None listed
Conditions
Brief summary
Enteral nutrition (EN), delivered via a tube into the stomach, provided to critically ill patients is largely inadequate, resulting in muscle wasting and reduced physical function in the long-term. Numerous factors are known to influence nutrition delivery in the intensive care unit (ICU) such as interruptions for procedures, delayed initiation of feeding regimes, under or over prescription, and feed intolerance due to delayed gastric emptying. Further, recent evidence raises doubt as to the benefit of early vs delayed initiation of enteral nutrition and the delivery of calories to full prescribed target early in critical illness. Therefore, an exploration of whether there has been a change in nutrition delivery over time to reflect recommendations, and whether potential barriers to nutrition adequacy are as prevalent now as in the past, is required.
Interventions
The nutritional prescription and delivery practices of critically ill patients admitted to ICU at the RAH will be reviewed. Nutritional data will be collected for patients admitted to ICU during 2005-2006 and 2018-2019.
Sponsors
Royal Adelaide Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Cohort 1: Trauma without head injury • Admitted to RAH ICU from February 2005 to December 2006 • Aged >=18 years old • Received enteral nutrition • No head injury defined as: I. ICD-10 codes S10-S99 and T00-T98 ICD-10 codes S10-S99 (Injuries to neck, thorax, abdomen, lower back, lumbar spine, pelvis, shoulder, upper arm, elbow and forearm, wrist and hand, hip and thigh, knee and lower leg, ankle and foot) and T00-T98 (multiple body regions, unspecified trunk, limb or body region, effects of foreign body entering through natural orifice, burns and corrosion's, frostbite, poisoning, toxic effects, unspecified from external causes, early complications from trauma, complications of surgery and medical care, sequelae of injuries) II. Absence of alterations in brain function or pathology Trauma with head injury • Admitted to RAH ICU from February 2005 to December 2006 • Aged >=18 years old • Received enteral nutrition • Head injury defined as I. ICD-10 codes S00-S09 (as above) II. Any alteration in brain function or pathology Cohort 2: Trauma without head injury • Admitted to RAH ICU from September 2018 onwards • Aged >=18 years old • Receiving enteral nutrition • No head injury defined as: I. ICD-10 codes S10-S99 and T00-T98 (as above) II. Absence of alterations in brain function or pathology Trauma with head injury • Admitted to RAH ICU from September 2018 onwards • Aged >=18 years old • Receiving enteral nutrition • Head injury defined as I. ICD-10 codes S00-S09 (as above) II. Any alteration in brain function or pathology
Exclusion criteria
Not applicable
Outcome results
None listed