Article
Nutrition & Dietetics
Erika Salciute-Simene, Raimundas Stasiunaitis, Eduardas Ambrasas, Jonas Tutkus, Ignas Milkevicius, Gintare Sostakaite, Andrius Klimasauskas, Gintautas Kekstas
Summary: The study shows that episodes of ENI in critically ill patients are frequent and prolonged, often leading to underfeeding. The proportion of underfeeding is higher on trial days with ENI, with lower caloric and protein intake.
CLINICAL NUTRITION
(2021)
Review
Nutrition & Dietetics
Aileen Hill, Gunnar Elke, Arved Weimann
Summary: Nutritional therapy for critically ill patients should be tailored to individual patients, focusing on the phase of critical illness, metabolic tolerance, leading symptoms, and comorbidities. Personalized and disease-specific nutritional therapy in the ICU requires an interdisciplinary approach and frequent reevaluation for optimal clinical outcomes.
Article
Nutrition & Dietetics
Pierre Singer, Annika Reintam Blaser, Mette M. Berger, Philip C. Calder, Michael Casaer, Michael Hiesmayr, Konstantin Mayer, Juan Carlos Montejo-Gonzalez, Claude Pichard, Jean -Charles Preiser, Wojciech Szczeklik, Arthur R. H. van Zanten, Stephan C. Bischoff
Summary: Following the new ESPEN Standard Operating Procedures, the previous 2019 guideline on medical nutrition therapy for critically ill patients has been shortened and partially revised. This publication proposes a practical guideline based on the published scientific guideline, but with shortened and illustrated flow charts. The main goal of this practical guideline is to increase understanding and facilitate implementation of Nutrition in the ICU guidelines, including all items discussed in the previous guidelines and special conditions.
CLINICAL NUTRITION
(2023)
Article
Nutrition & Dietetics
Julia Hilbrands, Mary Beth Feuling, Aniko Szabo, Bi Q. Teng, Nicole Fabus, Melissa Froh, Rebecca Heisler, Olivia Lampone, Amber Smith, Theresa A. Mikhailov, Praveen S. Goday
Summary: In pediatric intensive care units, malnutrition screening is crucial for critically ill children. The Children's Wisconsin Nutrition Screening Tool (CWNST) is a more sensitive tool compared to the Pediatric Nutrition Screening Tool (PNST) and can predict nutrition risk in PICU patients through electronic medical records.
Article
Nutrition & Dietetics
Matthew F. Mart, Timothy D. Girard, Jennifer L. Thompson, Hannah Whitten-Vile, Rameela Raman, Pratik P. Pandharipande, Daren K. Heyland, E. Wesley Ely, Nathan E. Brummel
Summary: Higher nutritional risk at ICU admission is associated with disability in survivors of critical illness, but the long-term follow-up did not show significant correlation. The mNUTRIC scores are related to discharge destination and disability in basic ADLs but not consistently associated with cognition and health-related quality of life.
CLINICAL NUTRITION
(2021)
Article
Nutrition & Dietetics
Amanda A. Rupert, David S. Seres, Jianhua Li, Adam S. Faye, Zhezhen Jin, Daniel E. Freedberg
Summary: The study found that delayed enteral nutrition (EN) ordering in ICU patients was associated with factors such as the use of vasopressors and orders placed by physicians. Delayed EN ordering was linked to shorter ICU-free days, longer ICU admissions, and longer hospitalizations.
AMERICAN JOURNAL OF CLINICAL NUTRITION
(2021)
Article
Pediatrics
Mylene Jouancastay, Camille Guillot, Francois Machuron, Alain Duhamel, Jean-Benoit Baudelet, Stephane Leteurtre, Morgan Recher
Summary: This study compared the applicability of French (2014) and American (2017) pediatric guidelines in a PICU setting. It found that hemodynamic failure was a risk factor for non-application of both guidelines. Additionally, the study suggested that the American 2017 guidelines, which utilize predictive Schofield equations, may be more useful and applicable than the higher recommendations of the 2014 guidelines. Further multicenter studies to validate pediatric guidelines are deemed necessary.
