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Permissive Underfeeding or Standard Enteral Feeding in High– and Low–Nutritional-Risk Critically Ill Adults. Post Hoc Analysis of the PermiT Trial
- Source :
- American Journal of Respiratory and Critical Care Medicine. 195:652-662
- Publication Year :
- 2017
- Publisher :
- American Thoracic Society, 2017.
-
Abstract
- Rationale: The optimal nutritional strategy for critically ill adults at high nutritional risk is unclear.Objectives: To examine the effect of permissive underfeeding with full protein intake compared with standard feeding on 90-day mortality in patients with different baseline nutritional risk.Methods: This is a post hoc analysis of the PermiT (Permissive Underfeeding versus Target Enteral Feeding in Adult Critically Ill Patients) trial.Measurements and Main Results: Nutritional risk was categorized by the modified Nutrition Risk in Critically Ill score, with high nutritional risk defined as a score of 5–9 and low nutritional risk as a score of 0–4. Additional analyses were performed by categorizing patients by body mass index, prealbumin, transferrin, phosphate, urinary urea nitrogen, and nitrogen balance. Based on the Nutrition Risk in Critically Ill score, 378 of 894 (42.3%) patients were categorized as high nutritional risk and 516 of 894 (57.7%) as low nutritional risk. There was no association betw...
- Subjects :
- 0301 basic medicine
Pulmonary and Respiratory Medicine
Nitrogen balance
medicine.medical_specialty
030109 nutrition & dietetics
business.industry
030208 emergency & critical care medicine
Critical Care and Intensive Care Medicine
Enteral administration
03 medical and health sciences
0302 clinical medicine
Parenteral nutrition
Permissive underfeeding
Intensive care
Post-hoc analysis
medicine
Intensive care medicine
business
Nutritional risk
Body mass index
Subjects
Details
- ISSN :
- 15354970 and 1073449X
- Volume :
- 195
- Database :
- OpenAIRE
- Journal :
- American Journal of Respiratory and Critical Care Medicine
- Accession number :
- edsair.doi...........52a297b7d754b31c06879d5ca0053bc4