Article: article from journal or magazin.
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Combination of enteral and parenteral nutrition in intensive care patients: A new concept of optimization
Nutrition Clinique et Métabolisme
Publication type : Review
Undernutrition is a widespread problem in intensive care unit and is associated with a worse clinical outcome. A state of negative energy balance increases stress catabolism and is associated with increased morbidity and mortality in ICU patients. Undernutrition-related increased morbidity is correlated with an increase in the length of hospital stay and health care costs. Enteral nutrition is the recommended feeding route in critically ill patients, but it is often insufficient to cover the nutritional needs. The initiation of supplemental parenteral nutrition, when enteral nutrition is insufficient, could optimize the nutritional therapy by preventing the onset of early energy deficiency, and thus, could allow to reduce morbidity, length of stay and costs, shorten recovery period and, finally, improve quality of life. (C) 2009 Elsevier Masson SAS. All rights reserved.
Undernutrition, Protein-energy deficit, Enteral nutrition, Supplemental parenteral nutrition, Intensive care unit, Critically-Ill Patients, Mechanically Ventilated Patients, Clinical-Practice Guidelines, Hospitalized-Patients, Adult Patients, Surgical Patients, Economic-Impact, Trauma Patients, Energy-Balance, Support
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