KGH's intensive care unit ranks second in international nutrition audit

    KINGSTON, ON, Jan. 8 /CNW Telbec/ - A second-place ranking in an
international nutrition audit means Kingston General Hospital's intensive care
unit (ICU) will now be one of the standards against which all others are
    KGH was recently award a "Best of the Best" award for its showing among
157 ICUs in 22 countries in this survey designed to improve upon nutrition
therapies provided to critically ill patients in intensive care units around
the world.
    In a project led by Naomi Jones at KGH's Clinical Evaluation Research
Unit, the survey collected data on the clinical condition, nutritional status,
nutrition practices and outcomes of almost 3,000 critically ill patients
beginning in May 2008. Participants collected data over a three-month period
and catalogued the results online using a web-based data collection tool.
    Participants were able to compare their performance against ICUs within
their own country or region, against all ICUs in the database as well as
against recommendations outlined in The Canadian Clinical Practice Guidelines
for Nutrition Support in Mechanically Ventilated Critically Ill Patients,
authored by Clinical Evaluation Research Unit Director Dr. Daren Heyland,
research dietitian Rupinder Dhaliwal and KGH Critical Care Program Medical
Director Dr. John Drover.
    Conducting surveys of nutrition therapy in ICUs, explains Dr. Heyland,
helps define gaps between these recommendations and what actually occurs. "The
prevalence of malnutrition is high in ICUs and this has a negative impact on
clinical outcomes. By providing patients with the right nutrition, we can
improve wound healing, boost their immune system and help their digestive
system work more effectively which, together, favourably influence the chance
of surviving critical illness."
    Attaining a "Best of the Best" rating among 157 ICUs is a significant
achievement for KGH, says Dr. Heyland, a Professor of Medicine and
Epidemiology at Queen's University. He credits much of the improvement to
increased dietitian staffing in the ICU. "By allocating more dietary resources
directly inside the ICU, we are able to better educate staff about the
importance of nutrition in treating critically ill patients. We've shown
through this survey and others that improved nutrition can make a difference
in patient outcomes."
    "It is exciting and gratifying to learn that KGH is among the centres
leading the world in nutrition therapy in the intensive care unit," says Dr
Drover, who is also an Associate Professor at Queen's University.
"Participation in these nutrition surveys have helped us raise awareness and
understanding of the importance of nutrition in critically ill patients and
how improved nutrition may lead to fewer complications and improved survival."

    Affiliated with Queen's University, Kingston General Hospital is a
456-bed specialized teaching and research hospital that serves more than
500,000 people in southeastern Ontario and is the community hospital for the
Kingston area. KGH provides an array of specialized acute and ambulatory
clinical services including trauma, cardiac, stroke, pediatric, perinatal, end
stage renal and stem cell transplants. Home to the Cancer Centre of
Southeastern Ontario, KGH is dedicated to compassionate, high quality health
care in a dynamic academic research environment. It features a robust research
program and provides hands-on skill training for close to 1,900 health-care
students annually. For more information, visit the web site at

For further information:

For further information: Media: Karen Smith, KGH Public Affairs, (613)
549-6666 ext. 6345, (613) 329-4232 cell.

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