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April 15, 2009

Evidence-Based Nutrition Guidelines for Critically Ill Adults

JAMA. 2009;301(15):1542-1544. doi:10.1001/jama.2009.492

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).