P058 - RISK OF MALNUTRITION IN THE INTENSIVE CARE UNIT; SYSTEMATIC NUTRITIONAL THERAPY IN CRITICAL CARE AND AT THE TIME OF TRANSFER TO GENERAL WARDS

P058

RISK OF MALNUTRITION IN THE INTENSIVE CARE UNIT; SYSTEMATIC NUTRITIONAL THERAPY IN CRITICAL CARE AND AT THE TIME OF TRANSFER TO GENERAL WARDS

D. Gudmundsdottir^1,*, Á. R. Ingadóttir^1,2, K. Sigvaldason³

¹School of Health Sciences, University of Iceland, ²Department of clinical nutrition, ³Intensive Care Unit, Landspítali, Reykjavík, Iceland

Rationale: This study aims to describe the progression of malnutrition in mechanically ventilated patients from ICU to general ward (GW), assess the need for and implementation of nutritional therapy within 10 days post-transfer, and explore integration with National Care Process (NCP) guidelines.

Methods: This prospective cohort study included 20 ICU patients at Landspítali from September 2023 to August 2024. Malnutrition risk was assessed in ICU and upon transfer to GW using ISS, NUTRIC, and GLIM criteria, with NCP diagnoses based on medical records. Data were analyzed using Microsoft Excel.

Results: Results from the 20 patients (mean age 67.5) using the ISS screening tool for malnutrition showed; At high risk there were 11 patients in ICU and 17 in GW. Eight were in medium risk in ICU and three in GW. At low risk there were one in ICU and none in GW. Moderate malnutrition decreased from five in ICU to two in GW, while severe increased from three to 11. Three patients died post-transfer and were not diagnosed. Only five severely malnourished patients received dietitian-led therapy within 10 days; of the 12 who didn’t, nine were at high risk. GLIM identified two moderately and six severely malnourished patients. All had one or more NCP diagnoses in ICU, with 12 different diagnoses used. One patient, previously diagnosed with two conditions in ICU, received “No nutrition diagnosis at this time” after transfer to GW.

Conclusion: Little difference was found between ISS and NUTRIC, making it unclear which is more suitable for ICU use. While screening is more beneficial in the GW for guiding treatment, ICU screening supports data collection. The study highlights the need for systematic nutritional therapy from ICU admission and better continuity of nutrition-related information, suggesting NCP implementation in ICU could help bridge this gap.

Disclosure of Interest: None declared