title: Use of a nutrition support protocol to increase enteral nutrition delivery in critically ill patients.
abstract: BACKGROUND
  Early enteral nutrition is recommended for patients in intensive care units, but nutrition provision is often hindered by a variety of unit-specific problems.
  
  
  OBJECTIVE
  To evaluate the impact of a nutrition support protocol on nutrition prescription and delivery in the intensive care unit.
  
  
  METHODS
  Nutrition-related data from 73 patients receiving mechanical ventilation who were treated in an adult medical intensive care unit before introduction of an enteral nutrition support protocol were retrospectively compared with data for 87 patients admitted after implementation of the protocol.
  
  
  RESULTS
  After implementation of the protocol, enteral nutrition was started significantly earlier (P = .007) and enteral feeding goals were reached significantly faster (6 vs 10 days, P < .001) than before. Prescription of enteral nutrition on the first day of invasive mechanical ventilation increased from 38% before to 54% after (P = .03) implementation of the protocol. Prescribed and delivered nutrition doses on the first 2 days of mechanical ventilation also increased significantly (P < .001) after the protocol was implemented. Nasojejunal feeding tubes were used in 52% of patients before and 56% of patients after protocol implementation P = .63). Jejunal tubes were placed earlier after the protocol was implemented than before (median 5 vs 6.5 days), and when a jejunal tube was in place, feeding goals were reached faster (median 2 vs 3 days, P = .002).
  
  
  CONCLUSIONS
  Implementing an enteral nutrition support protocol shortened the time to reach feeding goals. Jejunal feeding tubes were necessary in more than half of the patients, and with a jejunal feeding tube in place, feeding goals were reached rapidly.
authors.affiliation: Friederike Compton is director of the intensive care unit and Markus van der Giet is a nephrologist in the Department of Nephrology at Charité University Medicine Berlin, Germany. Christian Bojarski is a gastroenterologist in and Britta Siegmund is the head of the Department of Gastroenterology and Infectious Diseases at Charité University Medicine Berlin. friederike.compton@charite.de.
authors.forename: Friederike
authors.initials: F
authors.lastname: Compton
authors.affiliation: Friederike Compton is director of the intensive care unit and Markus van der Giet is a nephrologist in the Department of Nephrology at Charité University Medicine Berlin, Germany. Christian Bojarski is a gastroenterologist in and Britta Siegmund is the head of the Department of Gastroenterology and Infectious Diseases at Charité University Medicine Berlin.
authors.forename: Christian
authors.initials: C
authors.lastname: Bojarski
authors.affiliation: Friederike Compton is director of the intensive care unit and Markus van der Giet is a nephrologist in the Department of Nephrology at Charité University Medicine Berlin, Germany. Christian Bojarski is a gastroenterologist in and Britta Siegmund is the head of the Department of Gastroenterology and Infectious Diseases at Charité University Medicine Berlin.
authors.forename: Britta
authors.initials: B
authors.lastname: Siegmund
authors.affiliation: Friederike Compton is director of the intensive care unit and Markus van der Giet is a nephrologist in the Department of Nephrology at Charité University Medicine Berlin, Germany. Christian Bojarski is a gastroenterologist in and Britta Siegmund is the head of the Department of Gastroenterology and Infectious Diseases at Charité University Medicine Berlin.
authors.forename: Markus
authors.initials: M
authors.lastname: van der Giet
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016638:Critical Illness / Q000628:therapy; D004750:Enteral Nutrition / Q000379:methods / Q000592:standards*; D005260:Female; D006801:Humans; D007362:Intensive Care Units / Q000592:standards*; D007441:Intubation, Gastrointestinal / Q000592:standards* / Q000706:statistics & numerical data; D007583:Jejunum; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D012121:Respiration, Artificial; D012189:Retrospective Studies; D013997:Time Factors