Nutritional Assessment - August 2015

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Cochrane Reviews

ALKHAWAJA, S., MARTIN, C., BUTLER, R.J. and GWADRY-SRIDHAR, F., 2015. Post-pyloric versus gastric tube feeding for preventing pneumonia and improving nutritional outcomes in critically ill adults. The Cochrane database of systematic reviews, 8
Nutritional support is an essential component of critical care. Malnutrition has been associated with poor outcomes among patients in intensive care units (ICUs). Evidence suggests that in patients with a functional gut, nutrition should be administered through the enteral route. One of the main concerns regarding use of the enteral route is the reduction in gastric motility that is often responsible for limited caloric intake. This increases the risk of aspiration pneumonia as well. Post-pyloric feeding, in which the feed is delivered directly into the duodenum or the jejunum, could solve these issues and provide additional benefits over routine gastric administration of the feed.

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ALLINGSTRUP, M. and AFSHARI, A., 2015. Selenium supplementation for critically ill adults. The Cochrane database of systematic reviews, 7
Selenium is a trace mineral essential to health and has an important role in immunity, defence against tissue damage and thyroid function. Improving selenium status could help protect against overwhelming tissue damage and infection in critically ill adults. This Cochrane review was originally published in 2004 updated in 2007 and again 2015. Full Text

GOMES, C.A.,JR, ANDRIOLO, R.B., BENNETT, C., LUSTOSA, S.A., MATOS, D., WAISBERG, D.R. and WAISBERG, J., 2015. Percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances. The Cochrane database of systematic reviews, 5
A number of conditions compromise the passage of food along the digestive tract. Nasogastric tube (NGT) feeding is a classic, time-proven technique, although its prolonged use can lead to complications such as lesions to the nasal wing, chronic sinusitis, gastro-oesophageal reflux, and aspiration pneumonia. Another method of infusion, percutaneous endoscopy gastrostomy (PEG), is generally used when there is a need for enteral nutrition for a longer time period. There is a high demand for PEG in patients with swallowing disorders, although there is no consistent evidence about its effectiveness and safety as compared to NGT between the groups for pain, ease of learning to use, or the secondary outcome of length of hospital stay (two studies, 381 participants).

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MORTON, A. and WOLFE, S., 2015. Enteral tube feeding for cystic fibrosis. The Cochrane database of systematic reviews, 4
Enteral tube feeding is routinely used in many cystic fibrosis centres when oral dietary and supplement intake has failed to achieve an adequate nutritional status. The use of this method of feeding is assessed on an individual basis taking into consideration the patients age and clinical status. Full Text

POROPAT, G., GILJACA, V., HAUSER, G. and STIMAC, D., 2015. Enteral nutrition formulations for acute pancreatitis. The Cochrane database of systematic reviews, 3
Acute pancreatitis is a common and potentially lethal disease with increasing incidence. Severe cases are characterised by high mortality, and despite improvements in intensive care management, no specific treatment relevantly improves clinical outcomes of the disease. Meta-analyses suggest that enteral nutrition is more effective than conventional treatment consisting of discontinuation of oral intake with use of total parenteral nutrition. However, no systematic review has compared different enteral nutrition formulations for the treatment of patients with acute pancreatitis. Full Text

Dietician Role

OWERS, L., REEVES, I., KO, Y., ELLIS, K., HUXTABLE, L., NOBLE, A., PORTEOUS, E., NEWMAN, J., JOSEPHSON, A., ROTH, A., BYRNE, E. and PALMER, A., 2015. Rates of adult acute inpatients documented as at risk of refeeding syndrome by dietitians. Clinical nutrition (Edinburgh, Scotland), 34(1), pp. 134

Fluid Management

ANGARITA, A., DUECK, D. and AZOUZ, M., 2015. Postoperative electrolyte management: Current practice patterns of surgeons and residents. Surgery, 158(1), pp. 289 Full Text

BIHARI, S., PEAKE, L., PRAKASH, S., SAXENA, M., CAMPBELL, V. and BERSTEN, A., 2015. Sodium balance, not fluid balance, is associated with respiratory dysfunction in mechanically ventilated patients: a prospective, multicentre study. Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine, 17(1), pp. 23 Full Text

JOHNSTONE, P., ALEXANDER, R. and HICKEY, N., 2015. Prevention of dehydration in hospital inpatients. British Journal of Nursing, 24(11), pp. 568-574 Full Text

JOOSTEN, A., HUYNH, T., SUEHIRO, K., CANALES, C., CANNESSON, M. and RINEHART, J., 2015. Goal-Directed fluid therapy with closed-loop assistance during moderate risk surgery using noninvasive cardiac output monitoring: A pilot study. British journal of anaesthesia, 114(6), pp. 886 Full Text

