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?



cluster randomised controlled trial.





GraphicFollow up period:

until hospital discharge.


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


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.


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

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