FRONTIERS IN PEDIATRICS
(2021)
Article
Nutrition & Dietetics
Jenna N. Amon, Oana A. Tatucu-Babet, Carol L. Hodgson, Ibolya Nyulasi, Eldho Paul, Suzannah Jackson, Andrew A. Udy, Emma J. Ridley
Summary: This study aimed to describe the nutrition processes of care from ICU admission to discharge from inpatient rehabilitation. The findings showed that the length of stay in rehabilitation was longer than in the ICU or acute wards, but patients in rehabilitation were assessed the least by a dietitian and the time to assessment was the longest. Nutrition impacting symptoms were common during the rehabilitation period, indicating a need for further investigation of nutrition interventions in critical illness beyond acute care settings.
Review
Nutrition & Dietetics
John K. DiBaise, James S. Scolapio
Summary: This article highlights the importance of home parenteral and enteral nutrition in clinical nutrition and the development of these therapies to support patients. It emphasizes the need for healthcare providers to understand all aspects of HPEN in order to provide safe, effective, and cost-effective support to patients.
Article
Nutrition & Dietetics
Monica M. van Nieuwkoop, Dharmanand Ramnarain, Sjaak Pouwels
Summary: This study aimed to investigate the causes, frequency, and periods of enteral nutrition interruption (ENI) in the ICU. The study found that unplanned ENIs were most common in the first 3 days of ICU admission, with diagnostic reasons being the main cause. Approximately 25% of patients failed to meet their calculated caloric and protein requirements during the first 4 days of admission.
Article
Gastroenterology & Hepatology
Arsheen Zeeshan, Qurat ul Ain Nairn, Muhammad Jawwad, Amna Afzal Saeed, Qalab Abbas, Anwar ul Hague
Summary: The intervention of a nutrition support team (NST) helped achieve early target caloric intake and reduce the length of hospital stay in mechanically ventilated children in pediatric intensive care unit (PICU).
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
(2022)
Review
Critical Care Medicine
Paul E. Wischmeyer, Danielle E. Bear, Mette M. Berger, Elisabeth De Waele, Jan Gunst, Stephen A. Mcclave, Carla M. Prado, Zudin Puthucheary, Emma J. Ridley, Greet Van den Berghe, Arthur R. H. van Zanten
Summary: Personalization of ICU nutrition is important for the future of critical care. Guidelines recommend low-dose enteral or parenteral nutrition within 48 hours of admission, with consideration for alternative routes when necessary. Indirect calorimetry should be used to measure energy expenditure, and protein delivery should be adjusted based on patient stability. Micronutrient evaluation and muscle monitoring are also important considerations in post-ICU nutrition. Further research is needed on specialized anabolic nutrients and rehabilitation interventions for post-ICU recovery.
Article
Nutrition & Dietetics
Lalin Rungsattatharm, Lalida Kongkiattikul, Rujipat Samransamruajkit, Sirinuch Chomtho
Summary: A study evaluated the impact of a nutrition support guideline on the nutritional management of patients in a pediatric intensive care unit. The implementation of the guideline significantly improved the achievement of energy and protein delivery goals, with a shorter time to reach these goals.
CLINICAL NUTRITION ESPEN
(2022)
Article
Nutrition & Dietetics
Juan Carlos Lopez-Delgado, Teodoro Grau-Carmona, Javier Trujillano-Cabello, Carlos Garcia-Fuentes, Esther Mor-Marco, Maria Luisa Bordeje-Laguna, Esther Portugal-Rodriguez, Carol Lorencio-Cardenas, Paula Vera-Artazcoz, Laura Macaya-Redin, Juan Francisco Martinez-Carmona, Lidon Mateu-Campos, Maria Gero-Escapa, Rosa Gastaldo-Simeon, Belen Vila-Garcia, Jose Luis Flordelis-Lasierra, Juan Carlos Montejo-Gonzalez, Lluis Servia-Goixart
Summary: This study found that the use of immunonutrition formulas during ICU stay may be associated with improved outcomes. Patients who received immunonutrition formulas had higher caloric and protein intake, as well as better survival rates. Furthermore, the use of immunonutrition was also related to lower need for vasopressor support and continuous renal replacement therapies.
