Macronutrient intake is different across Europe: Results of a Belgian cohort of critically ill adults
Authors' conclusion
Similar to overall, the Belgian subgroup received a daily average moderate caloric and low protein intake. The gradual intake increase aligned with ESPEN guidelines, though temporary overfeeding occurred in about one third of the patients.
Study context
- Population
- Critically ill adults staying ≥5 days in ICU
- Participants
- 148 vs 1,172
- Comparison
- Belgian ICUs vs ICUs from 11 European countries
- Belgiann = 148
- Overalln = 1,172reference
- Primary endpoint
- Medical nutrition therapy practices compared with overall cohort and 2019 ESPEN ICU guideline
- Follow-up
- First 15 days
Methodological detailsmulticentre
- Multicentre
Primary result
As reported in the abstract
Medical nutrition therapy practices
- Belgian cohort: longer median ICU and hospital LOS, higher ED admission rates and delayed medical nutrition therapy (MNT) initiation vs overall
- Belgian cohort received EN more often than PN
Further findings
EN initiation (day)
PN initiation (day)
Safety
Overfeeding (% of observation days), Belgian cohort · week 1
%
- Energy overfeeding
- 30
- Protein overfeeding
- 15
- On average
Original publication
Macronutrient intake is different across Europe: Results of a Belgian cohort of critically ill adults. J Crit Care. Published 31 January 2025. doi:10. 1016/ j. jcrc. 2025. 155030
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