Observational studyJPEN. Journal of parenteral and enteral nutrition2025
Role of dietitians in optimizing medical nutrition therapy in cardiac surgery patients: A secondary analysis of an international multicenter observational study.
Observational study in JPEN. Journal of parenteral and enteral nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Practices, barriers, and opportunities for dietitians-nutrionists in critical care in Latin America: A cross-sectional study.JPEN. Journal of parenteral and enteral nutrition · 2026Article
- Artificial intelligence-guided nutritional therapy in the ICU.Current opinion in clinical nutrition and metabolic care · 2026Review
- Role of dietitians in optimizing medical nutrition therapy in cardiac surgery patients: A secondary analysis of an international multicenter observational study.JPEN. Journal of parenteral and enteral nutrition · 2025Observational
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20 authors.
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Abstract
backgroundBetter understanding the impact of dietetic services on nutrition practices seems required as it may represent an opportunity for optimization in post-cardiac surgery patients. The present study aims to evaluate and compare nutrition practices and clinical outcomes in post-cardiac surgery intensive care unit (ICU) patients with and without dietetic services.
methodsThis is a secondary analysis of a multinational prospective observational study in patients (n = 237) with >72 h of post-cardiac surgical ICU stay with and without dietetic services describing nutrition practices and outcomes up to 12 days after ICU admission.
resultsDietetic services were available in 61.5% (8 of 13) ICUs (1.0 ± 0.5 full-time equivalents/10 beds). Enteral nutrition was initiated <48 h from ICU admission in 49.6% and 59.1% of patients at sites with vs without dietetic services, respectively. Parenteral nutrition was started within 118.3 ± 56.5 and 131.5 ± 69.2 h at sites with vs without dietetic services, respectively. Energy target (23.7 ± 4.8 vs 24.6 ± 4.8 kcal/kg body weight/day) and actual supply (10.5 ± 6.7 vs 10.3 ± 6.2 kcal/kg body weight/day) did not differ between the groups. Protein targets (1.4 ± 0.4 vs 1.1 ± 1.3 g/kg body weight/day) and actual protein provision (0.6 ± 0.4 vs 0.4 ± 0.3 g/kg body weight/day) were higher in patients at sites with vs without dietetic services.
conclusionImprovements in medical nutrition therapy practices in patients after cardiac surgery are needed in ICUs with and without dietetic services. Appropriately staffed dietetic services as essential members of the medical care team may be crucial to transfer knowledge on adequate medical nutrition therapy strategies into practice.
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