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Adequacy of Protein and Energy Intake in Critically Ill Adults Following Liberation From Mechanical Ventilation Is Dependent on Route of Nutrition Delivery

dc.contributor.authorMoisey, Lesley
dc.contributor.authorPikul, Jill
dc.contributor.authorKeller, Heather
dc.contributor.authorYeung, Chi Yan Emily
dc.contributor.authorRahman, Adam
dc.contributor.authorHeyland, Daren
dc.contributor.authorMourtzakis, Marina
dc.date.accessioned2023-06-19T16:07:19Z
dc.date.available2023-06-19T16:07:19Z
dc.date.issued2021-02-13
dc.descriptionThis is the peer reviewed version of the following article: Moisey, L. L., Pikul, J., Keller, H., Yeung, C. Y., Rahman, A., Heyland, D. K., & Mourtzakis, M. (2020). Adequacy of protein and energy intake in critically ill adults following liberation from mechanical ventilation is dependent on route of Nutrition Delivery. Nutrition in Clinical Practice, 36(1), 201–212, which has been published in final form at https://doi.org/10.1002/ncp.10558. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.en
dc.description.abstractBackground: Studies examining nutrition intake of critically ill patients following liberation from mechanical ventilation (LMV) are scarce. The objectives of this prospective, observational feasibility study were to quantify and assess protein and energy intake in hospitalized, critically ill patients following LMV, to determine barriers to optimal intake, and to report on the feasibility of recruiting and retaining patients into this study. Methods: Adult patients requiring MV for >72 hours in a medical/surgical intensive care unit (ICU) were recruited. Protein and energy intakes were quantified up to 14 days following LMV. Patients also identified barriers to eating. Results: Nineteen patients (mean age, 60 years [SD, 12 years]) were studied over 125 days. Over all study days, the median amounts of protein and energy consumed in comparison with amounts prescribed by dietitians were 46% (interquartile range [IQR], 26-100) and 71% (IQR, 38-100), respectively. When stratified by route of nutrition delivery, on days (n = 54) when patients consumed an oral diet as the sole nutrition source, median amounts of protein and energy consumed in comparison with those prescribed were only 27% (IQR, 15-41) and 47% (IQR, 29-66), respectively. The most frequently reported barriers to eating were poor appetite, early satiety, and taste changes. Conclusions: Protein and calorie intake is below prescribed amounts for patients whose enteral nutrition is discontinued and an oral diet prescribed as sole nutrition source following LMV. Acceptable strategies to enhance nutrition intake in post-ICU patients during the recovery stages of critical illness are needed.en
dc.description.sponsorshipThis research was funded by a research grant from the Canadian Foundation for Dietetic Research. L.L. Moisey was supported by a Canadian Institutes for Health Research Doctoral Research Award.en
dc.identifier.urihttps://doi.org/10.1002/ncp.10558
dc.identifier.urihttp://hdl.handle.net/10012/19565
dc.language.isoenen
dc.publisherWileyen
dc.relation.ispartofseriesNutrition in Clinical Practice;
dc.subjectcritical careen
dc.subjectdietary assessmenten
dc.subjectenteral nutritionen
dc.subjectnutrition assessmenten
dc.subjectnutrition intakeen
dc.subjectnutrition rehabilitationen
dc.titleAdequacy of Protein and Energy Intake in Critically Ill Adults Following Liberation From Mechanical Ventilation Is Dependent on Route of Nutrition Deliveryen
dc.typeArticleen
dcterms.bibliographicCitationMoisey, L. L., Pikul, J., Keller, H., Yeung, C. Y., Rahman, A., Heyland, D. K., & Mourtzakis, M. (2020). Adequacy of protein and energy intake in critically ill adults following liberation from mechanical ventilation is dependent on route of Nutrition Delivery. Nutrition in Clinical Practice, 36(1), 201–212. https://doi.org/10.1002/ncp.10558en
uws.contributor.affiliation1Faculty of Healthen
uws.contributor.affiliation2Kinesiology and Health Sciencesen
uws.peerReviewStatusRevieweden
uws.scholarLevelFacultyen
uws.typeOfResourceTexten

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