Monitoring and parenteral administration of micronutrients, phosphate and magnesium in critically ill patients: The VITA-TRACE survey.

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State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_6E655CB1BA83
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Monitoring and parenteral administration of micronutrients, phosphate and magnesium in critically ill patients: The VITA-TRACE survey.
Journal
Clinical nutrition
Author(s)
Vankrunkelsven W., Gunst J., Amrein K., Bear D.E., Berger M.M., Christopher K.B., Fuhrmann V., Hiesmayr M., Ichai C., Jakob S.M., Lasocki S., Montejo J.C., Oudemans-van Straeten H.M., Preiser J.C., Blaser A.R., Rousseau A.F., Singer P., Starkopf J., van Zanten A.R., Weber-Carstens S., Wernerman J., Wilmer A., Casaer M.P.
ISSN
1532-1983 (Electronic)
ISSN-L
0261-5614
Publication state
Published
Issued date
02/2021
Peer-reviewed
Oui
Volume
40
Number
2
Pages
590-599
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Despite the presumed importance of preventing and treating micronutrient and mineral deficiencies, it is still not clear how to optimize measurement and administration in critically ill patients. In order to design future comparative trials aimed at optimizing micronutrient and mineral management, an important first step is to gain insight in the current practice of micronutrient, phosphate and magnesium monitoring and administration.
Within the metabolism-endocrinology-nutrition (MEN) section of the European Society of Intensive Care Medicine (ESICM), the micronutrient working group designed a survey addressing current practice in parenteral micronutrient and mineral administration and monitoring. Invitations were sent by the ESICM research department to all ESICM members and past members.
Three hundred thirty-four respondents completed the survey, predominantly consisting of physicians (321 [96.1%]) and participants working in Europe (262 [78.4%]). Eighty-one (24.3%) respondents reported to monitor micronutrient deficiencies through clinical signs and/or laboratory abnormalities, and 148 (44.3%) reportedly measure blood micronutrient concentrations on a routine basis. Two hundred ninety-two (87.4%) participants provided specific data on parenteral micronutrient supplementation, of whom 150 (51.4%) reported early administration of combined multivitamin and trace element preparations at least in selected patients. Among specific parenteral micronutrient preparations, thiamine (146 [50.0%]) was reported to be the most frequently administered micronutrient, followed by vitamin B complex (104 [35.6%]) and folic acid (86 [29.5%]). One hundred twenty (35.9%) and 113 (33.8%) participants reported to perform daily measurements of phosphate and magnesium, respectively, whereas 173 (59.2%) and 185 (63.4%) reported to routinely supplement these minerals parenterally.
The survey revealed a wide variation in current practices of micronutrient, phosphate and magnesium measurement and parenteral administration, suggesting a risk of insufficient prevention, diagnosis and treatment of deficiencies. These results provide the context for future comparative studies, and identify areas for knowledge translation and recommendations.
Keywords
Adolescent, Adult, Child, Critical Care/methods, Critical Illness/therapy, Deficiency Diseases/diagnosis, Dietary Supplements, Female, Humans, Magnesium/analysis, Magnesium Deficiency/diagnosis, Male, Malnutrition/diagnosis, Micronutrients/analysis, Micronutrients/deficiency, Middle Aged, Nutrition Assessment, Nutritional Status, Parenteral Nutrition/methods, Phosphates/analysis, Phosphates/deficiency, Practice Patterns, Physicians', Surveys and Questionnaires, Young Adult, Critical illness, Magnesium, Micronutrients, Nutrition, Phosphate, Refeeding syndrome
Pubmed
Web of science
Open Access
Yes
Create date
08/07/2020 11:37
Last modification date
09/12/2023 7:12
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