To the Editor: Although providing early nutritional support of patients in the intensive care unit (ICU) is a strategy that may significantly reduce mortality, its implementation is far from complete. In their randomized controlled trial, Dr Doig and colleagues1 successfully developed and implemented a complex evidence-based nutrition guideline promoting early feeding, using a multifaceted practice change strategy. All hospitals implemented the nutrition guideline, resulting in a significant increase in the number of patients who received nutritional support during ICU stay and who were fed early (within 24 hours of ICU admission).
Schultz MJ, Spronk P, Tepaske R. Evidence-Based Nutrition Guidelines for Critically Ill Adults. JAMA. 2009;301(15):1542-1544. doi:10.1001/jama.2009.492