Improving Nutritional Adequacy of ICU Survivors in a Prospective Interventional Way: the Bright Side Study

Does the Use of Supplemental Parenteral/Enteral Nutrition and/or Oral Nutrition Supplements Guided by Indirect Calorimetry Combined With Standard of Care Increases Energy Feeding Adequacy in Patients Who Survived Critical Illness?

The objective is to increase caloric adequacy in patients who survived critical illness and are admitted to the ward by the use of a pro-active inclusive nutritional strategy including supplemental parenteral and/or enteral nutrition and/or oral nutritional supplements guided by indirect calorimetry.

This enables the investigators to address, within a clinical/scientific context, a recently demonstrated but until now relatively neglected 'dark side' of patient care at UZ Brussel, comparable to limited global evidence : iatrogenic malnutrition of ICU survivors. The use of a newly developed clinical pathway and nutrition strategy (oral, enteral and parenteral) led by a single SPoC (Single Point of Contact) for patients surviving intensive care will have a clear objective: to address the nutritional deficit in all patients.

Inclusion Criteria:

• Adult ≥ 18 years
• ICU stay ≥ 7 days
• Ward stay ≥ 3 days
• Nutritional therapy not restricted
• Heterogeneous diseases

Exclusion Criteria:

• Patients < 18 years
• ICU < 7 days
• Ward stay < 3 days
• Advanced Care Planning with impact on nutritional therapy
• Patients with palliative care
• Metabolic derangements such as metabolic diseases
• Pregnancy