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A J-shaped relationship between caloric intake and survival in critically ill patients

Isabel Carolina Reis Crosara, Christian Melot and Jean-Charles Preiser

ULB Institutional Repository from ULB -- Universite Libre de Bruxelles

Abstract: Background: There is much controversy around the optimal caloric intake in intensive care unit (ICU) patients, based on the diverging results of prospective studies. Therefore, we assessed the presence of an association between caloric intake and outcome in a large cohort included in the Glucontrol study. Methods: Patients (n = 1004) were divided into four quartiles (q1–q4) according to the daily caloric intake (n = 251/quartile). ICU, hospital and 28-day mortality and the length of stay (LOS) in ICU and in the hospital were compared between each quartile, before and after adjustment in case of differences in baseline characteristics. Results: Caloric intake averaged 0.5 ± 0.6 (q1), 3.0 ± 0.7 (q2), 13.4 ± 5.1 (q3) and 32.4 ± 8.5 (q4) kcal/kg/day (p

Keywords: Caloric intake; Glucose control; Insulin; Nutrition; Nutritional support; Outcome (search for similar items in EconPapers)
Date: 2015-12
Note: SCOPUS: ar.j
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Published in: Annals of intensive care (2015) v.5 n° 1,p.1-7

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