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The evolution of nutrition in critical care: how much, how soon?

Overview of attention for article published in Critical Care, March 2013
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About this Attention Score

  • Good Attention Score compared to outputs of the same age (73rd percentile)
  • Good Attention Score compared to outputs of the same age and source (65th percentile)

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8 X users

Citations

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41 Dimensions

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139 Mendeley
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Title
The evolution of nutrition in critical care: how much, how soon?
Published in
Critical Care, March 2013
DOI 10.1186/cc11505
Pubmed ID
Authors

Paul E Wischmeyer

Abstract

Critical care is a very recent advance in the history of human evolution. Prior to the existence of ICU care, when the saber-tooth tiger attacked you had but a few critical hours to recover or you died. Mother Nature, and her survival of the fittest mentality, would never have favored the survival of the modern ICU patient. We now support ICU patients for weeks, or even months. During this period, patients appear to undergo phases of critical illness. A simplification of this concept would include an acute phase, a chronic phase, and a recovery phase. Given this, our nutrition care should probably be different in each phase, and targeted to address the evolution of the metabolic response to injury. For example, as insulin resistance is maximal in the acute phase of critical illness, perhaps we have evolved to benefit from a more hypocaloric, high-protein intervention to minimize muscle catabolism. In the chronic phase, and especially in the recovery phase, more aggressive calorie delivery and perhaps proanabolic therapy may be needed. As the body has evolved limited stores of some key nutrients, adequate nutrition may hinge on more than just how many calories we provide. The provision of adequate protein and other key nutrients at the right time may also be vital. This review will attempt to utilize the fundamentals of our evolution as humans and the rapidly growing body of new clinical research to answer questions about how to administer the right nutrients, in the right amounts, at the right time.

X Demographics

X Demographics

The data shown below were collected from the profiles of 8 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 139 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 <1%
Denmark 1 <1%
Germany 1 <1%
Brazil 1 <1%
Unknown 135 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 20 14%
Other 18 13%
Researcher 18 13%
Student > Postgraduate 15 11%
Student > Ph. D. Student 11 8%
Other 38 27%
Unknown 19 14%
Readers by discipline Count As %
Medicine and Dentistry 83 60%
Nursing and Health Professions 12 9%
Agricultural and Biological Sciences 6 4%
Engineering 4 3%
Arts and Humanities 3 2%
Other 11 8%
Unknown 20 14%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 September 2022.
All research outputs
#6,996,781
of 25,371,288 outputs
Outputs from Critical Care
#3,901
of 6,554 outputs
Outputs of similar age
#55,857
of 208,477 outputs
Outputs of similar age from Critical Care
#61
of 177 outputs
Altmetric has tracked 25,371,288 research outputs across all sources so far. This one has received more attention than most of these and is in the 72nd percentile.
So far Altmetric has tracked 6,554 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.8. This one is in the 40th percentile – i.e., 40% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 208,477 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 73% of its contemporaries.
We're also able to compare this research output to 177 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 65% of its contemporaries.