The Calorie Requirement Conundrum

نویسنده

  • Joe Krenitsky
چکیده

Severe overfeeding of critically ill patients results in increased complications without clinical benefits. However, the optimal timing and amount of nutrition to feed critically ill adults has not been established. There are multiple prediction equations for estimating calorie expenditure of critically ill patients, but most studies comparing the accuracy of different prediction equations are inadequate. There is a wide day to day variability of the energy expenditure of critically ill patients, which means that a single indirect calorimetry study does not reflect average calorie expenditure more accurately than prediction equations in the first weeks of critical illness. Although guidelines often promote more complex means of estimating calorie expenditure, critically ill patients receive variable and often incomplete amounts of nutrition that mitigates any possible difference in the accuracy between the smorgasbord of calorie prediction equations.

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تاریخ انتشار 2014