Do we need an assessment of the nutrition risk in the critically ill patient?
- PMID: 22236982
- PMCID: PMC3396220
- DOI: 10.1186/cc10572
Do we need an assessment of the nutrition risk in the critically ill patient?
Abstract
The description of a new score of nutrition risk in critically ill patients in the previous issue of Critical Care is very appropriate and timely. However, the use of this score will probably not help the clinician to improve the prescription of nutrition therapy, especially when major uncertainties are raised about the definition of adequate nutrition. The validation of the score will require the use of outcome variables susceptible to influence by nutrition, such as surrogate markers of muscle function. Meanwhile the educational value of a score of nutrition risk is undisputed in settings where the use of scores is incorporated into the usual practice.
Comment on
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Identifying critically ill patients who benefit the most from nutrition therapy: the development and initial validation of a novel risk assessment tool.Crit Care. 2011;15(6):R268. doi: 10.1186/cc10546. Epub 2011 Nov 15. Crit Care. 2011. PMID: 22085763 Free PMC article.
References
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- Casaer MP, Mesotten D, Hermans G, Wouters PJ, Schetz M, Meyfroidt G, Van Cromphaut S, Ingels C, Meersseman P, Muller J, Vlasselaers D, Debaveye Y, Desmet L, Dubois J, Van Assche A, Vanderheyden S, Wilmer A, Van den Berghe G. Early versus late parenteral nutrition in critically ill adults. N Engl J Med. 2011;365:506–517. doi: 10.1056/NEJMoa1102662. - DOI - PubMed
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