{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:47:30Z","timestamp":1788482850650,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,6]],"date-time":"2025-04-06T00:00:00Z","timestamp":1743897600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Better understanding the impact of dietetic services on nutrition practices seems required as it may represent an opportunity for optimization in post\u2013cardiac surgery patients. The present study aims to evaluate and compare nutrition practices and clinical outcomes in post\u2013cardiac surgery intensive care unit (ICU) patients with and without dietetic services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a secondary analysis of a multinational prospective observational study in patients (<jats:italic>n<\/jats:italic>\u2009=\u2009237) with &gt;72\u2009h of post\u2013cardiac surgical ICU stay with and without dietetic services describing nutrition practices and outcomes up to 12 days after ICU admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Dietetic services were available in 61.5% (8 of 13) ICUs (1.0\u2009\u00b1\u20090.5 full\u2010time equivalents\/10 beds). Enteral nutrition was initiated &lt;48\u2009h from ICU admission in 49.6% and 59.1% of patients at sites with vs without dietetic services, respectively. Parenteral nutrition was started within 118.3\u2009\u00b1\u200956.5 and 131.5\u2009\u00b1\u200969.2\u2009h at sites with vs without dietetic services, respectively. Energy target (23.7\u2009\u00b1\u20094.8 vs 24.6\u2009\u00b1\u20094.8\u2009kcal\/kg body weight\/day) and actual supply (10.5\u2009\u00b1\u20096.7 vs 10.3\u2009\u00b1\u20096.2\u2009kcal\/kg body weight\/day) did not differ between the groups. Protein targets (1.4\u2009\u00b1\u20090.4 vs 1.1\u2009\u00b1\u20091.3\u2009g\/kg body weight\/day) and actual protein provision (0.6\u2009\u00b1\u20090.4 vs 0.4\u2009\u00b1\u20090.3\u2009g\/kg body weight\/day) were higher in patients at sites with vs without dietetic services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Improvements in medical nutrition therapy practices in patients after cardiac surgery are needed in ICUs with and without dietetic services. Appropriately staffed dietetic services as essential members of the medical care team may be crucial to transfer knowledge on adequate medical nutrition therapy strategies into practice.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpen.2755","type":"journal-article","created":{"date-parts":[[2025,4,6]],"date-time":"2025-04-06T05:39:51Z","timestamp":1743917991000},"page":"476-487","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Role of dietitians in optimizing medical nutrition therapy in cardiac surgery patients: A secondary analysis of an international multicenter observational study"],"prefix":"10.1002","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1494-4670","authenticated-orcid":false,"given":"Ellen","family":"Dresen","sequence":"first","affiliation":[{"name":"University Hospital W\u00fcrzburg Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5211-5553","authenticated-orcid":false,"given":"Danielle E.","family":"Bear","sequence":"additional","affiliation":[{"name":"Guy's and St. Thomas' NHS Foundation Trust Department of Nutrition and Dietetics London UK"},{"name":"Guy's and St. Thomas' NHS Foundation Trust Department of Critical Care London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2894-1766","authenticated-orcid":false,"given":"Ashley","family":"DePriest","sequence":"additional","affiliation":[{"name":"Emory University Hospital Department of Food and Nutrition Services Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2578-5428","authenticated-orcid":false,"given":"Ranna","family":"Modir","sequence":"additional","affiliation":[{"name":"Stanford University Medical Center Department of Clinical Nutrition Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omy","family":"Naidoo","sequence":"additional","affiliation":[{"name":"PMB Healthcare Centre Newtricion Wellness Dieticians Pietermaritzburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8117-5387","authenticated-orcid":false,"given":"Charlene","family":"Compher","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Nursing and Hospital of the University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Ho","sequence":"additional","affiliation":[{"name":"University of Toronto, Sunnybrook Health Sciences Centre Departments of Cardiac Surgery and Critical Care Medicine Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pui Hing","family":"Foong","sequence":"additional","affiliation":[{"name":"National Heart Institute Dietetics &amp; Food Services Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0210-9726","authenticated-orcid":false,"given":"Maria Eloisa Garcia","family":"Vel\u00e1squez","sequence":"additional","affiliation":[{"name":"San Francisco Clinic Hospital Department of Clinical Nutrition Guayaquil Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4505-7476","authenticated-orcid":false,"given":"Zheng\u2010Yii","family":"Lee","sequence":"additional","affiliation":[{"name":"University of Malaya, Faculty of Medicine Department of Anaesthesiology Kuala Lumpur Malaysia"},{"name":"Deutsches Herzzentrum der Charit\u00e9 Department of Cardiac Anesthesiology and Intensive Care Medicine Berlin Germany"},{"name":"Charit\u00e9 \u2014 Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt\u2010Universit\u00e4t zu Berlin Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6410-3859","authenticated-orcid":false,"given":"Charles Chin Han","family":"Lew","sequence":"additional","affiliation":[{"name":"Ng Teng Fong General Hospital Department of Dietetics &amp; Nutrition Singapore