Ward-based nutrition care practices and a snapshot of patient care: Results from nutritionDay in the ICU

Joshua Pearcy; Ekta Agarwal; Elizabeth Isenring; Ananya Somani; Charlene Wright; Bhuvaneshwari Shankar

doi:10.1016/j.clnesp.2020.10.022

Ward-based nutrition care practices and a snapshot of patient care: Results from nutritionDay in the ICU

Joshua Pearcy^*
, Ekta Agarwal
, Elizabeth Isenring
, Ananya Somani
, Charlene Wright
, Bhuvaneshwari Shankar

^*Corresponding author for this work

Research output: Contribution to journal › Article › Research › peer-review

4 Citations (Scopus)

Abstract

Background:

Poor adherence to intensive care unit (ICU) guidelines is common, leading to suboptimal nutritional care. This study determined current ward-based nutrition care practices in the Indian ICU setting, comparing them to international best-practice guidelines and provided patient demographic, clinical and nutritional information to serve as baseline data for future benchmarking.

Methods:

This multi-site cross-sectional retrospective study analysed data collected from nutritionDay worldwide audits (2012–2016) across ICUs from a chain of urban private hospitals in India. Additional guideline-specific data were collected through questionnaires and phone interviews with the Head of Dietetics Departments in the participating hospitals.

Results:

Overall, 10 ICUs and 457 participants were included. It was common practice to use modified versions of the Mini Nutritional Assessment-Short Form (MNA-SF) and Subjective Global Assessment (SGA) for nutrition screening and assessment. Nearly half the participants (n = 222, 49%) received nutrition orally. A majority of the remaining participants received enteral nutrition (n = 163, 36%) or no nutrition (n = 60, 13%) at the time of data collection. The calories prescribed for most participants were between 1500 and 1999 kilocalories per day (n = 207, 45%), with no nutrition planned for 115 (25%) participants. Three-quarters (n = 129, 74%) of participants on EN received the planned calories, while 24% (n = 42) were given less than planned.

Conclusion:

Overall, most participants received the calories planned for enteral nutrition. The use of modified screening and assessment tools and suboptimal delivery of EN remains a global problem for critical care, possibly requiring a more pragmatic approach to nutritional therapy.

Original language	English
Pages (from-to)	340-345
Number of pages	6
Journal	Clinical Nutrition ESPEN
Volume	41
Early online date	17 Nov 2020
DOIs	https://doi.org/10.1016/j.clnesp.2020.10.022
Publication status	Published - Feb 2021

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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10.1016/j.clnesp.2020.10.022

Cite this

@article{859afb8b838443359e4d0e9e1b418b80,

title = "Ward-based nutrition care practices and a snapshot of patient care: Results from nutritionDay in the ICU",

abstract = "Background: Poor adherence to intensive care unit (ICU) guidelines is common, leading to suboptimal nutritional care. This study determined current ward-based nutrition care practices in the Indian ICU setting, comparing them to international best-practice guidelines and provided patient demographic, clinical and nutritional information to serve as baseline data for future benchmarking. Methods: This multi-site cross-sectional retrospective study analysed data collected from nutritionDay worldwide audits (2012–2016) across ICUs from a chain of urban private hospitals in India. Additional guideline-specific data were collected through questionnaires and phone interviews with the Head of Dietetics Departments in the participating hospitals. Results: Overall, 10 ICUs and 457 participants were included. It was common practice to use modified versions of the Mini Nutritional Assessment-Short Form (MNA-SF) and Subjective Global Assessment (SGA) for nutrition screening and assessment. Nearly half the participants (n = 222, 49\%) received nutrition orally. A majority of the remaining participants received enteral nutrition (n = 163, 36\%) or no nutrition (n = 60, 13\%) at the time of data collection. The calories prescribed for most participants were between 1500 and 1999 kilocalories per day (n = 207, 45\%), with no nutrition planned for 115 (25\%) participants. Three-quarters (n = 129, 74\%) of participants on EN received the planned calories, while 24\% (n = 42) were given less than planned. Conclusion:Overall, most participants received the calories planned for enteral nutrition. The use of modified screening and assessment tools and suboptimal delivery of EN remains a global problem for critical care, possibly requiring a more pragmatic approach to nutritional therapy.",

author = "Joshua Pearcy and Ekta Agarwal and Elizabeth Isenring and Ananya Somani and Charlene Wright and Bhuvaneshwari Shankar",

note = "Funding Information: The author and research group would like to acknowledge (1) The participating ICUs from the chain of private hospitals in India; (2) Ramya S, Daphnee D K, Rekha D, Priyanka R and Sunita S for their role in data collection; and (3) Professor Andrea Marshall for peer reviewing the manuscript. Publisher Copyright: {\textcopyright} 2020 European Society for Clinical Nutrition and Metabolism Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

year = "2021",

month = feb,

doi = "10.1016/j.clnesp.2020.10.022",

language = "English",

volume = "41",

pages = "340--345",

journal = "Clinical Nutrition ESPEN",

issn = "2405-4577",

publisher = "Elsevier",

}

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T1 - Ward-based nutrition care practices and a snapshot of patient care: Results from nutritionDay in the ICU

