This is a retrospective study of protein and energy intake in enterally fed critically ill adult patients before and after the introduction of a very high protein enteral nutrition formula in a single center medical/surgical ICU.
Study Type
OBSERVATIONAL
Enrollment
40
Hamilton Health Sciences
Hamilton, Ontario, Canada
Daily total protein intake
Daily total protein intake and percent prescribed protein needs met during first week of ICU admission.
Time frame: Daily up to 7 days of ICU stay
Daily caloric intake - Total Calories
Total calories aggregate from all sources
Time frame: Daily up to 7 days of ICU stay
Daily caloric intake - kcal/kg
Total volume consumed and weight will be used to measure kcal/kg
Time frame: Daily up to 7 days of ICU stay
Daily caloric intake from enteral nutrition
Daily caloric intake from enteral nutrition, and medications (i.e. Propofol)
Time frame: Daily up to 7 days of ICU stay
Percentage of prescribed calorie needs met
Percentage of prescribed calorie needs met
Time frame: Daily up to 7 days of ICU stay
Feeding interruptions
Feeding interruptions; and reason for interruption, if recorded in electronic medical record/nursing flow sheets
Time frame: Daily up to 7 days of ICU stay
Use of inotropes/vasopressors (highest daily dose prescribed)
Use of inotropes/vasopressors will be documented as a Yes/No.
Time frame: Daily up to 7 days of ICU stay
Feeding tolerance
Feeding tolerance as recorded by clinicians in electronic medical record/nursing flow sheets \[gastrointestinal side effects observed and documented: vomiting, elevated Gastric Residual Volumes (\>200 mL), aspiration, pneumonia, diarrhea (Bristol stool chart definition and ≥ 3 liquid stools/day)\]
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Time frame: Daily up to 7 days of ICU stay