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ADVANCED MEDICAL NUTRITION

Nutritional support in critical care

Surviving the hospital stay

Mike Wallace, Nutricia’s Global Market Access Director, spoke about the importance of applying guideline based nutritional care. Assessing nutritional status and integrating tube nutrition early in the critical care journey supports quicker patient recovery. Reaching energy and protein targets, directly relates to the risk of surviving the hospital stay.

The average daily cost of a day in the Intensive

Care Unit in Europe is €1400¹

The first law of health economics is that the demand for healthcare exceeds the capacity and budget to meet every need. The most expensive part of the healthcare journey happens in critical care. On average the ICU accounts for less than 10% of hospital beds, yet it accounts for more than 20% of costs. The average daily cost of a day in the Intensive Care Unit in Europe is €1400¹. Improving the effectiveness and efficiency of critical care therefore has a big impact.

Supported by a wealth of international guidelines, best practice nutritional care in the ICU brings major improvements both clinical and economic outcomes. In patients with a functional gastrointestinal tract, the early initiation of tube feeding within 24-48 hours of admission (when compared to later initiation) is associated with a 26% reduction in the risk of an infection, and a 30% reduction in mortality². Outcomes are improved further when attention is also paid to optimizing protein levels, reducing diarrhea with the right approach to fibre and continuing nutritional care beyond the ICU to ensure energy and protein targets are met.

Mike Wallace comments: “There are very few healthcare interventions which deliver this magnitude of value to the patient and the healthcare budgets. Rationing of healthcare is one of the most difficult decisions to make as it normally implies a reduction in someone’s health. Yet in critical care the best use nutritional therapy adds to both length and quality of life, while delivering net savings to healthcare budgets. Our pioneering scientists have created Nutritional therapy with such a powerful impact; I firmly believe that on behalf of the patients in need we have a privilege and a duty to bring a spotlight on this incredible value.”

Application of guideline based nutritional care

Nutricia is a strong advocate for the application of guideline based nutritional care throughout critical care and beyond. Our comprehensive portfolio of tube products, with our unique protein and fibre blends provide the HCP and their patient with the bestchances of recovery. The evidence is overwhelming, the message is clear, integrating medical nutrition as acritical part of critical care provides a value we cannot ignore.

1. Swan Tan et al. Value in Health 15 (2012) 81-86.

2. McClave. S.A Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Journal of Parenteral and Enteral Nutrition Volume 40 Number 2 February 2016 159–211