Conclusions: This study shown that the updated fasting protocol is safe and effective in improving enteral nutrition provision in SICU. Disclosure of interest: None declared. SUN-P016 SNAQRC IN PRACTICE; A THIN LINE BETWEEN FILL IN AND PROPERLY FILL IN D. Buringa 1, 2, * , J. Gebben 2 , S. Leij-Halfwerk 1 . 1 Han University of Applied Sciences, Nijmegen, Netherlands; 2 Cicero Zorggroep, Brunssum, Netherlands * Corresponding author. Rationale: A prerequisite for performing a valid malnutrition screening in residential care are complete and valid parameters of the applied screening tool. In order to determine the validity of the malnutrition screening in our centre the SNAQrc screening in our centre was evaluated. Methods: Parameters and total SNAQrc scores were retrospectively collected from all patient files of Cicero Zorggroep in Limburg, The Netherlands, in November and December 2017, and evaluated for avail- ability and validity. Total frequencies of valid and invalid scored SNAQrc items were calculated and summarized and each invalid scored item was counted as an invalid SNAQrc score. Results: Data of 647 patient files from all 30 departments of the Cicero Zorggroep were collected. For 71% of the patients SNAQrc scores were completed. Incorrect data were caused by invalid or missing data of cur- rent (17%) or previous weight (49%) or height (11%), resulting in invalid BMI scores (26%) and misclassification of 20% of the patients regarding the malnutrition score. Although in only 14% of all files these SNAQrc scores were sufficiently completed. Conclusions: The majority of SNAQrc screenings in our organization were invalidly performed causing potential risk of under diagnosis of malnu- trition. Attention should be paid to training and focus on data collection during rehabilitation care. Disclosure of interest: None declared. SUN-P017 CAN ENERGY INTAKE INFLUENCE CLINICAL AND HOSPITAL OUTCOMES IN CRITICALLY ILL PATIENTS? C.J. Parramon Teixido 1 , D. Berlana 1, * , P. Garcia Ortega 1 , M. Ferre 2 , C. Puiggros 3 , R. Burgos 3 . 1 Pharmacy, Spain; 2 Intensive Care Unit, Spain; 3 Nutrition Support Unit, Vall Hebron University Hospital, Barcelona, Spain * Corresponding author. Rationale: It has been suggested that high energy intake may be detri- mental in critical patients and lower energy intake may be associated with better outcome. The aim of the present study was to determine if the energy charge supplied by parenteral nutrition (PN) influences the mor- tality, hospital length of stay (HLOS) and intensive care unit (ICU) length of stay (ICU-LOS). Methods: Critical patients 18 years, divided in two groups according to energy intakes adjusted by ideal weight (30 Kcal/kg/day & 20Kcal/kg/ day), with at least 3 days of PN were recruited consecutively from May 17 to April 18. Demographic, anthropometric, biochemistry data; PN charac- teristics and duration; severity ill and nutritional scores; HLOS, ICU-LOS and mortality were collected. Univariate and multivariate analysis was performed to examine the association between mortality, HLOS, ICU-LOS and energy administered. Results: One hundred thirty eight critical patients with a mean PN dura- tion of 17.7 (±15.1) days were included. Baseline characteristics: age 55.6 (±14.1) years, weight 76.1 (±21.2) kg, BMI 27.2 (±7.1) kg/m 2 , APACHE II score 24.2 (±7.8) and NUTRIC score 4.4 (±1.4). Mean amount of caloric intake was 24.1 (±5.4) Kcal/kg/day. Overall mortality was 29.9%; 29.2% in patients with intakes 30 Kcal/kg/day and 27.3% with 20 Kcal/kg/day. Energy intakes higher than 30 Kcal/kg/day was related to higher ICU-LOS (beta coefficient 22.46 [CI95 11.68e33.23]; as well as mean Kcal/kg/day ( 1.22 [CI95 