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Comment & Response
September 18, 2013

Early Parenteral Nutrition in Critical Illness

Author Affiliations
  • 1Nutrition and Dietetics Service, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
JAMA. 2013;310(11):1183-1184. doi:10.1001/jama.2013.276755

To the Editor Dr Doig and colleagues1 highlighted how the provision of adequate calorie support during the first 7 days of stay in the intensive care unit (ICU) may be critical. Although previous research suggested that starvation is associated with worse outcome and nutritional support should be considered during the highly catabolic state of critical illness, recent trials2,3 have emphasized that early is not always better in the ICU.

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