critical care setting - an international multicenter observational study. In: JPEN. Journal of parenteral and enteral nutrition. 2023 ; Vol. 47, No. 5. pp. 604-613.

BibTeX

@article{632ed5a3e97a4ad683534146642e355e,

title = "Current practices in medical nutrition therapy in the cardiac surgical critical care setting - an international multicenter observational study",

abstract = "BACKGROUND: Cardiac surgery patients with prolonged stay in the intensive care unit (ICU) are at high-risk for acquired malnutrition. Medical nutrition therapy practices in cardiac surgery patients are unknown. The objective of this study is to describe current nutrition practices in critically ill cardiac surgery patients worldwide.METHODS: We conducted a prospective observational study in 13 international ICUs involving mechanically ventilated cardiac surgery patients with an ICU stay of at least 72 hours. Collected data included calorie and protein prescription, type and time to initiation of nutrition, and actual quantity of energy and protein delivered (maximum: 12 days).RESULTS: Among 237 enrolled patients, enteral nutrition (EN) was started, on average, 45 hours after ICU admission (range 0-277 hours; site average 53 [range 10-79 hours]). EN was prescribed in 187 (79%) patients and combined EN and parenteral nutrition (PN) in 33 (14%). Overall, patients received 44.2% (0.0-117.2%) of prescribed calories and 39.7% (0.0-122.8%) of prescribed protein. At a site level, the average nutritional adequacy was 47.5% (30.5-78.6%) for calories and 43.6% (21.7-76.6%) for protein received from all nutritional sources.CONCLUSION: Critically ill cardiac surgery patients with prolonged ICU stay experience significant delays in starting EN and receive low levels of calories and protein. There exists tremendous variability in site performance, whereas achieving optimal nutrition performance is doable.VIDEO ABSTRACT: A video abstract (Video S1) is provided with the supplementary materials. This article is protected by copyright. All rights reserved.",

keywords = "Cardiac Surgical Procedures, Critical Illness/therapy, Energy Intake, Enteral Nutrition, Humans, Intensive Care Units, Nutritional Support",

author = "Christian Stoppe and Ellen Dresen and Sebastian Wendt and Gunnar Elke and Patel, {Jayshil J} and Liam McKeever and Michael Chourdakis and Bernard McDonald and Patrick Meybohm and Matthias Lindner and Arora, {Rakesh C} and {O Brien}, Ben and {von Dossow}, Vera and Sergey Efremov and Vladimir Lomivorotov and Charlene Compher and Jill Yaung and Taryne Imai and Michael Nurok and Andrea Ho and {von Loeffelholz}, Christian and Hing, {Foong Pui} and Xuran Jiang and Heyland, {Daren K}",

note = "{\textcopyright} 2023 The Authors. Journal of Parenteral and Enteral Nutrition published by Wiley Periodicals LLC on behalf of American Society for Parenteral and Enteral Nutrition.",

year = "2023",

month = jul,

doi = "10.1002/jpen.2495",

language = "English",

volume = "47",

pages = "604--613",

journal = "JPEN. Journal of parenteral and enteral nutrition",

issn = "0148-6071",

publisher = "American Society for Parenteral and Enteral Nutrition",

number = "5",

}

RIS

TY - JOUR

T1 - Current practices in medical nutrition therapy in the cardiac surgical critical care setting - an international multicenter observational study

