RT Journal
A1 Schultz MJ, Spronk P, Tepaske R
T1 EVidence-based nutrition guidelines for critically ill adults
JF JAMA
JO JAMA
YR 2009
FD April 15
VO 301
IS 15
SP 1542
OP 1544
DO 10.1001/jama.2009.492
UL http://dx.doi.org/10.1001/jama.2009.492
AB 
To the Editor: Although providing early nutritional support of patients in the intensive care unit (ICU) is a strategy that may significantly reduce mortality, its implementation is far from complete. In their randomized controlled trial, Dr Doig and colleagues1 successfully developed and implemented a complex evidence-based nutrition guideline promoting early feeding, using a multifaceted practice change strategy. All hospitals implemented the nutrition guideline, resulting in a significant increase in the number of patients who received nutritional support during ICU stay and who were fed early (within 24 hours of ICU admission).