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Volume 3 Supplement 1

ESICM LIVES 2015

  • Poster presentation
  • Open Access

Protein content with parenteral nutrition in critical and hospitalized patients with continuous renal replacement therapies

  • 1,
  • 2,
  • 2,
  • 2,
  • 2 and
  • 2
Intensive Care Medicine Experimental20153 (Suppl 1) :A185

https://doi.org/10.1186/2197-425X-3-S1-A185

  • Published:

Keywords

  • Public Health
  • Protein Content
  • Replacement Therapy
  • Renal Replacement Therapy
  • Energy Input

Introduction

ESPEN Guidelines(2009) about parenteral nutrition in critically ill patients recommended protein content of 1,3-1,5 gr/kgr/d (0,208-0,24 gr N) and energy inputs of 20-25 kcal/kgr/d (80-95 kcal non protein /gN). Recent trials detected underline protein content in the most of critical patients and in special cases of CRRT.

Objectives

Protein content between 2010-2013 to verify trend to higher protein content and diminished non protein calories. In 2013 we compared the differences between protein content of critical ill patients and hospitalized patients and patients with CRRT.

Methods

We used a Data Base ( NUTRIDATA), registered in the pharmacy of our hospital (550 beds) by case and day. During 2010-2013 protein content and parenteral nutrition bags, gr, grN/kgr and Kcal non protein are registered. In the subgroup of CRRT we registered patients with parenteral nutrition, statistically significance about differences in protein content, we used test of student.

Results

Table 1

Number of cases, number of bags, protein content in bags, grN, grN/kgr and Kcal no prot/grN.

Year

2010

2013

N cases

411

365

N bags

5731

5882

Days/patients

14,2

16,6

GrN

14+_3,28

15,05+_4,23

% grN over 18

12,8

19,6

% grN/kgr over 0,26

15,9

21,3

Kcal no prot/grN

111,62+_22,23

101,82+_25,41

% Kcal no prot/grN

36,8

56,4

Table 2

Protein content parenteral nutrition in critically ill patients vs hospitalized patients. Influence of CRRT.

2013

Hospitalized

ICU

CRRT

Number of cases

251

168

53

Number of bags

2973

2178

1015

%GrN between 18-22 Over22

13,56+_3,13 4,4 0,8

15,87+_4,19 20,4 7,4

17,60+_4,28 33,8 13,5

Kcalnoprot/grN %Between 80-95 Over95

112,2+_20 14,5 82,6

97,3+_22,6 44,5 40,6

89,68+_18,4 44,7 27,8

GrN/Kgr % over 0,26

0,204+_0,052 15,6

0,205+_0,056 20,4

0,211+_0,056 22,8

Conclusions

Increased in protein content between 2010-2013 and diminished calories non proteics /grN. In our hospital we followed the ESPEN Guidelines with important differences in the groups of study and with statistically significant difference.

Authors’ Affiliations

(1)
Hospital Virgen de la Victoria, UCI, Malaga, Spain
(2)
Hospital Virgen de la Victoria, Malaga, Spain

Copyright

© Baez et al.; 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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