Review
Biochemistry & Molecular Biology
Felix Klawitter, Johannes Ehler, Rika Bajorat, Robert Patejdl
Summary: Mitochondria play a crucial role in providing energy and participating in metabolism and signaling processes. However, mitochondrial dysfunction in critical illness can lead to organ failure and muscle wasting. This review aims to discuss the molecular mechanisms underlying mitochondrial dysfunction in intensive care unit-acquired weakness and critical illness myopathy, and its implications for muscle function and potential therapeutic approaches.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Letter
Nutrition & Dietetics
Bruce R. Bistrian, Kris M. Mogensen, Kenneth B. Christopher
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
(2020)
Article
Endocrinology & Metabolism
Andrew B. Stergachis, Kris M. Mogensen, Charbel C. Khoury, Alexander P. Lin, Roy W. A. Peake, Joshua J. Baker, Ebrahim Barkoudah, Inderneel Sahai, David A. Sweetser, Gerard T. Berry, Joel B. Krier
JOURNAL OF INHERITED METABOLIC DISEASE
(2020)
Review
Nutrition & Dietetics
Jeffrey I. Mechanick, Salvatore Carbone, Roland N. Dickerson, Beverly J. D. Hernandez, Ryan T. Hurt, Sharon Y. Irving, Ding-You Li, Mary S. McCarthy, Kris M. Mogensen, Juan B. Ochoa Gautier, Jayshil J. Patel, T. Elaine Prewitt, Martin Rosenthal, Malissa Warren, Marion F. Winkler, Liam McKeever
Summary: The purpose of this scoping review by ASPEN's Nutrition Task Force was to examine nutrition research relevant to the COVID-19 pandemic and identify critical areas for urgent research, particularly utilizing RCT design, to enhance nutrition care for patients before, during, and after COVID-19.
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
(2021)
Letter
Primary Health Care
David C. Evans, Ainsley Malone, Ruba Abdelhadi, Kim Sabino, Kris M. Mogensen, Peggi Guenter
PHYSICIAN AND SPORTSMEDICINE
(2022)
Article
Nutrition & Dietetics
Mandy L. Corrigan, Elizabeth Bobo, Christina Rollins, Kris M. Mogensen
Summary: Nutrition support is a crucial therapy that aims to meet the nutrition requirements of individuals who cannot meet their needs through oral intake alone. Registered dietitian nutritionists play an integral role in providing information and setting professional standards to ensure competent practice in nutrition support. The Standards of Practice and Standards of Professional Performance help RDNs assess their practice and identify areas for improvement in various settings.
NUTRITION IN CLINICAL PRACTICE
(2021)
Article
Nutrition & Dietetics
Jan Powers, Britta Brown, Beth Lyman, Arlene A. Escuro, Lorraine Linford, Kim Gorsuch, Kris M. Mogensen, Jessica Engelbrecht, Amanda Chaney, Carol McGinnis, Beth A. Quatrara, Jennifer Leonard, Peggi Guenter
Summary: The placement of nasogastric/nasoenteric (NG/NE) feeding tubes is associated with risks and can lead to significant patient harm if not done properly. It is crucial to maintain and document training and competency for clinicians placing these tubes, regardless of the technique used. This paper provides an overview and update on placement and verification techniques to assist practitioners in making informed clinical decisions.
NUTRITION IN CLINICAL PRACTICE
(2021)
Article
Nutrition & Dietetics
Hassan S. Dashti, Meghna Godbole, Angela Chen, Kris M. Mogensen, Aaron Leong, David L. Burns, Marion F. Winkler, Richa Saxena, Charlene Compher
Summary: This study investigated the sleep patterns of patients receiving home parenteral nutrition (HPN) treatment. The results showed that most patients experienced disrupted sleep, primarily due to difficulty maintaining sleep. Although the extent to which HPN contributed to poor sleep was unclear, addressing factors that contribute to sleep disturbances and considering sleep interventions may improve the quality of life for HPN-dependent patients.
