Upcoming publication on a nutritional risk assessment tool for the critically ill

[violam]

The NUTRIC score is the first nutritional risk assessment tool specifically developed and validated in the critically ill population by Dr. Heyland and colleagues (1). A new publication by Rahman et al (2) set out to externally validate a modified version of the NUTRIC score. They concluded that the NUTRIC score is externally validated and can be used to identify patients in the ICU who, in terms of mortality, are most likely to benefit from adequate macronutrients.

References

(1) Heyland DK, Dhaliwal R, Jiang X, Day AG. Identifying critically ill patients who benefit the most from nutrition therapy: the development and initial validation of a novel risk assessment tool. Critical Care. 2011;15(6):R268. (PubMed link)

(2) Rahman A, Hasan RM, Agarwala R, Martin C, Day AG, Heyland DK. Identifying critically-ill patients who will benefit from nutritional therapy: further validation of the "modified NUTRIC" nutritional risk assessment tool. Clin Nutr. 2015. [Epub ahead of print]. (Journal link)

Original NUTRIC Score summary sheet

[KAREN]

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Hi, our MICU is placing more naso-duodenal feeding tubes. I remember reading several years ago that free water boluses should be limited to 150 cc, but a quick search didn't yield any guidelines. Anybody have any references or suggestions? Thanks, Karen Tufano RD

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