KNEPPER, A., KWON, T. and NIELSEN, S., 2015. Molecular physiology of water balance. The New England journal of medicine, 372(14), pp. 1349

LEE, J., DE, E., NIEMI, M., NELSON, R., MARK, R.G., CELI, L.A., MUKAMAL, K.J. and DANZIGER, J., 2015. Association between fluid balance and survival in critically ill patients. Journal of internal medicine, 277(4), pp. 468


ARABI, M., ALDAWOOD, S., HADDAD, H., AL-DORZI, M., TAMIM, M., JONES, G., MEHTA, S., MCINTYRE, L., SOLAIMAN, O., SAKKIJHA, H., SADAT, M., AFESH, L. and PERMIT, T.,GROUP, 2015. Permissive Underfeeding or Standard Enteral Feeding in Critically Ill Adults. The New England journal of medicine, 372(25), pp. 2398

BRAUNSCHWEIG, A., SHEEAN, M., PETERSON, J., GOMEZ, P.,SANDRA, FREELS, S., LATEEF, O., GURKA, D. and FANTUZZI, G., 2015. Intensive nutrition in acute lung injury: a clinical trial (INTACT). JPEN.Journal of parenteral and enteral nutrition, 39(1), pp. 13 Full Text

BUSCH, R.A., CURTIS, C.S., LEVERSON, G.E. and KUDSK, K.A., 2015. Use of Piggyback Electrolytes for Patients Receiving Individually Prescribed vs Premixed Parenteral Nutrition. Journal of Parenteral and Enteral Nutrition, 39(5), pp. 586-590

CHEN, S., XIAN, W., CHENG, S., ZHOU, C., ZHOU, H., FENG, J., LIU, L. and CHEN, L., 2015. Risk of regurgitation and aspiration in patients infused with different volumes of enteral nutrition. Asia Pacific Journal of Clinical Nutrition, 24(2), pp. 212-218

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COLLINS, J. and PORTER, J., 2015. The effect of interventions to prevent and treat malnutrition in patients admitted for rehabilitation: a systematic review with meta-analysis. Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 28(1), pp. 1 Full Text

COTE, A., 2015. Early enteral feeding does not improve outcomes in patients with predicted severe acute pancreatitis. Gastroenterology, 148(7), pp. 1476 Full Text

GOK, F., KILICASLAN, A. and YOSUNKAYA, A., 2015. Ultrasound-guided nasogastric feeding tube placement in critical care patients. Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 30(2), pp. 257

JAAFAR, M.H., MAHADEVA, S., MORGAN, K. and TAN, M.P., 2015. Percutaneous endoscopic gastrostomy versus nasogastric feeding in older individuals with non-stroke dysphagia: a systematic review. The journal of nutrition, health & aging, 19(2), pp. 190

KAMARUL ZAMAN, M., CHIN, K.F., RAI, V. and MAJID, H.A., 2015. Fiber and prebiotic supplementation in enteral nutrition: A systematic review and meta-analysis. World journal of gastroenterology : WJG, 21(17), pp. 5372-5381 Full Text

KAR, P., JONES, L., HOROWITZ, M., CHAPMAN, J. and DEANE, M., 2015. Measurement of gastric emptying in the critically ill. Clinical Nutrition, 34(4), pp. 557-565 Full Text

KOECHER, J., THOMAS, W. and SLAVIN, L., 2015. Healthy subjects experience bowel changes on enteral diets: addition of a fiber blend attenuates stool weight and gut bacteria decreases without changes in gas. JPEN.Journal of parenteral and enteral nutrition, 39(3), pp. 337

LANGLOIS, P., DHALIWAL, R., LEMIEUX, M., HEYLAND, D. and MANZANARES, W., 2015. Intravenous fish oil lipid emulsions in ICU patients: An updated systematic review and meta-analysis. Critical Care, 19 Full Text

LINN, D., BECKETT, D. and FOELLINGER, K., 2015. Administration of enteral nutrition to adult patients in the prone position. Intensive & critical care nursing : the official journal of the British Association of Critical Care Nurses, 31(1), pp. 38

MCCLAVE, S.A., SAAD, M.A., ESTERLE, M., ANDERSON, M., JOTAUTAS, A.E., FRANKLIN, G.A., HEYLAND, D.K. and HURT, R.T., 2015. Volume-Based Feeding in the Critically Ill Patient. Journal of Parenteral and Enteral Nutrition, 39(6), pp. 707-712

ROWAT, A., 2015. Enteral tube feeding for dysphagic stroke patients. British journal of nursing (Mark Allen Publishing), 24(3), pp. 138 Full Text

SAWAS, T., AL HALABI, S., HERNAEZ, R., CAREY, W.D. and CHO, W.K., 2015. Patients Receiving Prebiotics and Probiotics Before Liver Transplantation Develop Fewer Infections Than Controls: A Systematic Review and Meta-Analysis. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

