Critical Care 2016 20:6
Chapple L
Background: Critical illness following head injury is associated with a hypermetabolic state but there are insufficient epidemiological data describing acute nutrition delivery to this group of patients. Furthermore, there is little information describing relationships between nutrition and clinical outcomes in this population. Methods: We undertook an analysis of observational data, collected prospectively as part of International Nutrition Surveys 2007-2013, and extracted data obtained from critically ill patients with head trauma. Our objective was to describe global nutrition support practices in the first 12 days of hospital admission after head trauma, and to explore relationships between energy and protein intake and clinical outcomes. Data are presented as mean (SD), median (IQR), or percentages. Results: Data for 1045 patients from 341 ICUs were analyzed. The age of patients was 44.5 (19.7) years, 78 % were male, and median ICU length of stay was 13.1 (IQR 7.9-21.6) days. Most patients (94 %) were enterally fed but received only 58 % of estimated energy and 53 % of estimated protein requirements. Patients from an ICU with a feeding protocol had greater energy and protein intakes (p <0 .001="" 0.002="" 0.42-0.99="" 0.65="" 95="" a="" alive.="" alive="" all="" and="" are="" associated="" both="" ci="" commonplace="" conclusion:="" critically="" deficit="" deficits="" delay="" discharge="" energy="" from="" greater="" head-injured="" hospital="" however="" icu="" ill="" in="" intakes="" likely="" longer="" more="" mortality.="" not="" nutritional="" o:p="" or="" p="" patients="" protein="" respectively="" survive="" than="" these="" those="" times="" to="" until="" was="" were="" with="" without.="">
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