PW02 - NUTRITION DAY 2024 IN HUNGARIAN INTENSIVE CARE UNITS - FACTORS ASSOCIATED TO ACHIEVE CALORIE TARGETS

PW02

NUTRITION DAY 2024 IN HUNGARIAN INTENSIVE CARE UNITS - FACTORS ASSOCIATED TO ACHIEVE CALORIE TARGETS

G. Nardai^1,*, C. Ferdinandy², I. Jakus³

¹Anaesthesiology and Intensive Care, Manninger Jenő Trauma Centre, ²National Korányi Institute ofPulmonology , ³Manninger Jenő Trauma Centre, Budapest, Hungary

Rationale: We analysed the results of Hungarian ICU-s involved in Nutrition Day 2024 survey to compare with international results and to differentiate the characteristics of units which were efficient or not to achieve calorie targets on the day of the study.

Methods: Observational, multicenter, prospective survey, applying the Nutrition Day ICU questionnaire to assess patients characteristics, malnutrition, nutritional interventions, complications and outcome. Single centre reports and data were collected and analysed by the national coordinator team. Statistics: Mann-Whitney test, Fisher-test (p<0.05). 

Results: Data of 148 patients from 10 Hungarian ICUs was compared to more than 3800 patients from the international database. There was no difference in demographic data, but more surgical patients (58% vs 38%) with higher SOFA score (5 vs 4) were included from Hungary. Use of enteral feeding was similar (43%), but more parenteral interventions were applied (30% vs 12%). The calorie planned was similar, but the given amount of energy tended to be higher in Hungary. As comparing Hungarian centres being efficient or failed to achieve calorie targets (80% of planned) we found more enteral (48% vs 33%) and parenteral (29% vs 15%) interventions, less interruptions (25% vs 42%), but more complications (23% vs 15%) in successful centres. Ratio of patient above the 80% threshold was 85% vs 40% between centres.

Conclusion: We found more surgical patients involved from Hungarian ICU-s to Nutrition Day survey in 2024. More parenteral nutrition interventions were documented, that could be the explanation of higher success rate in calorie intake. As compared Hungarian centres, low success rate centres reported more feeding interruption events and less enteral and parenteral interventions consequently. A more precise nutrition planing for the patients and a liberal use of supplemental parenteral feeding could improve the efficiency of clinical nutrition in intensive care units.

Disclosure of Interest: None declared