0.54e1.90]). Mean protein intake (prot/kg/day) was related to shorter ICU-LOS and HLOS: -130.3(CI95 173.2e87.4) and -128.6(CI95 200.1e57.5). Early PN was also related to shorter HLOS (16.5 [CI95 29.5e3.5]) Conclusions: This study found differences in ICU-LOS regarding the load of energy and protein given by PN according to recent studies. However, early PN was related to better results. Disclosure of interest: None declared SUN-P018 EVALUATION OF THE NUTRITIONAL PROFILE OF DYSPHAGIC PATIENTS IN A SEMI-INTENSIVE CARE UNIT J.R. Moraes 1 , N.C. Silva 1 , D.F. Bottairi 1 , S.F. Piovacari 1 , E.J. Figueiredo 1 , R.G. Oliveira 2 , D.O. Toledo 1, * . 1 Intensive Care Unit, Hospital Israelita Albert Einstein, S~ ao Paulo, Brazil; 2 Department of Emergency, Universidade Estadual de Campinas, Campinas, Brazil * Corresponding author. Rationale: Dysphagic patients often suffer from malnutrition usually caused by low nutrient intakes. Impaired nutritional status is associated with muscle loss, immune dysfunction, as well as respiratory complica- tions and hospital readmissions. Considering the incidence of dysphagia in hospitalized patients and the impact on nutritional status, the objective of this study was to evaluate the nutritional profile of dysphagic patients and clinical outcomes in a Semi-Intensive Care Unit (SICU). Methods: This was a cross-sectional study that used retrospective data collection in electronic medical records of patients with dysphagia in SICU receiving exclusive oral nutritional therapy. Results: Ninety-seven patients were evaluated, the mean age was 82 years. According to the BMI classification, 41.2% of the patients were malnour- ished, and of these, 67.5% had moderate dysphagia. In patients with moderate dysphagia, 74% received pasty diet and of the thickened liquids administered, 44% was in honey consistency. Concerning the malnour- ished patients, 22.5% progressed to enteral nutritional therapy. Regarding the clinical outcome, malnourished patients had a longer length of stay when compared to non-malnourished patients. The percentage of patients transferred to the ward, patients who had hospital discharge, death, or who remain hospitalized were shown in Table 1 Conclusions: The majority of the patients analyzed were malnourished according to BMI with moderate dysphagia and had a longer length of stay. It suggests the implementation of protocols for early identification of this group and nutritional strategies that may reduce the impact of malnutrition References: Ortega O, Martin A, Clav e P. Diagnosis and Management of Oropharyngeal Dysphagia Among Older Persons, State of the Art. JAMDA. 2017;18:576e582. Disclosure of interest: None declared. SUN-P019 ZINC TRANSPORTERS IN BLOOD AS USEFUL INDICATORS OF SEVERITY OF SYSTEMIC INFLAMMATION AND OUTCOME FOR CRITICALLY ILL PATIENTS E. Planells 1,* , D. Florea 2 , J. Molina-L opez 1 , L. Herrera-Quintana 1 ,  A. Domínguez 1 , Y. Gamarra 1 , B. Quintero 3 , A. P erez de la Cruz 4 , M. Rodriguez-Elvira 5 . 1 Physiology, University of Granada, Granada, Spain; 2 Moorfields Hospital, London, United Kingdom; 3 Physics Chemistry, University of Granada, Spain; 4 Unit of Nutrition, Spain; 5 Intensive Care Unit, Virgen de las Nieves Hospital, Granada, Spain * Corresponding author. Rationale: Critical care patients develop severe stress, inflammation and a clinical state that may raise the utilization and metabolic replacement of many nutrients as zinc, depleting their body reserves. Variables Malnutrition No Malnutrition % N % N Transferred to ward 60 24 52.6 30 Hospital discharge 27.5 11 33.3 19 Deaths 7.5 3 8.8 5 Remain hospitalized 5 2 5.3 3 Abstracts / Clinical Nutrition 37 (2018) S46eS314 S51