- Poster presentation
- Open access
- Published:
Impact of cumulative calorie and protein deficits in critically ill patients
Critical Care volume 15, Article number: P382 (2011)
Introduction
This study aims to assess the outcome of cumulative protein and calorie deficits in critically ill patients.
Methods
A prospective observational study conducted in a mixed medical-surgical ICU in a tertiary care hospital in India. Patients receiving nutritional support for 2 days were included. Requirements of calories and protein were fixed as per the ASPEN guidelines. Calorie and protein deficits were calculated daily by subtraction of delivered from prescribed calories and protein in each patient. This deficit (<80% of prescribed were given to the patient) was correlated with outcome and complications.
Results
A total of 768 patients of age 61 (SD ± 17.67) were analyzed, of which 66.54% were male. In total, 530 (69%) were calorie deficient and 696 (90%) were protein deficient during the whole ICU stay. The correlation coefficient of ICU length of stay (LOS) was -0.443 and -0.465, and of days on mechanical ventilation of alive patients was -0.338 and -0.392 for calorie and protein deficit, respectively (P < 0.001). Infectious complications were also significantly correlated (-0.346 for calorie deficit, -0.298 for proteins, P < 0.001). The mean calorie deficit of the patients discharged alive from the ICU was -2,135.62 ± 1,918.63, which was less compared with patients who expired (-2,564.44 ± 2,173.45 (P = 0.027)). This was also seen in hospital outcome. The mean calorie deficit of patients discharged from hospital was -2,039.36 ± 1,888.82, which was less than the patients who expired after discharge from the ICU (-2,603.99 ± 2,126.53 (P = 0.002)). See Tables 1 and 2.
Conclusions
The cumulative nutrient deficits (calorie and protein) were correlated with increasing number of complications in critically ill patients.
Author information
Authors and Affiliations
Rights and permissions
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
About this article
Cite this article
Dey, R., Bhattacharyya, M. & Todi, S. Impact of cumulative calorie and protein deficits in critically ill patients. Crit Care 15 (Suppl 1), P382 (2011). https://doi.org/10.1186/cc9802
Published:
DOI: https://doi.org/10.1186/cc9802