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Bedside Calculation of Energy Expenditure Does Not Guarantee Adequate Caloric Prescription in Long-Term Mechanically Ventilated Critically Ill Patients : A Quality Control Study
المؤلفون المشاركون
Mattens, Sabrina
Huyghens, Luc
De Waele, E.
Rose, Thomas
Honoré, P. M.
Spapen, Herbert
المصدر
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-05-15
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
العلوم الطبيعية والحياتية (متداخلة التخصصات)
الطب البشري
تكنولوجيا المعلومات وعلم الحاسوب
الملخص EN
Nutrition is essential in critically ill patients, but translating caloric prescriptions into adequate caloric intake remains challenging.
Caloric prescriptions (P), effective intake (I), and caloric needs (N), calculated with modified Harris-Benedict formulas, were recorded during seven consecutive days in ventilated patients.
Adequacy of prescription was estimated by P/N ratio.
I/P ratio assessed accuracy of translating a prescription into administered feeding.
I/N ratio compared delivered calories with theoretical caloric needs.
Fifty patients were prospectively studied in a mixed medicosurgical ICU in a teaching hospital.
Basal and total energy expenditure were, respectively, 1361±171 kcal/d and 1649±233 kcal/d.
P and I attained 1536±602 kcal/d and 1424±572 kcal/d, respectively.
24.6% prescriptions were accurate, and 24.3% calories were correctly administered.
Excessive calories were prescribed in 35.4% of patients, 27.4% being overfed.
Caloric needs were underestimated in 40% prescriptions, with 48.3% patients underfed.
Calculating caloric requirements by a modified standard formula covered energy needs in only 25% of long-term mechanically ventilated patients, leaving many over- or underfed.
Nutritional imbalance mainly resulted from incorrect prescription.
Failure of “simple” calculations to direct caloric prescription in these patients suggests systematic use of more reliable methods, for example, indirect calorimetry.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
De Waele, E.& Spapen, Herbert& Honoré, P. M.& Mattens, Sabrina& Rose, Thomas& Huyghens, Luc. 2012. Bedside Calculation of Energy Expenditure Does Not Guarantee Adequate Caloric Prescription in Long-Term Mechanically Ventilated Critically Ill Patients : A Quality Control Study. The Scientific World Journal،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-507329
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
De Waele, E.…[et al.]. Bedside Calculation of Energy Expenditure Does Not Guarantee Adequate Caloric Prescription in Long-Term Mechanically Ventilated Critically Ill Patients : A Quality Control Study. The Scientific World Journal No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-507329
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
De Waele, E.& Spapen, Herbert& Honoré, P. M.& Mattens, Sabrina& Rose, Thomas& Huyghens, Luc. Bedside Calculation of Energy Expenditure Does Not Guarantee Adequate Caloric Prescription in Long-Term Mechanically Ventilated Critically Ill Patients : A Quality Control Study. The Scientific World Journal. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-507329
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-507329
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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