SILK, D.B.A. and QUINN, D.G., 2015. Dual-Purpose Gastric Decompression and Enteral Feeding Tubes Rationale and Design of Novel Nasogastric and Nasogastrojejunal Tubes. Journal of Parenteral and Enteral Nutrition, 39(5), pp. 531-543

TIAN, F., WANG, X., GAO, X., WAN, X., WU, C., ZHANG, L., LI, N. and LI, J., 2015. Effect of initial calorie intake via enteral nutrition in critical illness: a meta-analysis of randomised controlled trials. Critical Care (London, England), 19, pp. 180

TIANCHA, H., JIYONG, J. and MIN, Y., 2015. How to Promote Bedside Placement of the Postpyloric Feeding Tube: A Network Meta-Analysis of Randomized Controlled Trials. Journal of Parenteral and Enteral Nutrition, 39(5), pp. 521-530 

WEIJS, J., BERKELMANS, H.K., NIEUWENHUIJZEN, A.P., RUURDA, P., HILLEGERSBERG, V., SOETERS, B. and LUYER, D.P., 2015. Routes for early enteral nutrition after esophagectomy. A systematic review. Clinical nutrition (Edinburgh, Scotland), 34(1), pp. 1

Nursing Role

BEST, C. and HITCHINGS, H., 2015. Improving nutrition in older people in acute care. Nursing Standard, 29(47), pp. 50.

CHAPMAN, C., BARKER, M. and LAWRENCE, W., 2015. Improving nutritional care: innovation and good practice. Journal of advanced nursing, 71(4), pp. 881 Full Text

DARAWAD, W., HAMMAD, S., AL-HUSSAMI, M., HAOURANI, E., ABOSHAIQAH, E. and HAMDAN-MANSOUR, M., 2015. Investigating critical care nurses' perception regarding enteral nutrition. Nurse education today, 35(2), pp. 414 Full Text

DISNEY, B.R., KARTHIKEYAKURUP, A., RATCLIFFE, J., JONES, J., DEEL-SMITH, P., FAIRHURST, A., MALEKI, K. and COOPER, S.C., 2015. Palliative parenteral nutrition use in patients with intestinal failure as a consequence of advanced pseudomyxoma peritonei: a case series. European journal of clinical nutrition, 69(8), pp. 966-968

EASTWOOD, G.M., PECK, L., YOUNG, H., PATON, E., GLASSFORD, N.J., ZHANG, L., ZHU, G., TANAKA, A. and BELLOMO, R., Intensive care nurses self-reported practice of intravenous fluid bolus therapy. Intensive and Critical Care Nursing, Full Text

EVANS, L. and BEST, C., 2015. Managing malnutrition in patients with dementia. Nursing Standard, 29(28), pp. 50

FLETCHER, J., 2015. Giving nutrition support to critically ill adults. Nursing times, 111(12), pp. 12-16

JEFFERIES, D., JOHNSON, M. and LANGDON, R., 2015. Rekindling the role of nurses in patients' oral nutrition. International journal of nursing practice, 21(3), pp. 286-297

MAHONEY, C., ROWAT, A., MACMILLAN, M. and DENNIS, M., 2015. Nasogastric feeding for stroke patients: practice and education. British journal of nursing (Mark Allen Publishing), 24(6), pp. 319 Full Text

TAYLOR, J., MCWILLIAM, H., ALLAN, K. and HOCKING, P., 2015. The efficacy of feeding tubes: confirmation and loss. British journal of nursing (Mark Allen Publishing), 24(7), pp. 371 Full Text

Nutritional Status

CHAVES, G.,VILLAçA, PERES, W.,FERREIRA, GONçALVES, J.,CARLOS and RAMALHO, A., 2015. Vitamin A and retinol-binding protein deficiency among chronic liver disease patients. Nutrition, 31(5), pp. 664-669 Full Text

CHOI, E.,YOUNG, PARK, D. and PARK, J., 2015. Calorie intake of enteral nutrition and clinical outcomes in acutely critically ill patients: a meta-analysis of randomized controlled trials. JPEN.Journal of parenteral and enteral nutrition, 39(3), pp. 291

COLTMAN, A., PETERSON, S., ROEHL, K., ROOSEVELT, H. and SOWA, D., 2015. Use of 3 tools to assess nutrition risk in the intensive care unit. JPEN.Journal of parenteral and enteral nutrition, 39(1), pp. 28

FISCHER, M., JEVENN, A. and HIPSKIND, P., 2015. Evaluation of muscle and fat loss as diagnostic criteria for malnutrition. Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 30(2), pp. 239

GUERRA, S., FONSECA, I., PICHEL, F., RESTIVO, T. and AMARAL, F., 2015. Usefulness of six diagnostic and screening measures for undernutrition in predicting length of hospital stay: a comparative analysis. Journal of the Academy of Nutrition and Dietetics, 115(6), pp. 927 Full Text

