Exploring Whether Ventilated ICU Patients Were in Optimal Nutritional Status Regarding Energy and Protein Requirements

Wolter Paans; Willem Dieperink; Rix Groenboom; Talko  Dijkhuis; Hildegard Franke

Exploring Whether Ventilated ICU Patients Were in Optimal Nutritional Status Regarding Energy and Protein Requirements

Wolter Paans, Willem Dieperink, Rix Groenboom, Talko Dijkhuis, Hildegard Franke

Universitair Medisch Centrum Groningen, Afdeling Intensive Care Volwassenen

Onderzoeksoutput: Article › Academic › peer review

12 Downloads (Pure)

Samenvatting

Onder- en overvoeding op Intensive Care-afdelingen (IC's) wordt in verband gebracht met een langere ziekenhuisopname, een verhoogde morbiditeit en een verhoogde mortaliteit,
en een verhoogde mortaliteit. Deze studie onderzoekt of IC-patiënten optimaal gevoed werden volgens de European Society
voor Klinische Voeding en Metabolisme (ESPEN) richtlijnen. Methoden: Een cohort van 158 COVID-19-patiënten die intensieve
intensieve zorg nodig hadden voor ernstig respiratoir falen, waardoor een genuanceerde benadering van voedingsondersteuning nodig was, werd geanalyseerd. Voedingsstatus werd
bepaald met betrekking tot kilocalorieën en eiwit met behulp van het Energieverbruik afgeleid van de door de ventilator gemeten VCO2 en de
aangepaste Weir-vergelijking, en er werden gegevens gebruikt over de inname via enterale voeding. De studie omvatte beademde patiënten die
meer dan vijf dagen werden opgenomen zonder Extra Corporeal Life Support (ECLS) en enterale voeding kregen. Associaties tussen mortaliteit en
(i) calorie-inname en (ii) eiwitinname werden onderzocht met behulp van Chi-Square statistieken. Resultaten: Conform de ESPEN-richtlijnen,
45% van de patiënten ondervoed en 21% overvoed in kilocalorieën. Daarnaast was 61% ondervoed en 16% overvoed in eiwitten.
overvoed in eiwitten. De verdeling tussen de groepen overlevenden en overledenen ten opzichte van elk van de groepen goed
gevoed, ondervoed en overvoed was niet statistisch verschillend (p = 0,21).
De eiwitverdeling tussen overlevenden en
overleden groepen was niet statistisch verschillend (p = 0,67) wat betreft juiste, onvoldoende of overmatige eiwitinname. Conclusies:
Op basis van ESPEN-richtlijnen werden de meeste IC-patiënten onvoldoende gevoed in kilocalorieën en eiwit. Er werden echter geen significante
overlevingsverschillen waargenomen tussen groepen met verschillende voedingsgeschiktheid. Verder onderzoek wordt aanbevolen om de
implicaties van voedingsinterventies bij kritisch zieke patiënten te onderzoeken.

Originele taal-2	English
Aantal pagina's	6
Tijdschrift	International Journal of Nursing and Health Care Research
Volume	8
Nummer van het tijdschrift	1
Status	Published - 20 jan. 2025

Keywords

voeding
energieverbruik
proteïnen inname
patiëntgerichte uitkomsten

Toegang tot document

Exploring-Whether-Ventilated-ICU-Patients-Were-in-Optimal-Nutritional-Status-Regarding-Energy-and-Protein-RequirementsFinal published version, 735 KB

Citeer dit

@article{3f470f5cf5e943578ec3132775e0866f,

title = "Exploring Whether Ventilated ICU Patients Were in Optimal Nutritional Status Regarding Energy and Protein Requirements",

abstract = "Under- and overfeeding in Intensive Care Units (ICUs) are linked to prolonged hospitalisation, increased morbidity, and elevated mortality. This study investigates whether ICU patients were optimally nourished according to the European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines. Methods: A cohort of 158 COVID-19 patients requiring intensive care for severe respiratory failure, necessitating a nuanced approach to nutritional support, was analysed. Nutritional status was determined regarding kilocalories and protein using the Energy Expenditure derived from ventilator-measured VCO2 and the adjusted Weir equation, and data on intake through enteral feeding was used. The study included ventilated patients hospitalised for over five days without Extra Corporeal Life Support (ECLS) and receiving enteral nutrition. Associations between mortality and (i) calorie intake and (ii) protein intake were examined using Chi-Square statistics. Results: Conforming to the ESPEN guidelines, 45% of patients were malnourished, and 21% were over-nourished in kilocalories. Additionally, 61% were malnourished, and 16% were over-nourished in protein. The distribution between the groups of survivors and deceased relative to each of the groups well nourished, malnourished, and over-nourished was not statistically different (p = 0.21). The protein distribution among survivors and deceased groups was not statistically different (p = 0.67) regarding correct, insufficient, or excessive protein intake. Conclusions: Based on ESPEN guidelines, most ICU patients were inadequately nourished in kilocalories and protein. However, no significant survival differences were observed across groups with varying nutritional adequacy. Further research is recommended to explore the implications of nutritional interventions in critically ill patients.",

