PP053 - DIETARY COUNSELLING AND NUTRITION ADEQUACY DURING TRANSITION FROM ICU TO POST-ICU WARDS - THREE CENTER, RETROSPECTIVE ANALYSIS
PP053
DIETARY COUNSELLING AND NUTRITION ADEQUACY DURING TRANSITION FROM ICU TO POST-ICU WARDS - THREE CENTER, RETROSPECTIVE ANALYSIS
P. Kutnik1,*, A. Dąbek2, K. Pożyczka3
1 Institute of Medical Sciences, John Paul II Catholic University of Lublin, Lublin, 2Department of Psychodiabetology, Department of Metabolic Diseases, Jagiellonian University Medical College, 3Department of Anaesthesiology and Intensive Therapy, Ludwik Rydygier Memorial Specialist Hospital, Kraków, Poland
Rationale: Adequate nutrition is crucial in intensive care unit (ICU) and post-ICU period. The transition from ICU to post-ICU wards increases the risk of protein and energy deficiency. This study evaluated whether structured dietary counseling improves nutrition during ICU discharge.
Methods: This retrospective study assessed adult patients’ data from the last day of ICU and the first day in post-ICU wards. Data included oral, enteral, and parenteral intake and its adequacy to calculated energy and protein requirements. Patients were divided in groups IDC - ICU dietary counselling group; INC - ICU no counselling group; PDC - post-ICU dietary counselling group; PNC - post-ICU no counselling group
Results: This study included 103 patients. Dietary counselling was present in 56.3% ICU patients. IDC had improved energy adequacy (104% vs 88%, p=0.02) and reduced energy goal deviation (11% vs 45%, p<0.0001) compared to INC. IDC had higher calculated protein requirements and protein provision (1.35 g/kg vs 1.06 g/kg, p<0.001, and 1.41 g/kg vs 1.11 g/kg, p = 0.0002). Dietary counseling was present in 41.7% post-ICU ward patients. PDC protein and energy adequacy were higher (protein: 98.7% vs 69.1%, p<0.0001; energy: 97.7% vs 69.1%, p<0.0001), while goal deviations were lower (protein: 20.8% vs 41.3%, p<0.0001; energy: 13.9% vs 37.3%, p<0.0001) compared to PNC. Calculated protein and energy goals were higher in PDC (1.51 g/kg vs 1.25 g/kg p<0.001; 27.53 kcal/kg vs 23.57 kcal/kg p<0.001). Protein and energy provision were also higher in PDC (1.49 g/kg vs 0.86 g/kg, p<0.001; 26.97 kcal/kg vs 16.27 kcal/kg, p<0.001).
Conclusion: ICU to post-ICU transitions remain a critical vulnerability in nutritional care. Adequate nutrition can be maintained by the integration of clinical dietitians into the ICU and post-ICU standard of care.
Disclosure of Interest: P. Kutnik Other: Previously received honoraria and/or paid consultancy from Fresenius Kabi Poland, Nutricia, Nestlé Health Science Poland, Everpharma Poland, A. Dąbek Other: Previously received payments for lectures from Olimp Laboratories, MSD Polska Sp. z o.o., USP Zdrowie sp.z o.o., Fresenius Kabi Poland, Nutricia, Nestlé Health Science Poland, and paid consultancy from Unipro Sp z o. o. - Activlab pharma, , K. Pożyczka: None declared