HEYLAND, K., DHALIWAL, R., WANG, M. and DAY, G., 2015. The prevalence of iatrogenic underfeeding in the nutritionally at-risk critically ill patient: Results of an international, multicenter, prospective study. Clinical Nutrition, 34(4), pp. 659-667

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ISENRING, E. and ELIA, M., 2015. Which screening method is appropriate for older cancer patients at risk for malnutrition? Nutrition, 31(4), pp. 594-598 Full Text

JEEJEEBHOY, N., KELLER, H., GRAMLICH, L., ALLARD, P., LAPORTE, M., DUERKSEN, R., PAYETTE, H., BERNIER, P., VESNAVER, E., DAVIDSON, B., TETERINA, A. and LOU, W., 2015. Nutritional assessment: comparison of clinical assessment and objective variables for the prediction of length of hospital stay and readmission. The American Journal of Clinical Nutrition, 101(5), pp. 956 Full Text

KELLER, H.H., MCCULLOUGH, J., DAVIDSON, B., VESNAVER, E., LAPORTE, M., GRAMLICH, L., ALLARD, J., BERNIER, P., DUERKSEN, D. and JEEJEEBHOY, K., 2015. The Integrated Nutrition Pathway for Acute Care (INPAC): Building consensus with a modified Delphi. Nutrition Journal, 14(1), 

ROBERTS, S., CHABOYER, W. and DESBROW, B., 2015. Nutrition care-related practices and factors affecting nutritional intakes in hospital patients at risk of pressure ulcers. Journal of Human Nutrition & Dietetics, 28(4), pp. 357-366

SLEE, A., BIRCH, D. and STOKOE, D., 2015. A comparison of the malnutrition screening tools, MUST, MNA and bioelectrical impedance assessment in frail older hospital patients. Clinical nutrition (Edinburgh, Scotland), 34(2), pp. 296

SNIDER, J.T., JENA, A.B., LINTHICUM, M.T., HEGAZI, R.A., PARTRIDGE, J.S., LAVALLEE, C., LAKDAWALLA, D.N. and WISCHMEYER, P.E., 2015. Effect of hospital use of oral nutritional supplementation on length of stay, hospital cost, and 30-day readmissions among medicare patients with COPD. Chest, 147(6), pp. 1477-1484 Full Text



FALLAIZE, R., MACREADY, L., BUTLER, T., ELLIS, A., BEREZOWSKA, A., FISCHER, R.H., WALSH, C., GALLAGHER, C., STEWART-KNOX, J., KUZNESOF, S., FREWER, J., GIBNEY, J. and LOVEGROVE, A., 2015. The perceived impact of the National Health Service on personalised nutrition service delivery among the UK public. The British journal of nutrition, 113(8), pp. 1271 Full Text

MITCHELL, H. and PORTER, J., 2015. The cost-effectiveness of identifying and treating malnutrition in hospitals: a systematic review. Journal of human nutrition and dietetics : the official journal of the British Dietetic Association

PALMER, M. and HUXTABLE, S., 2015. Aspects of protected mealtimes are associated with improved mealtime energy and protein intakes in hospitalized adult patients on medical and surgical wards over 2 years. European journal of clinical nutrition, 69(8), pp. 961-965

TASSONE, E.C., TOVEY, J.A., PACIEPNIK, J.E., KEETON, I.M., KHOO, A.Y., VAN VEENENDAAL, N.G. and PORTER, J., 2015. Should we implement mealtime assistance in the hospital setting? A systematic literature review with meta-analyses. Journal of Clinical Nursing

The following sources have been searched for evidence published in the previous four months

·         Age and Ageing

·         BMJ

·         British Journal of Community Nursing

·         British Journal of Nursing

·         Clinical Nutrition

·         Critical Care Medicine

·         Current Opinion in Clinical Nutrition and Metabolic Care

·         Dysphagia

·         European Journal of Clinical Nutrition

·         Gastrointestinal Nursing

·         GUT

·         International Journal of Palliative Nursing

·         Intensive Care Medicine

·         Intensive and Critical Care Nursing

·         JAMA, Journal of the American Medical Association

·         Journal of Advanced Nursing

·         JPEN, Journal of Parenteral and Enteral Nutrition

·         Journal of the Academy of Nutrition and Dietetics

·         Journal of the American Geriatric Society

·         Journal of Wound care

·         Lancet

·         NEJM, New England Journal of Medicine

·         NICE Published Clinical Guidelines

·         NICE Published Technology Appraisals

·         Nursing and Residential Care

·         Nursing Standard

·         Nursing Times

·         Nutrition

·         Nutrition in Clinical Practice

·         Proceedings of the Nutrition Society

·         Scottish Intercollegiate Guidelines Network (SIGN)