Dariano Angela P, Couto Cecilia Fl, Rubin Bibiana A, Viana Marina V, Friedman Gilberto
Programa de Pós-graduação em Ciências Pneumológicas, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
Indian J Crit Care Med. 2020 Dec;24(12):1206-1212. doi: 10.5005/jp-journals-10071-23674.
The aim and objective of this study is to test the effect of an optimized caloric supply in the first week of intensive care unit (ICU) stay in mechanically ventilated patients on the ability to perform their activities of daily living (ADL) in the long-term.
A prospective observational study comparing patients who achieved an adequate caloric target (≥80%) vs those whose target was inadequate (<80%). The primary outcome under study is the instrumental ADL (IADL) scale after 6 months of discharge.
Ninety-two patients were evaluated in the ICU and 50 were alive at 6 months. Follow-up was lost for 3 patients and 47 patients were evaluated at ICU and after 6 months. Thirty-four patients reached the energetic target and 13 did not reach it. There was no significant variation in IADL.
The energy adequacy in the first week of hospitalization was achieved by most survivors; however, this conduct does not seem to have influenced the ability to perform ADL after 6 months of discharge.
Dariano AP, Couto CFL, Rubin BA, Viana MV, Friedman G. Caloric Adequacy in the First Week of Mechanically Ventilated Patients has No Impact on Long-term Daily Life Activities. Indian J Crit Care Med 2020;24(12):1206-1212.
本研究旨在测试重症监护病房（ICU）住院第一周为机械通气患者提供优化热量供应对其长期日常生活活动（ADL）能力的影响。
一项前瞻性观察性研究，比较达到足够热量目标（≥80%）的患者与目标未达标的患者（<80%）。研究的主要结局是出院6个月后的工具性日常生活活动（IADL）量表。
92例患者在ICU接受评估，50例在6个月时存活。3例患者失访，47例患者在ICU及6个月后接受评估。34例患者达到能量目标，13例未达到。IADL无显著差异。
大多数幸存者在住院第一周实现了能量充足；然而，这种情况似乎并未影响出院6个月后的ADL能力。
达里亚诺AP，库托CFL，鲁宾BA，维亚纳MV，弗里德曼G。机械通气患者第一周的热量充足对长期日常生活活动无影响。《印度重症监护医学杂志》2020；24（12）：1206 - 1212。
