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Evid Based Nurs 7:89 doi:10.1136/ebn.7.3.89
  • Quality improvement

An evidence based algorithm for nutritional support accompanied by a multifaceted implementation strategy improved some outcomes in critically ill patients


 
 Q In critically ill patients, does implementation of an evidence based algorithm for nutritional support improve the provision of nutritional support and patient outcomes?

METHODS

GraphicDesign:

cluster randomised controlled trial.

GraphicAllocation:

{concealed}*.

GraphicBlinding:

{unblinded}*.

GraphicFollow up period:

until hospital discharge.

GraphicSetting:

intensive care units (ICUs) of 11 community and 3 teaching hospitals in Ontario, Canada.

GraphicPatients:

499 patients aged ⩾16 years (mean age 66 y, 61% men) with an expected ICU stay of ⩾48 hours. Exclusion criteria: expected to be receiving sufficient oral nutrition within 24 hours after ICU admission, admitted for palliative care, moribund and not expected to survive >6 hours, or suspected brain death.

GraphicIntervention:

7 intervention ICUs were allocated to an evidence-based algorithm for nutritional support, with a multifaceted implementation …

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