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

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

https://doi.org/10.1136/ebn.7.3.89

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    Martin CM, Doig GS, Heyland DK, et al for the Southwestern Ontario Critical Care Research Network. Multicentre, cluster-randomized clinical trial of algorithms for critical-care enteral and parenteral therapy (ACCEPT). CMAJ 2004;170:197–204.OpenUrlAbstract/FREE Full Text

    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

    Embedded ImageDesign:

    cluster randomised controlled trial.

    Embedded ImageAllocation:

    {concealed}*.

    Embedded ImageBlinding:

    {unblinded}*.

    Embedded ImageFollow up period:

    until hospital discharge.

    Embedded ImageSetting:

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

    Embedded ImagePatients:

    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, …

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    Footnotes

    • ↵* Information provided by author.

    • For correspondence: Dr C M Martin, Department of Medicine, Faculty of Medicine, University of Western Ontario, London, Ontario, Canada. claudio_m_martinhotmail.com

    • Source of funding: Nestlé Nutrition, Inc, Toronto, Ontario.