Singapore"},{"name":"Singapore Institute of Technology Faculty of Health and Social Sciences Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4948-1605","authenticated-orcid":false,"given":"Gunnar","family":"Elke","sequence":"additional","affiliation":[{"name":"University Medical Center Schleswig\u2010Holstein Department of Anesthesiology and Intensive Care Medicine Kiel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayshil J.","family":"Patel","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin Division of Pulmonary and Critical Care Medicine, Department of Medicine Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liam","family":"McKeever","sequence":"additional","affiliation":[{"name":"Rush University Medical Center Department of Clinical Nutrition Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6584-0551","authenticated-orcid":false,"given":"Katharina","family":"Berschauer","sequence":"additional","affiliation":[{"name":"University Hospital W\u00fcrzburg Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catarina Rosa","family":"Domingues","sequence":"additional","affiliation":[{"name":"Centro Hospitalar Universit\u00e1rio de Lisboa Central EPE Medical Emergency Unit Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3324-1129","authenticated-orcid":false,"given":"Juan Carlos","family":"Lopez\u2010Delgado","sequence":"additional","affiliation":[{"name":"Hospital Clinic of Barcelona Barcelona Spain"},{"name":"University of Barcelona, School of Nursing Departament d'Infermeria Fonamental i M\u00e9dico\u2010Quir\u00fargica Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Meybohm","sequence":"additional","affiliation":[{"name":"University Hospital W\u00fcrzburg Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6440-4616","authenticated-orcid":false,"given":"Daren K.","family":"Heyland","sequence":"additional","affiliation":[{"name":"Queen's University Department of Critical Care Medicine Kingston Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2028-2039","authenticated-orcid":false,"given":"Christian","family":"Stoppe","sequence":"additional","affiliation":[{"name":"University Hospital W\u00fcrzburg Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine W\u00fcrzburg Germany"},{"name":"Deutsches Herzzentrum der Charit\u00e9 Department of Cardiac Anesthesiology and Intensive Care Medicine Berlin Germany"},{"name":"Charit\u00e9 \u2014 Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt\u2010Universit\u00e4t zu Berlin Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-023-04539-x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607116661839"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-017-1690-5"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.2495"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu10050597"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00075197-200503000-00017"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000005607"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclnm.2011.03.004"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2020.10.022"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc10546"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2015.01.015"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3181c0263d"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000005508"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2021.08.017"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.2467"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/ncp.10214"},{"issue":"1","key":"e_1_2_11_18_1","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1097\/ACO.0000000000001323","article-title":"Nutrition support for patients on mechanical circulatory support","volume":"37","author":"Dresen E","year":"2024","journal-title":"Curr Opin Anaesthesiol"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-022-04157-z"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.2267"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2023.07.011"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2021.02.021"},{"issue":"05","key":"e_1_2_11_23_1","first-page":"341","article-title":"Clinical nutrition in critical care medicine\u2014guideline of the German Society for Nutritional Medicine (DGEM)","volume":"43","author":"Elke G","year":"2019","journal-title":"Aktuel Ernahrungsmed"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.08.037"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607115621863"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/ncp.10854"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2021.06.018"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-9-9"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.2310"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2024.06.025"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.03.013"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2019.02.011"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0287124"}],"container-title":["Journal of Parenteral and Enteral Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpen.2755","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T13:45:56Z","timestamp":1760881556000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.2755"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,6]]},"references-count":32,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/jpen.2755"],"URL":"https:\/\/doi.org\/10.1002\/jpen.2755","archive":["Portico"],"relation":{},"ISSN":["0148-6071","1941-2444"],"issn-type":[{"value":"0148-6071","type":"print"},{"value":"1941-2444","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,6]]},"assertion":[{"value":"2024-11-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}