Recommended and actual calorie intake of intensive care unit patients in a private tertiary care hospital in the Philippines

This study compared the computed nutrient requirements of geriatric patients under critical care with their actual intake within the first 3 d after admission to the intensive care unit (ICU) and determined the percentage of patients who achieved adequate intake. Fifty-eight geriatric patients who w...

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Bibliographic Details
Published in:	Nutrition (Burbank, Los Angeles County, Calif.) Vol. 22; no. 4; pp. 345 - 349
Main Authors:	Umali, Maria Nenita, Llido, Luisito O., Francisco, Eliza Mei P., Sioson, Marianna S., Gutierrez, Edmon C., Navarrette, Edelina G., Encarnacion, Michael John
Format:	Journal Article
Language:	English
Published:	New York, NY Elsevier Inc 01-04-2006 Elsevier Elsevier Limited
Subjects:	Actual calorie intake Aged Aged, 80 and over Biological and medical sciences Body Mass Index chronic diseases clinical nutrition Critical Care - standards Dietary Carbohydrates - administration & dosage Dietary Fats - administration & dosage Dietary Proteins - administration & dosage dietary recommendations elderly elderly nutrition Energy Intake energy requirements Enteral nutrition Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Geriatric Geriatric Assessment hospital diet Hospitals Humans Intensive care unit Intensive Care Units kwashiorkor Male Middle Aged Nutrient requirements Nutrition Nutrition Assessment nutritional adequacy Nutritional Requirements Nutritional support Nutritional Support - methods Parenteral nutrition patient care patients Philippines Prospective Studies Recommended calorie intake total parenteral nutrition tube feeding Vertebrates: anatomy and physiology, studies on body, several organs or systems Weight control Philippines Body mass index Enteral nutrition Geriatric Nutritional support Parenteral nutrition Actual calorie intake Intensive care unit Recommended calorie intake Calorie Human Care Enteral administration Parenteral administration Vertebrata Mammalia Hospital Food supplement Geriatrics
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Summary:	This study compared the computed nutrient requirements of geriatric patients under critical care with their actual intake within the first 3 d after admission to the intensive care unit (ICU) and determined the percentage of patients who achieved adequate intake. Fifty-eight geriatric patients who were admitted to the ICU from September to December 2002 were prospectively enrolled. Recommended and actual calorie intakes per patient were recorded and mean amount of carbohydrate, protein, and fat consumed were calculated. Student’s t test was used to compare actual with recommended nutrient intakes. Actual in relation to recommended nutrient intake was inadequate (41.5% on day 1 to 71.7% on day 3 for calories and 21.1% on day 1 to 24.3% on day 3 for protein, P < 0.001). Carbohydrate intake was low (falling from 61.9% on day 1 to 39.8% on day 3, P < 0.001) and fat intake was also low (increasing from 29.4% to 37.9% on day 3, P < 0.001). The percentage of patients who achieved adequate intake was 51.2% on day 1 and increased to 73.2% on day 3. The intake of geriatric patients in the ICU is low, with differences in actual and recommended intakes. Delivering what is recommended is still a goal to be realized in the ICU setting.
Bibliography:	http://dx.doi.org/10.1016/j.nut.2005.09.002 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0899-9007 1873-1244
DOI:	10.1016/j.nut.2005.09.002