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Summary points and consensus recommendations from the international protein summit

Hurt, Ryan T; McClave, Stephen A; Martindale, Robert G; Ochoa Gautier, Juan B; Coss-Bu, Jorge A; Dickerson, Roland N; Heyland, Daren K; Hoffer, L John; Moore, Frederick A; Morris, Claudia R; Paddon-Jones, Douglas; Patel, Jayshil J; Phillips, Stuart M; Rugeles, Saúl J; Sarav Md, Menaka; Weijs, Peter J M (Lectoraat Voeding En Beweging); Wernerman, Jan; Hamilton-Reeves, Jill; McClain, Craig J; Taylor, Beth

The International Protein Summit in 2016 brought experts in clinical nutrition and protein metabolism together from around the globe to determine the impact of high-dose protein administration on clinical outcomes and address barriers to its delivery in the critically ill patient. It has been suggested …

2017-04-07AlgemeenArtikel

Protein Kinetics and Metabolic Effects Related to Disease States in the Intensive Care Unit

Martindale, Robert G.; Heyland, Daren K.; Rugeles, Saúl J.; Wernerman, Jan; Weijs, Peter J. M. (Lectoraat Voeding En Beweging); Patel, Jayshil J.; McClave, Stephen A.

Evaluating protein kinetics in the critically ill population remains a very difficult task. Heterogeneity in the intensive care unit (ICU) population and wide spectrum of disease processes creates complexity in assessing protein kinetics. Traditionally, protein has been delivered in the context of total …

2017-04AlgemeenArtikel

Protein delivery in the intensive care unit

Heyland, Daren K.; Weijs, Peter J. M. (Lectoraat Voeding En Beweging); Coss-Bu, Jorge A.; Taylor, Beth; Kristof, Arnold S.; O'Keefe, Grant E.; Martindale, Robert G.

Emerging evidence suggests that exogenous protein/amino acid supplementation has the potential to improve the recovery of critically ill patients. After a careful review of the published evidence, experts have concluded that critically ill patients should receive up to 2.0-2.5 g/kg/d of protein. Despite …

2017-04AlgemeenArtikel

Experimental and Outcome-Based Approaches to Protein Requirements in the Intensive Care Unit

Weijs, Peter J. M. (Lectoraat Voeding En Beweging); Dickerson, Roland N.; Heyland, Daren K.; Moore, Frederick A.; Rugeles, Saúl J.; McClave, Stephen A.

Insight into protein requirements of intensive care unit (ICU) patients is urgently needed, but at present, it is unrealistic to define protein requirements for different diagnostic groups of critical illness or at different stages of illness. No large randomized controlled trials have randomized protein …

2017-04AlgemeenArtikel

De-implementation strategy to Reduce the Inappropriate use of urinary and intravenous CATheters study protocol for the RICAT-study

Laan, Bart J.; Spijkerman, Ingrid J. B.; Godfried, Mieke H.; Pasmooij, Berend C.; Maaskant, Jolanda M.; Borgert, Marjon J.; Opmeer, Brent C.; Vos, Margreet C.; Geerlings, Suzanne E.

BACKGROUND: Urinary and (peripheral and central) intravenous catheters are widely used in hospitalized patients. However, up to 56% of the catheters do not have an appropriate indication and some serious complications with the use of these catheters can occur. The main objective of our quality improvement …

2017-01-10AlgemeenArtikel

Quality of care in the intensive care unit from the perspective of patient's relatives

Rensen, Ans; van Mol, Margo M; Menheere, Ilse; Nijkamp, Marjan D; Verhoogt, Ellen; Maris, Bea; Manders, Willeke; Vloet, Lilian; Verharen, Lisbeth

BACKGROUND: The quality standards of the Dutch Society of Intensive Care require monitoring of the satisfaction of patient's relatives with respect to care. Currently, no suitable instrument is available in the Netherlands to measure this. This study describes the development and psychometric evaluation …

2017AlgemeenArtikel

Protein intake and clinical and functional outcome in ICU patients

Guadagni, M.; Streppel, M.T. (Lectoraat Voeding En Beweging); Schuurman, C.; Biolo, G.; Boirie, Y.; Rooijackers, O.; Kondrup, J.; Weijs, P.J.M. (Lectoraat Voeding En Beweging)

2017AlgemeenConferentiebijdrage

Protein turnover and metabolism in the elderly intensive care unit patient

Phillips, Stuart M.; Dickerson, Roland N.; Moore, Frederick A.; Paddon-Jones, Douglas; Weijs, Peter J. M. (Lectoraat Voeding En Beweging)

Many intensive care unit (ICU) patients do not achieve target protein intakes particularly in the early days following admittance. This period of iatrogenic protein undernutrition contributes to a rapid loss of lean, in particular muscle, mass in the ICU. The loss of muscle in older (aged >60 years) …

2017AlgemeenArtikel

Surviving critical illness: what is next?

Major, M.E.; Kwakman, R. (Faculteit Gezondheid); Kho, M.E.; Connolly, B.; McWilliams, D.; Denehy, L.; Hanekom, S.; Patman, S.; Gosselink, R.; Jones, C.; Nollet, F.; Needham, D.M.; Engelbert, R.H.H. (Faculteit Gezondheid); van der Schaaf, M.

BACKGROUND: The study objective was to obtain consensus on physical therapy (PT) in the rehabilitation of critical illness survivors after hospital discharge. Research questions were: what are PT goals, what are recommended measurement tools, and what constitutes an optimal PT intervention for survivors …

2016-10-29AlgemeenArtikel

de Morton Mobility Index Is feasible, reliable, and valid in patients with critical illness

Sommers, Juultje; Vredeveld, Tom; Lindeboom, Robert; Nollet, Frans; Engelbert, Raoul H.H. (Faculteit Gezondheid); Schaaf, Marike van der

BACKGROUND: Intensive care unit (ICU) stays often lead to reduced physical functioning. Change in physical functioning in patients in the ICU is inadequately assessed through available instruments. The de Morton Mobility Index (DEMMI), developed to assess mobility in elderly hospitalized patients, is …

2016-10-01AlgemeenArtikel

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