This is a survey which will be performed on a specific day (the "Screening Day") in Latin American ICUs. In eligible patients who receive enteral or parenteral nutrition a retrospective calculation of the "caloric deficit" will be performed. The caloric deficit is the difference between energy target of each patient and actually administered calories.
The Screening Day Latin America is a non-interventional, cross-sectional and retrospective study. The study focusses on patients receiving enteral (tube feeding, EN) and/or parenteral nutrition (PN). All patients hospitalized on the defined Screening Day in participating ICUs will be checked for eligibility. In eligible patients the patient charts will be reviewed and the following parameters will be documented: * Caloric deficit (daily target energy - actually administered energy via EN and PN). The caloric deficit will be calculated for 1 to up to 5 days before the Screening Day. The analysis will be done for each day and for the complete documentation period up to 5 days. Primary focus will be the caloric deficit on Day -1. * Nutritional status of the patient based on information from the patient charts. For this, three tools will be applied independently: Subjective Global Assessment (SGA), NUTRIC Score, ESPEN diagnosis of malnutrition The study will be performed in 8 Latin American countries. Data will be recorded anonymously in an electronic case report form. The study data of this explorative study will be analyzed using descriptive statistical methods.
Study Type
OBSERVATIONAL
Enrollment
1,162
Caloric deficit on the day before the Screening Day
The caloric deficit on the day before the Screening Day will be derived by subtracting the provided calories from EN, PN and additional sources of caloric intake (e.g., dextrose-containing solutions, propofol emulsion) from the defined caloric target. Equation: Caloric Deficit = Target Calories - Given Calories If a caloric target is not provided/defined it will be assumed to be: * 20 kcal/kg/day actual body weight for the first 6 days after ICU admission * 25 kcal/kg/day actual body weight after day 6 of ICU admission period
Time frame: On the day before the Screening Day (day -1)
Cumulative caloric deficit on days -1 to -5 before the screening day
The cumulative caloric deficit is the sum of the caloric deficit on day -1 + caloric deficit on Day -2 + caloric deficit on Day -3 + caloric deficit on Day -4 + caloric deficit on Day -5, depending on the number of days on the ICU
Time frame: Days -1 to -5
Nutritional status of the patient
The nutritional status is assessed by using three different tools independently: The Subjective Global Assessment (SGA), the NUTRIC Score, and the ESPEN diagnosis of malnutrition
Time frame: The Screening Day (Day 0) and the day of admission to the Intensive Care Unit (ICU)
Current use of enteral and parenteral nutrition
The type and volume of administered enteral and parenteral nutrition will be recorded.
Time frame: At Screening Day
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Fumeba
Bahía Blanca, Buenos Aires, Argentina
Hospital Penna
Bahía Blanca, Buenos Aires, Argentina
UAI
Buenos Aires, Buenos Aires, Argentina
Hospital Británico
Caba, Buenos Aires, Argentina
Hospital Carrillo
Ciudadela, Buenos Aires, Argentina
Hospital Fernandez
Caba, Buenos Aires F.D., Argentina
Sanatorio San Jose
Caba, Buenos Aires F.D., Argentina
Sanatorio Colegiales
Caba, Buenos Aires F.D., Argentina
Hospital Raul Ferreyra
Córdoba, Córdoba Province, Argentina
Sanatorio Allende
Córdoba, Córdoba Province, Argentina
...and 111 more locations