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Table 1 Enteral feeding regimens

From: Optimizing early enteral nutrition in severe stroke (OPENS): protocol for a multicentre randomized controlled trial

 

Standard Full EN

Modified Full EN

Permissive Underfeeding

Estimated caloric need

BMI 18–30: daily caloric requirement (kcal) = actual weight (in kilos) × 25 (kcal)

BMI < 18 or > 30: daily caloric requirement (kcal) = [height (in cm) – 105] × 25 (kcal)

Caloric provision

Day 1: 1/3 of the estimated need

Day 2: 1/2 of the estimated need

Day 3–7: 100% of the estimated need with the acceptable range being 70–100%.

After day 7: 100% of the estimated need

Day 1: 1/3 of the estimated need

Day 2: 1/2 of the estimated need

Day 3–7: 100% of the estimated need with the acceptable range being 70–100%.

After day 7: 100% of the estimated need

Day 1: 1/3 of the estimated need

Day 2–7: 60% of the estimated need with the acceptable range being 40–60%.

After day 7: 100% of the estimated need

Protein provision

1.2–1.5 g/kg /d

1.2–1.5 g/kg /d

1.2–1.5 g/kg /d

Use of prokinetic agent

No

Yes, from Day 1 to Day 7 (metoclopramide or erythromycin)

No

Type of formula

No specific formula is stipulated. Whey protein will be used to supplement protein if the amount of protein in the formula is inadequate

  1. EN enteral nutrition, BMI Body Mass Index