الفهرس 
Assessmentt off Nuttriittiion Riisk iin tthe ICUOnly 14 pages are availabe for public view
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Abstract
The relationship between malnutrition and adverse clinical outcomes is complex, because malnutrition may contribute to complications that worsen nutritional status and patients who are more difficult to feed are more critically ill and at higher risk for death and complications. Thus, the true cost of malnutrition cannot be estimated with accuracy in critically ill patients Protein-energy malnutrition is associated with skeletal-muscle weakness, an increased rate of hospital-acquired infection, impaired wound healing, and prolonged convalescence in patients who are admitted to an intensive care unit (ICU The European and American–Canadian clinical practice guidelines for ICU nutrition support differ in their recommendations for the initiation of parenteral nutrition in patients who are not expected to achieve adequate nutrient intake with enteral nutrition (oral diet or tube feedings In our study, we compared the difference between the early and late initiation of parenteral nutrition. There were two groups of patients admitted to the ICU who were unable to eat by day received enteral nutrition This randomized controlled study was carried out in the Intensive Care Unit at Tanta University Hospital. The duration of the study was months After approval from Institutional Ethics Committee, a written informed consents were.