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Comment
. 2014 May 7;18(3):140.
doi: 10.1186/cc13861.

The nutritional energy to clinical outcome relation revisited

Comment

The nutritional energy to clinical outcome relation revisited

Michael P Casaer. Crit Care. .

Abstract

In the previous issue of Critical Care, Dr Bellomo and colleagues reported an observational study of the relationship between nutritional intake and survival in the RENAL randomized controlled trial. In summary, the total energy intake in a very large and severely ill patient population was low. Higher average daily caloric energy intake was not associated with improved survival. The study illustrates the complexity of the interaction between disease and nutrition.

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Figures

Figure 1
Figure 1
Schematic conceptual graph depicting the energy to clinical outcome relationship as suggested by different observational analyses. For analyses, see [1,8-10,12]. EPaNIC, Impact of Early Parenteral Nutrition Completing Enteral Nutrition in Adult Critically Ill Patients; INS + PEP uP, International Nutrition Survey (INS) Enhanced Protein-Energy Provision via the Enteral Route in Critically Ill Patients (PEP uP); RENAL, Randomized Evaluation of Normal vs. Augmented Level of Replacement Therapy.

Comment on

References

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