Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)

McClave, Stephen A.; Martindale, Robert G.; Vanek, Vincent W.; McCarthy, Mary; Roberts, Pamela; Taylor, Beth; Ochoa, Juan B.; Napolitano, Lena; Cresci, Gail; the A.S.P.E.N. Board of Directors; the American College of Critical Care Medicine

doi:10.1177/0148607109335234

Cited by 1,873Clinical Nutrition and GastroenterologyHyperglycemia and glycemic control in critically ill and hospitalized patientsSepsis Diagnosis and Treatment

Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)

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McClave, Stephen A., Martindale, Robert G., Vanek, Vincent W., McCarthy, Mary, Roberts, Pamela, Taylor, Beth, Ochoa, Juan B., Napolitano, Lena +3 more·2009·Journal of Parenteral and Enteral Nutrition

DOI 10.1177/0148607109335234

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Abstract

SCCM) in Critical Care Medicine, 2009; volume 37, number 5. literature were resolved by consensus of opinion of the committee members, which in some cases led to a downgrade of the recommendation.Following an extensive review process by external reviewers, the final guideline manuscript was reviewed and approved by A.S.P.E.N.

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ASPEN standards for critically ill adults call for adjusting both protein and energy level for obese patients.
“The American Society for Parenteral and Enteral Nutrition (ASPEN) standards for critically ill adults call for adjusting both protein and energy level for obese patients.70”
From Evidence-Based Recommendations for Optimal Dietary Protein Intake in Older People: A Position Paper From the PROT-AGE Study Group (2013) · cites this paper as [70]
During the COVID-19 pandemic, several hospitals implemented emergency use of newer factory-calibrated continuous glucose monitoring devices not requiring capillary glucose calibration for ICU and non-ICU medical and surgical patients.
“Several hospitals implemented emergency use, particularly of newer factory-calibrated CGM not requiring capillary glucose calibrations, for persons in ICU and non-ICU medical and surgical settings.1266,1389,1390,1396,1397”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1389]
The glucose-control rationale discusses serum glucose targets in ICU patients, and the Target Patient Population section defines the scope of the nutrition guidelines. Neither addresses hospitals’ emergency use of factory-calibrated continuous glucose monitors during COVID-19; searches for those devices, calibration, and emergency use found no supporting passage. Page numbers were not available in our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measured
Current hospital monitoring methods often miss most hypoglycemic episodes, especially asymptomatic or nocturnal ones, which may be the most dangerous.
“Hence, current methods for monitoring hypoglycemia in hospitals often fail to detect most hypoglycemic episodes, particularly asymptomatic or nocturnal hypoglycemia, which may be the most dangerous episodes.1389”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1389]
The G4 rationale discusses hypoglycemia risk and mortality in relation to glucose-control targets, but does not address whether hospital monitoring misses episodes. Searches for asymptomatic or nocturnal hypoglycemia and for monitoring or detection found no passage supporting the claim. (LLM, conf=0.72)
Experimental — accuracy not yet measured

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Authors: McClave, S. A., Martindale, R. G., Vanek, V. W., McCarthy, M., Roberts, P., Taylor, B., Ochoa, J. B., Napolitano, L., Cresci, G., the A.S.P.E.N. Board of Directors, & the American College of Critical Care Medicine
Affiliations: University of Louisville (US)
Oregon Health & Science University (US)
Madigan Army Medical Center (US)
Barnes-Jewish Hospital (US)
Brooklyn Hospital Center (US)
Corresponding author: McClave, Stephen A.
ORCID: McClave, Stephen A.
Martindale, Robert G.
McCarthy, Mary
Roberts, Pamela
Taylor, Beth
Ochoa, Juan B.
Napolitano, Lena
Cresci, Gail
Venue: Journal of Parenteral and Enteral Nutrition
Publisher: Wiley
Published: 2009-04-27
Volume: 33
Issue: 3
Pages: 277-316
ISSN: 0148-6071 (ISSN-L)
1941-2444
DOI: 10.1177/0148607109335234
OpenAlex: W2795413644
Cited by: 1,873
References: 304
Citations by year: 2026: 25 · 2025: 37 · 2024: 36 · 2023: 31 · 2022: 45 · 2021: 86 · 2020: 88 · 2019: 81 · 2018: 94 · 2017: 119 · 2016: 144 · 2015: 275 · 2014: 246 · 2013: 154 · 2012: 156
FWCI: 131.98
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Parenteral and Enteral Nutrition (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hyperglycemia and glycemic control in critically ill and hospitalized patients
Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
Keywords: nutrition support therapy, critically ill adults, enteral nutrition, parenteral nutrition, nutritional assessment, critical care nutrition
MeSH terms: Adult, Critical Care, Enteral Nutrition, Governing Board, Humans, Outcome and Process Assessment, Health Care, Parenteral Nutrition, Societies, Medical, United States, Randomized Controlled Trials as Topic, Critical Illness, Health Care Costs, Nutritional Support

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Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)

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