Read by QxMD icon Read

Nutrition in Clinical Practice

Kursat Gundogan, Ismail Hakki Akbudak, Kadir Bulut, Sahin Temel, Murat Sungur, Muhammet Guven, Nisha J Dave, Daniel P Griffith, Thomas R Ziegler
BACKGROUND: The aim of the study was to determine serum thiamin concentrations in critically ill medical patients who required chronic diuretic drug treatment before admission to a medical intensive care unit (ICU). METHODS: This prospective study was performed in a medical ICU. Subjects who received diuretic drug therapy for at least 6 months prior to ICU admission constituted the diuretic group. The control group was clinically matched adults admitted to the same ICU but without a history of diuretic therapy...
January 15, 2019: Nutrition in Clinical Practice
Ivo Genev, Gardner Yost, Mary Gregory, Kayéromi Gomez, Patroklos Pappas, Antone Tatooles, Geetha Bhat
BACKGROUND: Left ventricular assist device (LVAD) implantation for advanced heart failure is known to improve survival, functional capacity, and quality of life. Most patients implanted with LVADs suffer from moderate to severe malnutrition and deconditioning due to their advanced disease. The Mini Nutritional Assessment (MNA) and the short form of the survey (MNA-SF) are 2 well-validated clinical tools, previously used to assess patient nutrition status in numerous conditions. Earlier work has demonstrated that low nutrition scores can independently predict mortality in the LVAD population...
January 15, 2019: Nutrition in Clinical Practice
Diana M Solomon, Elizabeth Zorzanello Emery, Haley L Kavelak, Laura Pontiggia, James M Hollands, Angela L Bingham
BACKGROUND: The American Society for Parenteral and Enteral Nutrition (ASPEN) parenteral nutrition (PN) safety consensus recommendations advise a comprehensive education program and competency assessment for all healthcare professionals involved in the care of patients receiving PN. The ASPEN-model papers provide guidance for designing PN competencies for prescribers, pharmacists, and pharmacy technicians. The purpose of this research was to evaluate the impact of a comprehensive educational program that aligns with the ASPEN model on PN competency, attitudes, and perceptions in a multidisciplinary healthcare professional audience...
January 15, 2019: Nutrition in Clinical Practice
Yi-Ping Song, Hong-Lin Chen
No abstract text is available yet for this article.
January 15, 2019: Nutrition in Clinical Practice
Sezin Unal, Nihal Demirel, Ahmet Yağmur Bas, İlter Arifoğlu, Sara Erol, Dilek Ulubas Isik
BACKGROUND: Preterm infants are scheduled to receive total feeding amount in either 3-hour or 2-hour intervals. A gavage feeding may be required if the scheduled amount is not completed orally. Feedings every 2 hours are one-third smaller than feedings every 3 hours. Thus, if the volume of each feed is reduced by decreasing the feeding interval from 3 to 2 hours, the likelihood that the infant completes each volume orally increases, and the probability of requiring gavage feeding decreases...
January 15, 2019: Nutrition in Clinical Practice
Lynn D Hiller, Lauri S Metzger
BACKGROUND: Identification of intensive care unit (ICU) patients who require nutrition intervention is crucial to initiating nutrition therapy. This prospective quality improvement study evaluated the Nutritional Risk Screening (NRS) 2002, Malnutrition Universal Screening Tool (MUST), and Nutrition Risk in Critically Ill (NUTRIC) score in comparison with the Veterans Administration Nutrition Status Classification (VANSC) tool to determine which best identified the need for nutrition intervention...
January 15, 2019: Nutrition in Clinical Practice
Bertha F Polegato, Amanda G Pereira, Paula S Azevedo, Nara A Costa, Leonardo A M Zornoff, Sergio A R Paiva, Marcos F Minicucci
Thiamin is a hydrosoluble vitamin that plays a role in several biological processes, mainly in glucose metabolism. There are several risk factors for developing thiamin deficiency, such as malnutrition, refeeding syndrome, gastrointestinal surgery, and alcoholism. Recently, the role of thiamin in critically ill patients has gained prominence, and the prevalence of thiamin deficiency was found to be increased in patients with severe burns, major surgery, septic shock, end-stage renal disease, and heart failure...
