Intensive care medicine
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Intensive care medicine · Mar 2016
Review Meta AnalysisNormocaloric versus hypocaloric feeding on the outcomes of ICU patients: a systematic review and meta-analysis.
Current clinical practice guidelines recommend providing ICU patients a daily caloric intake estimated to match 80-100 % of energy expenditure (normocaloric goals). However, recent clinical trials of intentional hypocaloric feeding question this approach. ⋯ This meta-analysis demonstrated no difference in the risk of acquired infections, hospital mortality, ICU length of stay or ventilator-free days between patients receiving intentional hypocaloric as compared to normocaloric nutritional goals.