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Critical Care Nutrition

Our experience production: In a preceding article the state of Nutritional support (NS) in an Intensive Care Unit (ICU) was documented [Martinuzzi A et al. Estado del soporte nutricional en una unidad de Cuidados críticos. RNC 2011; 20: 5-17]. In this follow-up work we set to assess the impact of several organizational, recording and educational interventions upon the current state of NS processes. Materials and methods: Interventions comprised presentation of the results of the audit conducted at the ICU for both the institution’s medical and paramedical personnel; their publication in a periodical, peer reviewed journal; drafting and implementation of a protocol regulating NS schemes to be carried out at the ICU; and conduction of continuous educational activities on Nutrition (such as “experts talks”, interactive courses, and training in the implementation of the NS protocol). The state of NS processes documented after the interventions was compared with the results annotated in the preceding article. Study observation window ran between March 1st, 2011 and May 31th, 2011, both included. Mortality was (numerically) lower in patients in which the prescribed NS scheme was fulfilled, NS was early initiated, and those who received = 80% of prescribed energy. Educational, recording and organizational interventions might result in a better conduction of NS processes, and thus, in a lower mortality. Hemodynamic instability is still the most formidable obstacle for initiating and completing NS. "Impact of quality improvement process upon the state of nutritional support in a critical care unit". Martinuzzi A, Impact of educational, recording and organizational interventions regarding critical care nutritional support
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Last date updated on June, 2014

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