Please use this identifier to cite or link to this item: https://repository.monashhealth.org/monashhealthjspui/handle/1/29127
Title: Measured Energy Expenditure Compared With Best-Practice Recommendations for Obese, Critically Ill Patients-A Prospective Observational Study.
Authors: Udy A.;Ridley E.J.;Tierney A.;King S.;Ainslie E.;Nyulasi I.;Scheinkestel C.
Institution: (Ridley, Tierney, King, Ainslie, Nyulasi) Nutrition Department, The Alfred Hospital, Melbourne, Australia (Ridley, Udy) School of Public Health and Preventative Medicine, Monash University, Melbourne, VIC, Australia (Tierney, King) Department of Dietetics, Nutrition, and Sport, LaTrobe University, Bundoora, Australia (Tierney) School of Allied Health, University of Limerick, Limerick, Ireland (Udy) Department of Intensive Care Medicine, The Alfred Hospital, Melbourne, VIC, Australia (Scheinkestel) Monash Health, Clayton, VIC, Australia
Issue Date: 1-Oct-2020
Copyright year: 2020
Publisher: John Wiley and Sons Inc (E-mail: info@wiley.com)
Place of publication: United States
Publication information: Journal of Parenteral and Enteral Nutrition. 44 (6) (pp 1144-1149), 2020. Date of Publication: 01 Aug 2020.
Journal: Journal of Parenteral and Enteral Nutrition
Abstract: Background: This study aimed to compare recommendations in the American Society for Parenteral and Enteral Nutrition (ASPEN) Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient with measured energy expenditure in obese, critically ill adults. Method(s): After enrollment, measured energy expenditure was attempted at baseline and twice weekly to extubation or day 14. Data are reported as median [interquartile range]. Result(s): Twenty patients were included. The median baseline and subsequent measured energy expenditures were 2438 [1807-2703] kcal and 2919 [2318-3362] kcal, respectively. Baseline measured energy expenditures were -491 [-788 to -323] kcal lower than subsequent measurements, and week 1 measurements were lower than those of week 2. The median bias between the guideline recommendation of 11-14 kcal/kg of actual body weight and measured expenditure at baseline was -950 [-1254 to -595] kcal/d and -1618 [-1820 to -866] kcal/d at subsequent measurements. Conclusion(s): Clinically significant variation was observed between measured expenditure and guideline recommendations at all time points.Copyright © 2020 American Society for Parenteral and Enteral Nutrition
DOI: http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1002/jpen.1791
PubMed URL: 32030772 [http://www.ncbi.nlm.nih.gov/pubmed/?term=32030772]
ISSN: 0148-6071
URI: https://repository.monashhealth.org/monashhealthjspui/handle/1/29127
Type: Article
Type of Clinical Study or Trial: Observational study (cohort, case-control, cross sectional or survey)
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