Daily requirements up to 14 days, extubation, or death were calculated using all 3 methods and compared with IC.įifty-five subjects were included. Ideal or adjusted body weight was used for 25-30 kcal/kg, and HBE was multiplied by a 1.3 stress factor (1.3HBE). We describe the difference between estimated and actual energy needs in critically injured patients.įrom March to November 2018, we collected demographics and energy needs determined by continuous IC (started within 4 days) in intubated adults. The Harris-Benedict equation (HBE) multiplied by a stress factor is commonly applied in critically ill patients. In the absence of indirect calorimetry (IC), the Society of Critical Care Medicine/ASPEN recommend prescribing 25-30 kcal/kg. Overfeeding and underfeeding are associated with poor clinical outcomes.
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