January 15, 2019: Nutrition in Clinical Practice
Evelina Liljeberg, Agneta Andersson, Karin Blom Malmberg, Margaretha Nydahl
BACKGROUND: This study aimed to assess adherence to oral nutrition supplements (ONS) among hospital outpatients and to assess patient characteristics, experiences of ONS, and the characteristics of ONS prescriptions in clinical practice. METHODS: Hospital outpatients aged ≥18 years and prescribed ONS by a dietitian at a Swedish hospital were referred to the study from September 2016 to February 2017. Data were collected from structured telephone interviews, medical records, and a register of ONS delivered...
January 15, 2019: Nutrition in Clinical Practice
Suna Selbuz, Ceyda Tuna Kırsaçlıoğlu, Zarife Kuloğlu, Mustafa Yılmaz, Nilay Penezoğlu, Ufuk Sayıcı, Cansu Altuntaş, Aydan Kansu
OBJECTIVES AND STUDY: Failure to thrive (FTT) is an interruption in the normal pattern of growth. We aimed to evaluate the clinical characteristics, underlying etiologies, diagnostic workup, and frequency of micronutrient deficiencies (MDs) in children with FTT. METHODS: This retrospective study was done with 729 children (319 male, mean age 6.8 ± 5.5 years) with FTT (weight for age <3rd percentile) who had visited xxx outpatient clinic between 2011 and 2016...
January 15, 2019: Nutrition in Clinical Practice
Tim L Kortlever, Sebastiaan Ten Bokkel Huinink, Marleen Offereins, Clarice Hebblethwaite, Leigh O'Brien, Julie Leeper, Chris J J Mulder, Jacqueline S Barrett, Richard B Gearry
BACKGROUND: The low fermentable oligosaccharide, disaccharide, monosaccharide, and polyol (FODMAP) diet is effectively manages irritable bowel syndrome (IBS) symptoms. Long-term low-FODMAP studies rarely report quality of life (QoL). We aimed to determine the effect of low-FODMAP diet on long-term QoL, gastrointestinal (GI) and non-GI symptoms in IBS patients. METHODS: A prospective observational study of IBS patients referred for low-FODMAP dietary advice was performed...
January 15, 2019: Nutrition in Clinical Practice
Emily Schwartz, Robert Hillyer, Jessica Foley, Kate Willcutts, Jane Ziegler
Acute kidney injury (AKI) is common among critically ill patients. There are a number of nutrition considerations in the management of AKI, including fluid balance, electrolyte and acid-base disturbances, protein provision, and management of comorbid conditions. The optimal amount of protein provision for patients with AKI who are not on renal replacement therapy (RRT) has been a topic of debate for years. Excessive protein provision may contribute to azotemia in these patients, but inadequate protein intake may harm nutrition status and result in poorer clinical outcomes...
December 26, 2018: Nutrition in Clinical Practice
Manpreet S Mundi, Jayshil J Patel, Robert Martindale
Malnutrition continues to be highly prevalent in hospitalized and critically ill patients and is associated with significant morbidity and mortality. Additionally, survivors of critical illness have an increased risk for sarcopenia, which leads to weakness and physical debilitation that can persist for years. Nutrition risk assessment tools have been developed and validated in critically ill patients but have limitations. Variables such as body weight, body mass index, weight change, or percentage of food intake can be difficult to obtain in critically ill patients and may be misleading given changes in body composition, such as an increase in body water...
December 26, 2018: Nutrition in Clinical Practice
Carol Marie McGinnis, Kimberly Homan, Meghan Solomon, Julia Taylor, Kimberly Staebell, Denise Erger, Namrata Raut
Dysphagia affects a multitude of people worldwide with tremendous impact on the affected individual, families, and caregivers. Understanding dysphagia, as well as the status of screening, evaluation, and treatment, aids in the knowledge required by a interprofessional team to holistically care for patients with dysphagia and their caregivers. The impact of dysphagia includes potential associated risk and a cascade of effects. Conversations regarding meeting nutrition and fluid needs with consideration for quality of life need to be integrated into the plan of care for individuals with dysphagia...
