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Nutrition Therapy in the Hospital

ESPEN guideline on nutritional support for polymorbid medical inpatients

7 Aug, 2023 | 14:52h | UTC

ESPEN guideline on nutritional support for polymorbid medical inpatients – Clinical Nutrition

 


ESPEN Updated Guideline | Clinical nutrition in the intensive care unit

1 Aug, 2023 | 14:27h | UTC

ESPEN practical and partially revised guideline: Clinical nutrition in the intensive care unit – Clinical Nutrition

 


Personalized nutrition therapy in critical care: 10 expert recommendations

10 Jul, 2023 | 13:36h | UTC

Personalized nutrition therapy in critical care: 10 expert recommendations – Critical Care

 


How to avoid harm with feeding critically ill patients: a synthesis of viewpoints of a basic scientist, dietitian and intensivist

10 Jul, 2023 | 13:34h | UTC

How to avoid harm with feeding critically ill patients: a synthesis of viewpoints of a basic scientist, dietitian and intensivist – Critical Care

 


M-A | Optimizing enteral nutrition delivery by implementing volume-based feeding protocol for critically ill patients

24 May, 2023 | 13:13h | UTC

Optimizing enteral nutrition delivery by implementing volume-based feeding protocol for critically ill patients: an updated meta-analysis and systematic review – Critical Care

 


M-A | Prevalence and outcomes of frailty in unplanned hospital admissions

9 May, 2023 | 14:45h | UTC

Prevalence and outcomes of frailty in unplanned hospital admissions: a systematic review and meta-analysis of hospital-wide and general (internal) medicine cohorts – eClinicalMedicine

 


Review | What the clinician needs to know about medical nutrition therapy in critically ill patients in 2023

26 Apr, 2023 | 13:59h | UTC

What the clinician needs to know about medical nutrition therapy in critically ill patients in 2023: A narrative review – Nutrition in Clinical Practice

 


Review | Refeeding Syndrome: diagnostic challenges and the potential of clinical decision support systems

10 Apr, 2023 | 13:28h | UTC

Refeeding Syndrome: Diagnostic challenges and the potential of clinical decision support systems – Deutsches Ärzteblatt International – Deutsches Ärzteblatt International

 


RCT | Low-calorie, low-protein feeding improves recovery time in ventilated adults with shock

22 Mar, 2023 | 13:42h | UTC

Summary: The NUTRIREA-3 study aimed to determine the optimal calorie and protein intakes during the acute phase of severe critical illness. The study was a randomized, controlled, multicenter, open-label, parallel-group trial conducted in 61 French intensive care units (ICUs) involving 3044 adults receiving invasive mechanical ventilation and vasopressor support for shock. During the first seven ICU days, participants were randomly assigned to early nutrition with either low or standard calorie and protein targets. The primary endpoints were time to readiness for ICU discharge and day 90 all-cause mortality, while key secondary outcomes included secondary infections, gastrointestinal events, and liver dysfunction.

The study found that early calorie and protein restriction did not decrease mortality. However, it was associated with faster recovery and fewer complications compared to standard calorie and protein targets. The low-calorie, low-protein group had a shorter median time to readiness for ICU discharge and lower proportions of patients with vomiting, diarrhea, bowel ischemia, and liver dysfunction. The proportions of patients with secondary infections did not differ significantly between the two groups.

In conclusion, the NUTRIREA-3 study provides evidence that patients may benefit from restricted calorie and protein intakes during the acute phase of critical illness, as it expedites recovery and reduces the risk of complications.

Article: Low versus standard calorie and protein feeding in ventilated adults with shock: a randomised, controlled, multicentre, open-label, parallel-group trial (NUTRIREA-3) – The Lancet Respiratory Medicine (free registration required)

 

Commentary on Twitter

 


Review | Nutritional management of the infant with chronic kidney disease stages 2–5 and on dialysis

9 Mar, 2023 | 14:18h | UTC

Nutritional management of the infant with chronic kidney disease stages 2–5 and on dialysis – Pediatric Nephrology

 


RCT | Caffeine did not reduce time to first bowel movement after laparoscopic colectomy

1 Mar, 2023 | 13:41h | UTC

Caffeine for intestinal transit after laparoscopic colectomy: randomized clinical trial (CaCo trial) – British Journal of Surgery (link to abstract – $ for full-text)

 

Commentary on Twitter

 


Review | (Mal)nutrition in critical illness and beyond

28 Feb, 2023 | 13:28h | UTC

(Mal)nutrition in critical illness and beyond: a narrative review – Anaesthesia

 


