Biomarkers in critical care nutrition

Bibliographic Details
Title: Biomarkers in critical care nutrition
Authors: Christian Stoppe, Sebastian Wendt, Nilesh M. Mehta, Charlene Compher, Jean-Charles Preiser, Daren K. Heyland, Arnold S. Kristof
Source: Critical Care, Vol 24, Iss 1, Pp 1-10 (2020)
Publisher Information: BMC, 2020.
Publication Year: 2020
Collection: LCC:Medical emergencies. Critical care. Intensive care. First aid
Subject Terms: Nutrition, Biomarker, Metabolism, Critical care, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
More Details: Abstract The goal of nutrition support is to provide the substrates required to match the bioenergetic needs of the patient and promote the net synthesis of macromolecules required for the preservation of lean mass, organ function, and immunity. Contemporary observational studies have exposed the pervasive undernutrition of critically ill patients and its association with adverse clinical outcomes. The intuitive hypothesis is that optimization of nutrition delivery should improve ICU clinical outcomes. It is therefore surprising that multiple large randomized controlled trials have failed to demonstrate the clinical benefit of restoring or maximizing nutrient intake. This may be in part due to the absence of biological markers that identify patients who are most likely to benefit from nutrition interventions and that monitor the effects of nutrition support. Here, we discuss the need for practical risk stratification tools in critical care nutrition, a proposed rationale for targeted biomarker development, and potential approaches that can be adopted for biomarker identification and validation in the field.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1364-8535
Relation: http://link.springer.com/article/10.1186/s13054-020-03208-7; https://doaj.org/toc/1364-8535
DOI: 10.1186/s13054-020-03208-7
Access URL: https://doaj.org/article/cb68b68265134858b7d0003544c5de8c
Accession Number: edsdoj.b68b68265134858b7d0003544c5de8c
Database: Directory of Open Access Journals
More Details
ISSN:13648535
DOI:10.1186/s13054-020-03208-7
Published in:Critical Care
Language:English