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Nutrition Therapy in Critically Ill Patients Following Cardiac Surgery: Defining and Improving Practice by Adam Rahman; Ravi Agarwala; Claudio Martin; Dave Nagpal; Michael Teitelbaum; Daren K. Heyland is a Medicine article available to read on EtoBox.

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## Background: Malnutrition is a predictor of poor outcome following cardiac surgery. we define nutrition therapy after cardiac surgery to identify opportunities for improvement. ## Methods: International prospective studies in 2007-2009, 2011, and 2013 were combined. sites provided institutional and patient characteristics from intensive care unit (icu) admission to icu discharge for a maximum of 12 days. patients had valvular, coronary artery bypass graft (cabg) surgery, or combined procedures and were mechanically ventilated and staying in the icu for ≥3 days. ## Results: There were 787 patients from 144 icus. in total, 120 patients (15.2%) had valvular surgery, 145 patients (18.4%) had cabg, and 522 patients (66.3%) underwent a combined procedure. overall, 60.1% of patients received artificial nutrition support. for these patients, 78% received enteral nutrition (en) alone, 17% received a combination of en and parenteral nutrition (pn), and 5% received pn alone. the remaining 314 patients (40%) received no nutrition. the mean (sd) time from icu admission to en initiation was 2.3 (1.8) days. the adequacy of calories was 32.4% ± 31.9% from en and pn and 25.5% ± 27.9% for patients

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Author

Adam Rahman; Ravi Agarwala; Claudio Martin; Dave Nagpal; Michael Teitelbaum; Daren K. Heyland

Publisher

Wiley

Published

2016

Language

EN

Field

Medicine (Health Sciences)