10 avril 2019

Technology innovations in delivering accurate nutrition

Posted in English, Indirect Calorimetry, Scientific

American Journal of Respiratory and Critical Care Medicine

This ICU Management & Practice article proposes "An overview of the key obstacles for the enforcement of nutritional guidelines and innovative approaches that can be used to overcome these obstacles."

Authors outlines that one of the main pitfalls is the common use of predictive equations for targeting energy prescription. The equations have been demonstrated by many to be inaccurate in more than 50% of the cases, leading to under or over nutrition.

To help physicians determine energy needs at the bedside new easy-to-use devices have been developed to measure the actual resting energy expenditure related to the specific patient condition.

Other obstacles are also considered such as lack of knowledge on over or under feeding consequences, feeding tube misplacement, no personalised feeding formula solutions.

In the end, the review puts “the inadequacy of predictive equations to determine target energy plans” as the second reason on why malnutrition and inaccuracy of feeding occur today.

Technology-enabled solutions may be the answer giving the physician and the nurse the ability to comply with the guidelines. Compliance with the guidelines will result in better patient safety, lower mortality, fewer complications, reduced length of stay in the ICU, and reduced overall healthcare costs.

- Title: Technology innovations in delivering accurate nutrition
- Authors: Singer P, Liron E
- Published in: ICU Management & Practice, Volume 19 - Issue 1, 2019

The study can be read at the following link: Click here


About COSMED

Founded in 1980, COSMED is a privately owned company manufacturing Cardio Pulmonary and Metabolic Diagnostic Equipment. COSMED products include a full range of Spirometers, Pulmonary Function, Body Composition, Nutritional Assessment and Cardio Pulmonary Exercise systems, including Electrocardiographs, Ergometers and Assessment Software. COSMED solutions are aimed for either professional or medical use for many different applications like: Hospital, Clinics, Primary Care, University & Education in Human Physiology, Clinical Nutrition, Commercial Weight Management, Human Performance Centers, Sport Institutions and Health Club Industry. COSMED Headquarters are located in the province of Rome, Italy. COSMED has subsidiaries in the USA, France, China, Benelux and Germany, and distributes its products internationally through a constantly growing distributor network covering more than 70 countries.