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Nutritional gap after transfer from the intensive care unit to a general ward - A retrospective quality assurance study.
- Source :
-
Australian critical care : official journal of the Confederation of Australian Critical Care Nurses [Aust Crit Care] 2024 Aug 22. Date of Electronic Publication: 2024 Aug 22. - Publication Year :
- 2024
- Publisher :
- Ahead of Print
-
Abstract
- Background: Adequate nutrition is important for recovery after critical illness. Even so, our knowledge of patients' nutritional intake after intensive care unit (ICU) discharge is scarce.<br />Objectives: We aimed to explore nutritional planning and achieved nutritional intake in ICU patients who transfer from the ICU to general wards.<br />Methods: A retrospective quality assurance study.<br />Inclusion Criteria: adult ICU patients transferring to a general ward at Copenhagen University Hospital-Herlev from May to August 2021. Primary outcomes were as follows: having a nutritional plan on the day of ICU transfer. A nutritional plan was defined as follows: (i) individual assessment of energy and protein requirement; (ii) intake, documented as achieved percentage of energy and protein requirements; (iii) prescribed type of nutrition. If using enteral or parenteral nutrition; (iv) the prescribed doses; and (v) the prescribed product. Secondary outcomes were as follows: achieved percentage of energy and protein requirements from day -1 before ICU transfer until day +1 and day +3 after ICU transfer.<br />Results: We included 57 patients; the mean age was 64 years (±11.1); 43 (75%) patients were male; the median ICU stay was 6 days (interquartile range: 3-11). One (2%) patient had a full nutritional plan according to listed criteria. Patients' median percentage of requirements met declined significantly from the day before to the day after ICU discharge (energy: from 94% to 30.5%; p = 0.0051; protein: from 73% to 27.5%; p = 0.0117). The decline in percentage of requirements met remained unchanged from day 1 to 3 after ICU transfer.<br />Conclusions: In conclusion, few patients had a nutritional plan when transferring from the ICU to a general ward. After ICU discharge, percentage of energy and protein requirements met declined significantly and remained insufficient during the first 3 days at the general ward.<br /> (Copyright © 2024 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1036-7314
- Database :
- MEDLINE
- Journal :
- Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
- Publication Type :
- Academic Journal
- Accession number :
- 39179489
- Full Text :
- https://doi.org/10.1016/j.aucc.2024.07.083