Chinese Geriatric Society, Critical Care Medicine Division Of Chinese Geriatric Society
Corresponding author: Yan Jing, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2022 Apr;34(4):337-342. doi: 10.3760/cma.j.cn121430-20220329-00308.
Elderly patients with critical illness are more prone to have malnutrition and impaired immune function. How to improve the nutritional status of elderly patients with critical illness is important. At present, no consensus has been reached. In order to standardize the nutritional support strategies for elderly patients with critical illness, Chinese Geriatric Society and Critical Care Medicine Division of Chinese Geriatric Society took the lead in organizing experts in the fields of critical medicine, geriatrics, evidence-based medicine and clinical nutrition to summarize the new evidence in the field of enteral nutrition support for elderly patients with severe illness at home and abroad, and jointly formulated the Expert consensus on enteral nutrition support for elderly patients with critical illness in China (2022). In the consensus, the GRADE recommendation principle and improved Delphi method were adopted to formed 19 recommendations, including the timing, the dose and dosage of enteral nutrition, nutrition support-related complications, perioperative enteral nutrition support, to provide reference basis for enteral nutrition support treatment of elderly severe patients.
危重症老年患者更容易出现营养不良和免疫功能受损。如何改善危重症老年患者的营养状况至关重要。目前尚未达成共识。为规范危重症老年患者的营养支持策略，中华老年医学会和中华老年医学会重症医学分会牵头组织重症医学、老年医学、循证医学和临床营养领域的专家，总结国内外老年重症患者肠内营养支持领域的新证据，共同制定了《中国老年危重症患者肠内营养支持专家共识（2022版）》。该共识采用GRADE推荐原则和改良德尔菲法形成了19条推荐意见，内容涵盖肠内营养的时机、剂量和用量、营养支持相关并发症、围手术期肠内营养支持等，为老年重症患者的肠内营养支持治疗提供参考依据。