ESPEN practical guideline | Home parenteral nutrition

20 Feb, 2023 | 12:21h | UTC

Summary: Home parenteral nutrition (HPN) is a form of nutrition support where a patient receives intravenous nutrition at home. It is used for patients who cannot receive adequate nutrition through oral or enteral routes, such as those with intestinal failure, severe inflammatory bowel disease, or other gastrointestinal disorders. HPN can be a life-saving therapy, but it requires careful patient selection, as well as ongoing monitoring and management by a multidisciplinary team. The ESPEN guideline aims to provide practical guidance on the use of HPN, including the nutritional and metabolic aspects of care and the practical considerations of administering HPN at home. The guideline also emphasizes the importance of patient-centered care and shared decision-making, highlighting the need for regular assessment and monitoring of patients.

Article: ESPEN practical guideline: Home parenteral nutrition – Clinical Nutrition

 


M-A | The rate and assessment of muscle wasting during critical illness

17 Feb, 2023 | 12:55h | UTC

The rate and assessment of muscle wasting during critical illness: a systematic review and meta-analysis – Critical Care

 

Commentary on Twitter

 


Review | Preoperative frailty screening, assessment and management

16 Feb, 2023 | 14:37h | UTC

Preoperative frailty screening, assessment and management – Current Opinion in Anaesthesiology

 


Position Paper | Enteral nutrition in preterm infants

30 Jan, 2023 | 00:54h | UTC

Enteral Nutrition in Preterm Infants (2022): A Position Paper From the ESPGHAN Committee on Nutrition and Invited Experts – Journal of Pediatric Gastroenterology and Nutrition

 


Toward nutrition improving outcome of critically ill patients: how to interpret recent feeding RCTs?

30 Jan, 2023 | 00:42h | UTC

Toward nutrition improving outcome of critically ill patients: How to interpret recent feeding RCTs? – Critical Care

 


RCT | Higher protein dosing did not improve outcomes in critically ill patients with high nutritional risk

27 Jan, 2023 | 12:24h | UTC

The effect of higher protein dosing in critically ill patients with high nutritional risk (EFFORT Protein): an international, multicentre, pragmatic, registry-based randomised trial – The Lancet (link to abstract – $ for full-text)

 

Commentary on Twitter (thread – click for more)

 


RCT | Continued enteral nutrition until extubation was noninferior to a 6-h fasting strategy before extubation in patients in the ICU

26 Jan, 2023 | 12:49h | UTC

Continued enteral nutrition until extubation compared with fasting before extubation in patients in the intensive care unit: an open-label, cluster-randomised, parallel-group, non-inferiority trial – The Lancet Respiratory Medicine (free registration required)

Invited Commentary: Continuation of enteral nutrition until extubation in critically ill patients – The Lancet Respiratory Medicine

 

Commentary on Twitter

 


Evidence-Based Guidance | Medical nutrition therapy in ECMO patients

26 Jan, 2023 | 12:28h | UTC

Medical Nutrition Therapy in ECMO Patients: Evidence-Based Guidance for Clinical Practice – Journal of Parenteral and Enteral Nutrition

 


RCT | In patients undergoing cardiac surgery, intravenous high-dose selenium did not reduce morbidity or mortality

15 Jan, 2023 | 20:00h | UTC

Effect of High-Dose Selenium on Postoperative Organ Dysfunction and Mortality in Cardiac Surgery Patients: The SUSTAIN CSX Randomized Clinical Trial – JAMA Surgery

 

Commentary on Twitter

 


Review | Intermittent feeding and circadian rhythm in critical illness.

12 Dec, 2022 | 12:20h | UTC

Intermittent feeding and circadian rhythm in critical illness – Current Opinion in Critical Care

 


Review | The role of nutrition rehabilitation in the recovery of survivors of critical illness.

6 Dec, 2022 | 13:34h | UTC

The role of nutrition rehabilitation in the recovery of survivors of critical illness: underrecognized and underappreciated – Critical Care

 


M-A | Comparison of continuous versus intermittent enteral feeding in critically ill patients.

31 Oct, 2022 | 13:48h | UTC

Comparison of continuous versus intermittent enteral feeding in critically ill patients: a systematic review and meta-analysis – Critical Care

 


Nutrition assessment and management in patients with cirrhosis and cognitive impairment: a comprehensive review of literature.

19 Sep, 2022 | 12:29h | UTC

Nutrition Assessment and Management in Patients with Cirrhosis and Cognitive Impairment: A Comprehensive Review of Literature – Journal of Clinical Medicine

Commentary: Review Outlines Nutrition Assessment, Management in Patients With Cirrhosis – AJMC

 


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