AU - Pearcy, Joshua

AU - Agarwal, Ekta

AU - Isenring, Elizabeth

AU - Somani, Ananya

AU - Wright, Charlene

AU - Shankar, Bhuvaneshwari

N1 - Funding Information: The author and research group would like to acknowledge (1) The participating ICUs from the chain of private hospitals in India; (2) Ramya S, Daphnee D K, Rekha D, Priyanka R and Sunita S for their role in data collection; and (3) Professor Andrea Marshall for peer reviewing the manuscript. Publisher Copyright: © 2020 European Society for Clinical Nutrition and Metabolism Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/2

Y1 - 2021/2

N2 - Background: Poor adherence to intensive care unit (ICU) guidelines is common, leading to suboptimal nutritional care. This study determined current ward-based nutrition care practices in the Indian ICU setting, comparing them to international best-practice guidelines and provided patient demographic, clinical and nutritional information to serve as baseline data for future benchmarking. Methods: This multi-site cross-sectional retrospective study analysed data collected from nutritionDay worldwide audits (2012–2016) across ICUs from a chain of urban private hospitals in India. Additional guideline-specific data were collected through questionnaires and phone interviews with the Head of Dietetics Departments in the participating hospitals. Results: Overall, 10 ICUs and 457 participants were included. It was common practice to use modified versions of the Mini Nutritional Assessment-Short Form (MNA-SF) and Subjective Global Assessment (SGA) for nutrition screening and assessment. Nearly half the participants (n = 222, 49%) received nutrition orally. A majority of the remaining participants received enteral nutrition (n = 163, 36%) or no nutrition (n = 60, 13%) at the time of data collection. The calories prescribed for most participants were between 1500 and 1999 kilocalories per day (n = 207, 45%), with no nutrition planned for 115 (25%) participants. Three-quarters (n = 129, 74%) of participants on EN received the planned calories, while 24% (n = 42) were given less than planned. Conclusion:Overall, most participants received the calories planned for enteral nutrition. The use of modified screening and assessment tools and suboptimal delivery of EN remains a global problem for critical care, possibly requiring a more pragmatic approach to nutritional therapy.

AB - Background: Poor adherence to intensive care unit (ICU) guidelines is common, leading to suboptimal nutritional care. This study determined current ward-based nutrition care practices in the Indian ICU setting, comparing them to international best-practice guidelines and provided patient demographic, clinical and nutritional information to serve as baseline data for future benchmarking. Methods: This multi-site cross-sectional retrospective study analysed data collected from nutritionDay worldwide audits (2012–2016) across ICUs from a chain of urban private hospitals in India. Additional guideline-specific data were collected through questionnaires and phone interviews with the Head of Dietetics Departments in the participating hospitals. Results: Overall, 10 ICUs and 457 participants were included. It was common practice to use modified versions of the Mini Nutritional Assessment-Short Form (MNA-SF) and Subjective Global Assessment (SGA) for nutrition screening and assessment. Nearly half the participants (n = 222, 49%) received nutrition orally. A majority of the remaining participants received enteral nutrition (n = 163, 36%) or no nutrition (n = 60, 13%) at the time of data collection. The calories prescribed for most participants were between 1500 and 1999 kilocalories per day (n = 207, 45%), with no nutrition planned for 115 (25%) participants. Three-quarters (n = 129, 74%) of participants on EN received the planned calories, while 24% (n = 42) were given less than planned. Conclusion:Overall, most participants received the calories planned for enteral nutrition. The use of modified screening and assessment tools and suboptimal delivery of EN remains a global problem for critical care, possibly requiring a more pragmatic approach to nutritional therapy.

UR - https://www.scopus.com/pages/publications/85096561168

U2 - 10.1016/j.clnesp.2020.10.022

DO - 10.1016/j.clnesp.2020.10.022

M3 - Article

C2 - 33487287

AN - SCOPUS:85096561168

SN - 2405-4577

VL - 41

SP - 340

EP - 345

JO - Clinical Nutrition ESPEN

JF - Clinical Nutrition ESPEN

ER -

Ward-based nutrition care practices and a snapshot of patient care: Results from nutritionDay in the ICU

Abstract

UN SDGs

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Research by Master of Nutrition and Dietetic Practice Students

Ageing Nutrition: Research Across the Care Continuum

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Ward-based nutrition care practices and a snapshot of patient care: Results from nutritionDay in the ICU

Abstract

UN SDGs

Access to Document

Other files and links

Fingerprint

Related Projects

Research by Master of Nutrition and Dietetic Practice Students

Ageing Nutrition: Research Across the Care Continuum

Cite this