Macronutrient intake is different across Europe: Results of a Belgian cohort of critically ill adults

IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE Journal of critical care Pub Date : 2025-01-31 DOI:10.1016/j.jcrc.2025.155030

Karolien Dams , Denis Glorieux , Eric Gilbert , Nicolas Serck , Xavier Wittebole , Patrick Druwé , Marc Simon , Elisabeth De Waele , Jean-Charles Preiser

{"title":"Macronutrient intake is different across Europe: Results of a Belgian cohort of critically ill adults","authors":"Karolien Dams , Denis Glorieux , Eric Gilbert , Nicolas Serck , Xavier Wittebole , Patrick Druwé , Marc Simon , Elisabeth De Waele , Jean-Charles Preiser","doi":"10.1016/j.jcrc.2025.155030","DOIUrl":null,"url":null,"abstract":"<div><h3>Background & Aims</h3><div>Medical nutrition therapy (MNT) is fundamental for ICU patients. This post-hoc subgroup analysis of the prospective observational EuroPN survey aimed to assess MNT in the participating Belgian ICUs.</div></div><div><h3>Methods</h3><div>MNT practices in 9 Belgian ICUs (148 patients) were compared to 77 ICUs (1172 patients) from 11 European countries during the first 15 days for patients staying ≥5 days in ICU - and with the 2019 ESPEN guideline on clinical nutrition in ICU (<70 % of estimated energy expenditure in week 1 and up to 1.3 g/kg/d protein). Additionally, overfeeding was evaluated in the Belgian cohort.</div></div><div><h3>Results</h3><div>The Belgian cohort had longer median ICU and hospital length of stay, higher emergency room admission rates and delayed MNT initiation compared to overall (EN: day 2.5 [2.0;4.0] vs 2.0 [2.0;4.0] and PN: day 5.0 [3.0,7.0] vs 2.0 [2.0,4.0]). They received more often EN than PN. In week 1 overfeeding was on average present in 30 % (energy) and 15 % (protein) of observation days.</div></div><div><h3>Conclusion</h3><div>Similar to overall, the Belgian subgroup received a daily average moderate caloric and low protein intake. The gradual intake increase aligned with ESPEN guidelines, though temporary overfeeding occurred in about one third of the patients.</div></div>","PeriodicalId":15451,"journal":{"name":"Journal of critical care","volume":"87 ","pages":"Article 155030"},"PeriodicalIF":2.9000,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of critical care","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0883944125000176","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Background & Aims

Medical nutrition therapy (MNT) is fundamental for ICU patients. This post-hoc subgroup analysis of the prospective observational EuroPN survey aimed to assess MNT in the participating Belgian ICUs.

Methods

MNT practices in 9 Belgian ICUs (148 patients) were compared to 77 ICUs (1172 patients) from 11 European countries during the first 15 days for patients staying ≥5 days in ICU - and with the 2019 ESPEN guideline on clinical nutrition in ICU (<70 % of estimated energy expenditure in week 1 and up to 1.3 g/kg/d protein). Additionally, overfeeding was evaluated in the Belgian cohort.

Results

The Belgian cohort had longer median ICU and hospital length of stay, higher emergency room admission rates and delayed MNT initiation compared to overall (EN: day 2.5 [2.0;4.0] vs 2.0 [2.0;4.0] and PN: day 5.0 [3.0,7.0] vs 2.0 [2.0,4.0]). They received more often EN than PN. In week 1 overfeeding was on average present in 30 % (energy) and 15 % (protein) of observation days.

Conclusion

Similar to overall, the Belgian subgroup received a daily average moderate caloric and low protein intake. The gradual intake increase aligned with ESPEN guidelines, though temporary overfeeding occurred in about one third of the patients.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

欧洲各地的常量营养素摄入量不同：比利时一组危重成人的结果。

背景与目的：医学营养治疗（MNT）是ICU患者治疗的基础。这项前瞻性观察性EuroPN调查的事后亚组分析旨在评估参与调查的比利时icu的MNT。方法:MNT实践9比利时ICU(148例)比较来自11个欧洲国家的77名ICU(1172名患者)在第一次15天在ICU患者保持≥5天,与2019年埃斯准则在ICU临床营养学(结果:比利时队列中间ICU和医院住院时间较长,急诊入院率和延迟MNT启动相比,整体(EN: 2.5天(2.0,4.0)和2.0(2.0,4.0)和PN: 2.0天5.0[3.0,7.0]和[2.0,4.0])。他们接受的EN多于PN。在第1周的观察天数中，平均有30%（能量）和15%（蛋白质）出现过饲现象。结论：与总体情况相似，比利时亚组每天平均摄入中等热量和低蛋白质。逐渐增加的摄入量与ESPEN指南一致，尽管大约三分之一的患者出现了暂时的过量进食。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Journal of critical care 医学-危重病医学

CiteScore

8.60

自引率

2.70%

发文量

237

审稿时长

23 days

期刊介绍： The Journal of Critical Care, the official publication of the World Federation of Societies of Intensive and Critical Care Medicine (WFSICCM), is a leading international, peer-reviewed journal providing original research, review articles, tutorials, and invited articles for physicians and allied health professionals involved in treating the critically ill. The Journal aims to improve patient care by furthering understanding of health systems research and its integration into clinical practice. The Journal will include articles which discuss: All aspects of health services research in critical care System based practice in anesthesiology, perioperative and critical care medicine The interface between anesthesiology, critical care medicine and pain Integrating intraoperative management in preparation for postoperative critical care management and recovery Optimizing patient management, i.e., exploring the interface between evidence-based principles or clinical insight into management and care of complex patients The team approach in the OR and ICU System-based research Medical ethics Technology in medicine Seminars discussing current, state of the art, and sometimes controversial topics in anesthesiology, critical care medicine, and professional education Residency Education.