Nutrition risk screening in the ICU.

Curr Opin Clin Nutr Metab Care

Clinical Nutrition Unit, Copenhagen University Hospital, Rigshospitalet, Denmark.

Published: March 2019

Purpose Of Review: To review recent studies that may help to identify patients in the ICU who benefit from nutrition support.

Recent Findings: One recent controlled trial did not show any clinical benefit of nutrition support among a sample of ICU patients who were hitherto believed to benefit from nutrition support. Several recent observational studies suggest benefit of nutrition support among patients who have a high nutric score, in itself derived from an observational study.

Summary: Regrettably, the decision about nutrition support in ICU patients still depends on physiological reasoning: a high degree of inflammation/stress metabolism, which will last for a considerable time, especially among those who are fragile (already malnourished, elderly, those with chronic diseases and/or other comorbidities).

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http://dx.doi.org/10.1097/MCO.0000000000000551DOI Listing

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