1 Division of Pulmonary & Critical Care Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin USA.
2 Clinical Evaluation Research Unit, Kingston General Hospital, Kingston, Ontario, Canada.
Nutr Clin Pract. 2017 Oct;32(5):633-644. doi: 10.1177/0884533617722165. Epub 2017 Aug 18.
Since 2015, Society of Critical Care Medicine/American Society for Parenteral and Enteral Nutrition and Canadian critical care nutrition support guidelines have both been updated. Despite a similar evidentiary basis, there remain key differences between guideline recommendations. These differences in recommendations may pose confusion for the clinician and may encumber widespread applicability. The aim of this review was to enhance practitioner confidence in applying critical care nutrition support guidelines to patient care in their settings by outlining the similarities and differences between the American and Canadian methods for guideline development and describing the key differences and reasons behind the differences.
自 2015 年以来，危重病医学会/美国肠外与肠内营养学会和加拿大危重病营养支持指南都已经更新。尽管有类似的证据基础，但指南建议仍存在关键差异。这些推荐建议的差异可能会给临床医生带来困惑，并可能限制其广泛适用性。本综述的目的是通过概述美国和加拿大制定指南的方法之间的异同，并描述差异背后的关键差异和原因，来增强从业者在其环境中应用危重病营养支持指南进行患者护理的信心。
