-
Curr Opin Clin Nutr Metab Care · Mar 2014
ReviewNutritional-risk scoring systems in the intensive care unit.
- Jens Kondrup.
- Clinical nutrition unit, Rigshospitalet University Hospital, Copenhagen, Denmark.
- Curr Opin Clin Nutr Metab Care. 2014 Mar 1; 17 (2): 177-82.
Purpose Of ReviewThere is a need to develop a screening tool to assist clinical staff in deciding whether or not a patient in the ICU should be given nutrition support. The purpose of this review is to analyze the recent randomized trials in this context.Recent FindingsFive trials describe the effect of early supplemental parenteral nutrition. Four of these trials suggested a positive effect on clinical outcome. The results, including lengths of stay in the ICU (range on average: 3-17 days) and lengths of mechanical ventilation (range on average: 2-11 days), are discussed within the nutritional and metabolic framework of patients in intensive care. The limitations of existing screening tools, Nutritional Risk Screening 2002 (NRS 2002) and Nutrition risk in the critically ill (NUTRIC score) are described, and it also appears that the APACHE II score is not useful for predicting a possible benefit of nutrition support.SummaryAs a tentative conclusion, it is recommended to provide adequate nutrition support to severely ill patients who are likely to stay in the ICU with mechanical ventilation for a week or more.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*
,_underline_
or**bold**
. - Superscript can be denoted by
<sup>text</sup>
and subscript<sub>text</sub>
. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3.
, hyphens-
or asterisks*
. - Links can be included with:
[my link to pubmed](http://pubmed.com)
- Images can be included with:
![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
- For footnotes use
[^1](This is a footnote.)
inline. - Or use an inline reference
[^1]
to refer to a longer footnote elseweher in the document[^1]: This is a long footnote.
.