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Cited by 138Clinical Nutrition and GastroenterologyHemodynamic Monitoring and TherapyEnhanced Recovery After Surgery

The DOI matches its Crossref record; 66 of the 67 references it cites were found in a registry or an index.

Role of nutrition support in adult cardiac surgery: a consensus statement from an International Multidisciplinary Expert Group on Nutrition in Cardiac Surgery

Open access
Stoppe, Christian, Goetzenich, Andreas, Whitman, Glenn, Ohkuma, Rika, Brown, Trish, Hatzakorzian, Roupen, Kristof, Arnold, Meybohm, Patrick, Mechanick, Jefferey, Evans, Adam, Yeh, Daniel, McDonald, Bernard, Chourdakis, Michael, Jones, Philip, Barton, Richard, Tripathi, Ravi, Elke, Gunnar, Liakopoulos, Oliver, Agarwala, Ravi, Lomivorotov, Vladimir, Nesterova, Ekaterina, Marx, Gernot, Benstoem, Carina, Lemieux, Margot, Heyland, Daren K.·2017·Critical Care
DOI 10.1186/s13054-017-1690-5PMC PMC5460477
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Abstract

Nutrition support is a necessary therapy for critically ill cardiac surgery patients. However, conclusive evidence for this population, consisting of well-conducted clinical trials is lacking. To clarify optimal strategies to improve outcomes, an international multidisciplinary group of 25 experts from different clinical specialties from Germany, Canada, Greece, USA and Russia discussed potential approaches to identify patients who may benefit from nutrition support, when best to initiate nutrition support, and the potential use of pharmaco-nutrition to modulate the inflammatory response to cardiopulmonary bypass. Despite conspicuous knowledge and evidence gaps, a rational nutritional support therapy is presented to benefit patients undergoing cardiac surgery.

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Crossref · 10.1186/s13054-017-1690-5

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Fig. 1 Organizing framework malnutrition and undernutrition and impact on outcomes in cardiac surgery patients. The patients’ preoperative, intraoperative and postoperative time windows comprise specific variables, which may be of particular relevance for potential nutrition support and patients’ outcomes after surgery. Notably, additional studies are encouraged to identify further relevant factors and to validate its clinical significance. STS Society of Thoracic Surgeons, BMI body mass index, ICU intensive care unit, APACHE II Acute Physiology And Chronic Health Evaluation II, SOFA sequential organ failure assessment, Nutric Nutrition Risk in the Critically ill, CRP C reactive protein, IL interleukin, PCT procalcitonin, PUFA polyunsaturated fatty acids, SYNTAX scoring system to guide decision between coronary artery bypass graft (CABG) surgery or percutaneous intervention (PCI), NRS nutritional risk score
Fig. 1 Organizing framework malnutrition and undernutrition and impact on outcomes in cardiac surgery patients. The patients’ preoperative, intraoperative and postoperative time windows comprise specific variables, which may be of particular relevance for potential nutrition support and patients’ outcomes after surgery. Notably, additional studies are encouraged to identify further relevant factors and to validate its clinical significance. STS Society of Thoracic Surgeons, BMI body mass index, ICU intensive care unit, APACHE II Acute Physiology And Chronic Health Evaluation II, SOFA sequential organ failure assessment, Nutric Nutrition Risk in the Critically ill, CRP C reactive protein, IL interleukin, PCT procalcitonin, PUFA polyunsaturated fatty acids, SYNTAX scoring system to guide decision between coronary artery bypass graft (CABG) surgery or percutaneous intervention (PCI), NRS nutritional risk scoreCC BY · PubMed Central

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  1. Tepeske R, Velthuis H, Oudemans-van Straaten HM, Heisterkamp SH, Ince C, et al. Effect of preoperative oral immune-enhancing nutritional supplement on patients at high risk of infection after cardiac surgery: a randomised placebo-controlled trial. Lancet. 2001;358(9283):696–701. · DOI

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Metadata

Authors
Stoppe, C., Goetzenich, A., Whitman, G., Ohkuma, R., Brown, T., Hatzakorzian, R., Kristof, A., Meybohm, P., Mechanick, J., Evans, A., Yeh, D., McDonald, B., Chourdakis, M., Jones, P., Barton, R., Tripathi, R., Elke, G., Liakopoulos, O., Agarwala, R., Lomivorotov, V., Nesterova, E., Marx, G., Benstoem, C., Lemieux, M., & Heyland, D. K.
Affiliations
  • Universitätsklinikum Aachen (DE)
  • Johns Hopkins University (US)
  • McGill University Health Centre (CA)
  • University Hospital Frankfurt (DE)
  • Icahn School of Medicine at Mount Sinai (US)
  • Massachusetts General Hospital (US)
  • Ottawa Heart Institute (CA)
  • Aristotle University of Thessaloniki (GR)
  • Western University (CA)
  • University of Utah (US)
  • The Ohio State University (US)
  • University Hospital Schleswig-Holstein (DE)
  • University of Cologne (DE)
  • Atrium Health Wake Forest Baptist (US)
  • National Medical and Surgical Center named after N.I. Pirogov (RU)
  • Queen's University (CA)
Corresponding author
  • Stoppe, Christian
  • Goetzenich, Andreas
ORCID
Venue
Critical Care
Publisher
Springer Science and Business Media LLC
Published
2017-06-05
Volume
21
Issue
1
Pages
131-131
ISSN
1364-8535 (ISSN-L)
DOI
10.1186/s13054-017-1690-5
PMC
PMC5460477
OpenAlex
W2622607558
Cited by
138
References
67
Citations by year
2026: 13 · 2025: 11 · 2024: 13 · 2023: 22 · 2022: 13 · 2021: 16 · 2020: 26 · 2019: 11 · 2018: 12
FWCI
11.15
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Critical Care (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
  • RWTH Publications (RWTH Aachen) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Publication Server of Goethe University Frankfurt am Main (Goethe University Frankfurt) (submittedVersion, cc-by)
  • RWTH Publications (RWTH Aachen)
Funders
001 (The 1st International expert meeting of intensivists, anaesthesiologists, dieticians and cardiac surgeons in Boston was financially supported by B. Braun Melsungen AG (Melsungen, Germany).)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
  • Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
Keywords
nutritional support, cardiac surgery, critically ill patients, cardiopulmonary bypass, inflammation, nutritional therapy
MeSH terms
Adult, Cardiovascular Diseases, Cardiac Surgical Procedures, Humans, Metabolism, Nutritional Status, Nutritional Support, Consensus, Interdisciplinary Communication, Internationality

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