RT Book, Section
A1 Saunders, Katherine H.
A1 Igel, Leon I.
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
A2 McQuaid, Kenneth R.
SR Print(0)
ID 1184163120
T1 Indications for Nutritional Support
T2 Current Medical Diagnosis & Treatment 2022
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781264269389
LK accessmedicine.mhmedical.com/content.aspx?aid=1184163120
RD 2024/04/23
AB The  precise  indications  for  nutritional  support  remain  controversial.  Most  authorities  agree  that  nutritional  support  is  indicated  for  at  least  four  groups  of  adult  patients:  (1)  those  with  inadequate  bowel  syndromes,  (2)  those  with  severe  prolonged  hypercatabolic  states  (eg,  due  to  extensive  burns,  trauma,  mechanical  ventilation),  (3)  those  requiring  prolonged  therapeutic  bowel  rest,  and  (4)  those  with  severe  protein–calorie  undernutrition  with  a  treatable  disease  who  have  sustained  a  loss  of  10%  body  weight  at  6  months  or  20%  body  weight  at  1  year.  In  most  other  conditions,  it  has  been  difficult  to  prove  the  efficacy  of  nutritional  support  over  treatment  without  such  support.