What is the best nutritional support for critically ill patients?
What is the best nutritional support for critically ill patients?
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DOI：
10.3978/j.issn.2304-3881.2014.08.03
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发表时间：
2014-08-01
影响因子：
8
通讯作者：
Bistrian, Bruce R
中科院分区：
文献类型：
--
作者：
Hoffer, L John;Bistrian, Bruce R
危重疾病的最佳营养支持仍然存在争议。最近对 ICU 营养干预措施的审查得出的结论是，其中很少有改善临床结果的措施。我们认为，这些试验的一个严重缺陷是它们关注卡路里，远远低于当前蛋白质供应的建议。如果我们要提高 ICU 营养支持的质量，迫切需要精心设计的临床试验来确保足够的蛋白质供应。
Optimum nutritional support in critical illness remains controversial. A recent review of nutritional interventions in the ICU concluded that few of them improved clinical outcomes. In our view, it is a serious shortcoming of these trials that they focused on calories, falling far short of current recommendations for protein provision. Well designed clinical trials that ensure sufficient protein provision are urgently needed if we are to improve the quality of nutritional support in the ICU.