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
(2022)
Review
Nutrition & Dietetics
Ainsley Malone, Kris M. Mogensen
Summary: Nutrition assessment is a tool used to describe nutrition status-related problems and their causes, including malnutrition. Four malnutrition diagnostic tools are currently used in adults, with significant overlap between them. The goal is to identify a core data set to evaluate global malnutrition prevalence and assess the impact of nutrition interventions on outcomes.
NUTRITION IN CLINICAL PRACTICE
(2022)
Article
Nutrition & Dietetics
Mandy L. Corrigan, Elizabeth Bobo, Christina Rollins, Kris M. Mogensen
Summary: Nutrition support is a therapy that aims to meet the nutritional needs of individuals who cannot meet them solely through oral intake, with registered dietitian nutritionists playing a crucial role in providing necessary information and determining the type of nutrition support therapy needed. The Standards of Practice and Standards of Professional Performance for RDNs working in nutrition support have been updated to ensure competent practice and professional development in various settings.
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
(2021)
Letter
Critical Care Medicine
Gail A. M. Cresci, Ryan Hurt, Todd W. Rice, Kris Mogensen, George Ayers, Kathleen Gura, Cindy Hamilton, Gil Hardy, Ajay Jain, Diana Mager, M. Molly McMahon, Pat Worthington, Wanda Johnson
CRITICAL CARE MEDICINE
(2022)
Article
Nutrition & Dietetics
Hassan S. Dashti, Jordan J. Rhyner, Kris M. Mogensen, Meghna Godbole, Richa Saxena, Charlene Compher, Marion F. Winkler
Summary: This study investigated the timing of infusions and sleep habits of patients receiving home parenteral nutrition (HPN) and home enteral nutrition (HEN), and found that most patients receive overnight infusions while they are asleep. This may result in sleep and circadian disruption.
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
(2023)
Article
Nutrition & Dietetics
Peggi Guenter, Allison Blackmer, Ainsley Malone, Wendy Phillips, Kris M. Mogensen, Patricia Becker
Summary: This survey evaluated the application of nutrition assessment in patients with acute or chronic illnesses, and identified the lack of standardization in current practices. Parameters such as nutrient intake and weight were widely used in the assessment of both adult and pediatric patients. The survey found that malnutrition rates were 32%-40% in adults and 4%-30% in pediatric patients. Most patients received nutrition interventions, but 30% did not receive appropriate interventions.
NUTRITION IN CLINICAL PRACTICE
(2023)
Article
Nutrition & Dietetics
Tina Bharani, Kris M. Mogensen, Jordan H. Rosen, Kathleen M. Gura, Malcolm K. Robinson
Summary: This article describes a case where tyrosine was co-administered with a monoamine oxidase inhibitor (MAOI) in parenteral nutrition (PN). The patient tolerated the combined therapy without any side effects, suggesting that they can be safely used together. However, further study is needed to confirm these findings in more patients.
EUROPEAN JOURNAL OF CLINICAL NUTRITION
(2023)
Article
Nutrition & Dietetics
David C. Evans, Mark R. Corkins, Ainsley Malone, Sarah Miller, Kris M. Mogensen, Peggi Guenter, Gordon L. Jensen
Summary: Serum albumin and prealbumin are not reliable markers for nutrition assessment as they mainly reflect inflammation in the body instead of nutritional status or protein-energy malnutrition. Inflammation in critical or chronic illnesses leads to a redistribution of serum proteins and lower concentrations of albumin and prealbumin, making them better indicators of patient risk for adverse outcomes.
NUTRITION IN CLINICAL PRACTICE
(2021)
Meeting Abstract
Endocrinology & Metabolism
Andrew B. Stergachis, Kris M. Mogensen, Charbel Khoury, Alexander Lin, Inderneel Sahai, David A. Sweetser, Gerard Berry, Joel Krier
MOLECULAR GENETICS AND METABOLISM
(2019)
