patients and is more affordable. We compared nutritional care practice in our ICU\nbefore and after modification of our nutrition support protocol: Several comprehensive\ndocuments were substituted with one flow chart and early EN was encouraged.\nDesign: Retrospective observational study.\nMethods: Nutritional data were collected from admission up to 7 days in 25 patients\nbefore and 25 patients after protocol modification.\nResults: The percentage of patients receiving EN within 72 hr of admission increased\nfrom 64% before to 88% after protocol modification. Cumulative percentage energy\nfrom EN during ICU days 1ââ?¬â??4 increased from 26ââ?¬â??89% of total kcal. Overall amount of\nnutrition administered enterally increased, with a corresponding marked decline in use\nof parenteral nutrition. Pre-modification,\n>80% of patients received >65% of their calculated\nnutrition requirements by ICU Day 4; post-modification this goal was achieved\nby Day 7.
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