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Factors predicting adherence to the Canadian Clinical Practice Guidelines for nutrition support in mechanically ventilated, critically ill adult patients.

https://arctichealth.org/en/permalink/ahliterature155514
Source
J Crit Care. 2008 Sep;23(3):301-7
Publication Type
Article
Date
Sep-2008
Author
Naomi E Jones
Rupinder Dhaliwal
Andrew G Day
Hélène Ouellette-Kuntz
Daren K Heyland
Author Affiliation
Department of Community Health and Epidemiology, Queen's University, Kingston, ON, Canada.
Source
J Crit Care. 2008 Sep;23(3):301-7
Date
Sep-2008
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Canada
Critical Illness - therapy
Female
Guideline Adherence - statistics & numerical data
Hospital Bed Capacity - standards - statistics & numerical data
Hospitals, Community - standards - statistics & numerical data
Hospitals, University - standards - statistics & numerical data
Humans
Intensive Care Units - standards - statistics & numerical data
Male
Middle Aged
Nutritional Support - standards
Practice Guidelines as Topic
Prospective Studies
Respiration, Artificial
Sex Factors
Young Adult
Abstract
The aim of this study was to determine factors that are associated with adherence to the Canadian nutrition support clinical practice guidelines (CPGs).
We conducted a secondary analysis of data from a prospective observational cohort study of nutrition support practices in 58 intensive care units (ICUs) across Canada, grouped into 50 clusters. Adequacy of enteral nutrition (EN) (energy received from EN / energy prescribed by the dietitian x 100), was used as a marker of adherence to the guidelines. We applied hierarchical modeling techniques to examine the impact of various hospital, ICU, and patient factors on EN adequacy.
The overall average EN adequacy was 51.3% (SE, 1.8%). In a multiple regression analysis, after adjusting for varying days of observation, hospital type (academic 54.3% vs community 45.2%, P
PubMed ID
18725033 View in PubMed
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