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Vol. 44. Issue S1.
Recomendaciones para el tratamiento nutrometabólico especializado del paciente crítico. Grupo de Trabajo de Metabolismo y Nutrición de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC)
Pages 1-14 (June 2020)
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Vol. 44. Issue S1.
Recomendaciones para el tratamiento nutrometabólico especializado del paciente crítico. Grupo de Trabajo de Metabolismo y Nutrición de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC)
Pages 1-14 (June 2020)
Recommendations for specialized nutritional-metabolic treatment of the critical patient
DOI: 10.1016/j.medine.2020.02.002
Recommendations for specialized nutritional-metabolic management of the critical patient: Introduction, methodology and list of recommendations. Metabolism and Nutrition Working Group of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC)
Recomendaciones para el tratamiento nutrometabólico especializado del paciente crítico: introducción, metodología y listado de recomendaciones. Grupo de Trabajo de Metabolismo y Nutrición de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC)
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C. Vaquerizo Alonsoa,
Corresponding author
, L. Bordejé Lagunab, J.F. Fernández-Ortegac, Panel of participating experts (in alphabetical order)
a Hospital Universitario de Fuenlabrada, Madrid, Spain
b Hospital Universitario Germans Trias i Pujol, Barcelona, Spain
c Hospital Regional Universitario Carlos Haya, Málaga, Spain
Panel of participating experts (in alphabetical order). Editorial committee
Panel of experts (in alphabetical order)
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Tables (3)
Table 1. Index of chapters on the recommendations for the specialized nutritional-metabolic management of the critical patient.
Table 2. Grade of recommendation according to the level of evidence.
Table 3. Factors that modify quality of the evidence.
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Abstract

The Metabolism and Nutrition Working Group of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC) has reviewed and updated the recommendations for specialized nutritional and metabolic support in critically ill patients published by the Group in 2011, with the primary aim of helping decision making in daily clinical practice.

The recommendations have been formulated by an expert panel with broad experience in nutritional and metabolic support in critically ill patients, and were drafted between March 2016 and February 2019.

A level of evidence has been provided for each of the recommendations, based on the GRADE methodology (Grading of Recommendations Assessment, Development and Evaluation Working Group). A grade of recommendation has also been produced, taking into account the clinical impact of the recommendation, regardless of the level of evidence established by the GRADE scale.

Keywords:
Nutritional therapy
Specialized nutritional therapy
Enteral therapy
Parenteral nutrition
Monitoring
Safety
Critical patient
Recommendations
Scientific evidence
Resumen

El Grupo de Trabajo de Metabolismo y Nutrición de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC) ha revisado y actualizado las recomendaciones del tratamiento nutrometabólico en el paciente crítico (previamente publicadas por el grupo en el año 2011) con la finalidad de ayudar a la toma de decisiones en la práctica clínica diaria.

Para su elaboración, llevada a cabo entre marzo de 2016 y febrero de 2019, se ha contado con un panel de expertos dedicados a la Medicina Intensiva con amplia experiencia en el tratamiento nutricional de los pacientes críticos. Para cada una de las recomendaciones se ha establecido un nivel de evidencia basado en la metodología del grupo GRADE (Grading of Recommendations Assessment, Development and Evaluation Working Group) y un grado de recomendación que ha tenido en cuenta el impacto clínico de la recomendación, independientemente del nivel de evidencia establecido por la escala GRADE.

Palabras clave:
Tratamiento nutricional
Tratamiento nutricional especializado
Nutrición enteral
Nutrición parenteral
Monitorización
Seguridad
Paciente crítico
Recomendaciones
Evidencia científica

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