keywords = "voeding, energieverbruik, prote{\"i}nen inname, pati{\"e}ntgerichte uitkomsten, nutrition, energy expenditure, protein intake, patient outcomes",

author = "Wolter Paans and Willem Dieperink and Rix Groenboom and Talko Dijkhuis and Hildegard Franke",

year = "2025",

month = jan,

day = "20",

language = "English",

volume = "8",

journal = "International Journal of Nursing and Health Care Research",

issn = "2688-9501",

publisher = "Gavin Publishers",

number = "1",

}

TY - JOUR

T1 - Exploring Whether Ventilated ICU Patients Were in Optimal Nutritional Status Regarding Energy and Protein Requirements

AU - Paans, Wolter

AU - Dieperink, Willem

AU - Groenboom, Rix

AU - Dijkhuis, Talko

AU - Franke, Hildegard

PY - 2025/1/20

Y1 - 2025/1/20

N2 - Under- and overfeeding in Intensive Care Units (ICUs) are linked to prolonged hospitalisation, increased morbidity, and elevated mortality. This study investigates whether ICU patients were optimally nourished according to the European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines. Methods: A cohort of 158 COVID-19 patients requiring intensive care for severe respiratory failure, necessitating a nuanced approach to nutritional support, was analysed. Nutritional status was determined regarding kilocalories and protein using the Energy Expenditure derived from ventilator-measured VCO2 and the adjusted Weir equation, and data on intake through enteral feeding was used. The study included ventilated patients hospitalised for over five days without Extra Corporeal Life Support (ECLS) and receiving enteral nutrition. Associations between mortality and (i) calorie intake and (ii) protein intake were examined using Chi-Square statistics. Results: Conforming to the ESPEN guidelines, 45% of patients were malnourished, and 21% were over-nourished in kilocalories. Additionally, 61% were malnourished, and 16% were over-nourished in protein. The distribution between the groups of survivors and deceased relative to each of the groups well nourished, malnourished, and over-nourished was not statistically different (p = 0.21). The protein distribution among survivors and deceased groups was not statistically different (p = 0.67) regarding correct, insufficient, or excessive protein intake. Conclusions: Based on ESPEN guidelines, most ICU patients were inadequately nourished in kilocalories and protein. However, no significant survival differences were observed across groups with varying nutritional adequacy. Further research is recommended to explore the implications of nutritional interventions in critically ill patients.

AB - Under- and overfeeding in Intensive Care Units (ICUs) are linked to prolonged hospitalisation, increased morbidity, and elevated mortality. This study investigates whether ICU patients were optimally nourished according to the European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines. Methods: A cohort of 158 COVID-19 patients requiring intensive care for severe respiratory failure, necessitating a nuanced approach to nutritional support, was analysed. Nutritional status was determined regarding kilocalories and protein using the Energy Expenditure derived from ventilator-measured VCO2 and the adjusted Weir equation, and data on intake through enteral feeding was used. The study included ventilated patients hospitalised for over five days without Extra Corporeal Life Support (ECLS) and receiving enteral nutrition. Associations between mortality and (i) calorie intake and (ii) protein intake were examined using Chi-Square statistics. Results: Conforming to the ESPEN guidelines, 45% of patients were malnourished, and 21% were over-nourished in kilocalories. Additionally, 61% were malnourished, and 16% were over-nourished in protein. The distribution between the groups of survivors and deceased relative to each of the groups well nourished, malnourished, and over-nourished was not statistically different (p = 0.21). The protein distribution among survivors and deceased groups was not statistically different (p = 0.67) regarding correct, insufficient, or excessive protein intake. Conclusions: Based on ESPEN guidelines, most ICU patients were inadequately nourished in kilocalories and protein. However, no significant survival differences were observed across groups with varying nutritional adequacy. Further research is recommended to explore the implications of nutritional interventions in critically ill patients.

KW - voeding

KW - energieverbruik

KW - proteïnen inname

KW - patiëntgerichte uitkomsten

KW - nutrition

KW - energy expenditure

KW - protein intake

KW - patient outcomes

M3 - Article

SN - 2688-9501

VL - 8

JO - International Journal of Nursing and Health Care Research

JF - International Journal of Nursing and Health Care Research

IS - 1

ER -

Exploring Whether Ventilated ICU Patients Were in Optimal Nutritional Status Regarding Energy and Protein Requirements

Samenvatting

Keywords

Toegang tot document

Vingerafdruk

Citeer dit