AU - Stoppe, Christian

AU - Dresen, Ellen

AU - Wendt, Sebastian

AU - Elke, Gunnar

AU - Patel, Jayshil J

AU - McKeever, Liam

AU - Chourdakis, Michael

AU - McDonald, Bernard

AU - Meybohm, Patrick

AU - Lindner, Matthias

AU - Arora, Rakesh C

AU - O Brien, Ben

AU - von Dossow, Vera

AU - Efremov, Sergey

AU - Lomivorotov, Vladimir

AU - Compher, Charlene

AU - Yaung, Jill

AU - Imai, Taryne

AU - Nurok, Michael

AU - Ho, Andrea

AU - von Loeffelholz, Christian

AU - Hing, Foong Pui

AU - Jiang, Xuran

AU - Heyland, Daren K

PY - 2023/7

Y1 - 2023/7

N2 - BACKGROUND: Cardiac surgery patients with prolonged stay in the intensive care unit (ICU) are at high-risk for acquired malnutrition. Medical nutrition therapy practices in cardiac surgery patients are unknown. The objective of this study is to describe current nutrition practices in critically ill cardiac surgery patients worldwide.METHODS: We conducted a prospective observational study in 13 international ICUs involving mechanically ventilated cardiac surgery patients with an ICU stay of at least 72 hours. Collected data included calorie and protein prescription, type and time to initiation of nutrition, and actual quantity of energy and protein delivered (maximum: 12 days).RESULTS: Among 237 enrolled patients, enteral nutrition (EN) was started, on average, 45 hours after ICU admission (range 0-277 hours; site average 53 [range 10-79 hours]). EN was prescribed in 187 (79%) patients and combined EN and parenteral nutrition (PN) in 33 (14%). Overall, patients received 44.2% (0.0-117.2%) of prescribed calories and 39.7% (0.0-122.8%) of prescribed protein. At a site level, the average nutritional adequacy was 47.5% (30.5-78.6%) for calories and 43.6% (21.7-76.6%) for protein received from all nutritional sources.CONCLUSION: Critically ill cardiac surgery patients with prolonged ICU stay experience significant delays in starting EN and receive low levels of calories and protein. There exists tremendous variability in site performance, whereas achieving optimal nutrition performance is doable.VIDEO ABSTRACT: A video abstract (Video S1) is provided with the supplementary materials. This article is protected by copyright. All rights reserved.

AB - BACKGROUND: Cardiac surgery patients with prolonged stay in the intensive care unit (ICU) are at high-risk for acquired malnutrition. Medical nutrition therapy practices in cardiac surgery patients are unknown. The objective of this study is to describe current nutrition practices in critically ill cardiac surgery patients worldwide.METHODS: We conducted a prospective observational study in 13 international ICUs involving mechanically ventilated cardiac surgery patients with an ICU stay of at least 72 hours. Collected data included calorie and protein prescription, type and time to initiation of nutrition, and actual quantity of energy and protein delivered (maximum: 12 days).RESULTS: Among 237 enrolled patients, enteral nutrition (EN) was started, on average, 45 hours after ICU admission (range 0-277 hours; site average 53 [range 10-79 hours]). EN was prescribed in 187 (79%) patients and combined EN and parenteral nutrition (PN) in 33 (14%). Overall, patients received 44.2% (0.0-117.2%) of prescribed calories and 39.7% (0.0-122.8%) of prescribed protein. At a site level, the average nutritional adequacy was 47.5% (30.5-78.6%) for calories and 43.6% (21.7-76.6%) for protein received from all nutritional sources.CONCLUSION: Critically ill cardiac surgery patients with prolonged ICU stay experience significant delays in starting EN and receive low levels of calories and protein. There exists tremendous variability in site performance, whereas achieving optimal nutrition performance is doable.VIDEO ABSTRACT: A video abstract (Video S1) is provided with the supplementary materials. This article is protected by copyright. All rights reserved.

KW - Cardiac Surgical Procedures

KW - Critical Illness/therapy

KW - Energy Intake

KW - Enteral Nutrition

KW - Humans

KW - Intensive Care Units

KW - Nutritional Support

UR - https://www.scopus.com/record/display.uri?eid=2-s2.0-85151954984&origin=inward&txGid=ae3dc035561b1479499815364bb0a825

UR - https://www.mendeley.com/catalogue/ada01510-dbb2-33a0-8520-b89618691174/

U2 - 10.1002/jpen.2495

DO - 10.1002/jpen.2495

M3 - Article

C2 - 36912124

VL - 47

SP - 604

EP - 613

JO - JPEN. Journal of parenteral and enteral nutrition

JF - JPEN. Journal of parenteral and enteral nutrition

SN - 0148-6071

IS - 5

ER -

ID: 45328203