December 23, 2018: Nutrition in Clinical Practice
Kavita Sharma, Kris M Mogensen, Malcolm K Robinson
Critical illness is a hypercatabolic state. It has been hypothesized that timely and adequate nutrition support may optimize the host response and thereby minimize nutritionally related complications while improving overall outcome. Any illness in due course can lead to a malnourished state-critical illness can worsen this state as patients may become immunocompromised and unable to mount an adequate inflammatory response and therefore susceptible to poor outcomes. Data indicate that prevalence of malnutrition in the ICU ranges from 38% to 78% and is independently associated with poor outcomes...
December 23, 2018: Nutrition in Clinical Practice
Joop Jonckheer, Klaar Vergaelen, Herbert Spapen, Manu L N G Malbrain, Elisabeth De Waele
INTRODUCTION: Nutrition is an important part of treatment in critically ill children. Clinical guidelines for nutrition adaptations during continuous renal replacement therapy (CRRT) are lacking. We collected and evaluated current knowledge on this topic and provide recommendations. METHODS: Questions were produced to guide the literature search in the PubMed database. RESULTS: Evidence is scarce and extrapolation from adult data was often required...
December 20, 2018: Nutrition in Clinical Practice
Ronald L Koretz
Evidence-based medicine (EBM) has become a fixture in today's medical practice. Evidence consists of memorialized observations and should be contrasted with dogmatic pronouncements and/or hypotheses. Evidence has varying degrees of reliability. The randomized clinical trial (RCT) or a systematic review of RCTs is accorded the highest level of credibility and expert opinion the lowest. This ranking reflects the internal validity (degree to which factors in the study interfere with the gathering or interpretation of the observations) of the study design; more valid designs are more credible...
December 20, 2018: Nutrition in Clinical Practice
Berkeley N Limketkai, Steven Hendler, Peng-Sheng Ting, Alyssa M Parian
The gut microbiome has been implicated in a diversity of diseases, such as irritable bowel syndrome, inflammatory bowel disease, hepatic steatosis, metabolic syndrome, obesity, and anxiety. Current research also suggests the presence of a bidirectional relationship between the composition of the gut microbiome and critical illness. In the critical care setting, multiple factors (eg, use of antibiotics, aberrant nutrition, bloodstream infections, bowel ischemia, and abnormal bowel motility) strongly contribute to intestinal dysbiosis...
December 18, 2018: Nutrition in Clinical Practice
Samantha Honeywell, Rena Zelig, Diane Rigassio Radler
A fish oil (FO)-containing intravenous lipid emulsion (ILE; FO ILE) has been approved for use in the United States; however, similar formulations have been used throughout Europe and China in intensive care units since the 1990s. This literature review evaluates the evidence regarding the effectiveness of FO ILE on clinical outcomes in the critically ill surgical patient population. The review of available evidence demonstrates that ILEs containing FO lower triglyceride concentrations, inflammatory markers, and liver function enzymes, and improve morbidity and mortality outcomes in critically ill surgical patients...
December 5, 2018: Nutrition in Clinical Practice
Thais Regina Mezzomo, Isabella Ruckl Sampaio, Lize Stangarlin Fiori, Maria Eliana Madalozzo Schieferdecker
BACKGROUND: Recent studies have shown that commercial enteral formulas with low FODMAP (FO, fermentable oligosaccharides; D, disaccharides; M, monosaccharides; AP, and polyols) content decrease diarrhea of individuals receiving enteral nutrition therapy (ENT). There is no information, however, regarding the content of FODMAP in homemade enteral formula. The objective of this study was to assess energy and macronutrient content, and to quantify the amount of FODMAP content in homemade enteral formula, commonly prescribed for home use after hospital discharge...
December 5, 2018: Nutrition in Clinical Practice
Titilola M Afolabi, Kathleen A Fairman
BACKGROUND: To support families managing the complex requirements of home parenteral nutrition (HPN) in pediatric patients, health professionals need information about HPN indications and complications. Nationally representative information is limited. METHODS: A retrospective cohort analysis of the Truven Health Market Scan Commercial Claims and Encounters Database was performed and identified 683 patients aged ≤18 years receiving HPN during dates of service from January 2013 through September 2015...
December 3, 2018: Nutrition in Clinical Practice
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"