Association between prescribed enteral diet and infused versus and clinical outcome in elderly stays in an Intensive Care Unitasociación entre dieta enteral
DOI:
https://doi.org/10.33448/rsd-v10i5.14594Keywords:
Enteral nutrition; Elderly; Intensive Care Unit.Abstract
Introduction: The elderly public is at greater risk of developing nutritional deficits, since there is an impairment of physiological function. Objective: to evaluate the association between the prescribed versus infused enteral diet and the clinical outcome of elderly patients admitted to an Intensive Care Unit. Methodology: The study was sectional, developed with elderly in Intensive Care Unit of the Hospital Universitário Lauro Wanderley da Paraíba, where they were evaluated through a nutritional monitoring form. Statistical analysis used Chi-square tests assuming a significance level (p<0.05). Results: Seventy-nine elderly patients were evaluated, being the majority female with 62%, and mean age of 72.5 years. As for therapy complications, open nasogastric tube was significantly associated with unsatisfactory infused versus prescribed volume. Patients whose prescribed versus infused volume was satisfactory were hospitalized for more than 21 days. A total of 29 patients were discharged from the hospital, 69% of whom received satisfactory prescribed versus infused volume. On the other hand, 21 of these individuals had 63.6% of the total deaths that were associated with non-compliance with this variable. Conclusion: It was observed that patients who stayed more days in the ICU had a higher volume of infused diet reaching their recommended goals, in virtue of those who were discharged, noting that the majority satisfactorily received prescribed versus infused volume, since quality in nutritional therapy is needed more broadly in the elderly population.
References
Choi, E. Y., Park, D., & Park, J. (2014). Calorie intake of enteral nutrition and clinical outcomes in acutely critically ill patients: A meta-analysis of randomized controlled trials. Journal Parenteral and Enteral Nutrition, 20(10).
Cunha, H. F. R.; Salluh, J. I. F., & França, M. F. (2010). Atitudes e percepções em terapia nutricional entre médicos intensivistas: um inquérito via internet. Rev Bras Ter Intensiva. 22 (1), 53-63.
Couto, C. F. L.; Dariano, A.; Teixeita, C.; Silva, C. H.; Torbes, A. B.; & Friedman, G. (2019). A adequação de suporte nutricional enteral em unidades de terapia intensiva não afeta o prognóstico a curto e longo prazo de pacientes sob ventilação mecânica: um estudo piloto. Rev Bras de Ter Intensiva. 31(1):34-38.
Filho, R. S. O., Ribeiro, L. M. K., Caruso, L., Lima, P. A., Damasceno, N. R. T., & Soriano, F. G. (2016). Indicadores de qualidade para terapia nutricional enteral e parenteral: aplicações em pacientes críticos em risco nutricional’. Nutricion Hospitalaria. 33(5):1027-1035.
Graciano, R. D. M., &Ferreti, R. E. L. (2008). Nutrição enteral em idosos na unidade de terapia intensiva: prevalência e fatores associados. Geriatria e Gerontologia, 2(4), 151-155.
Indicadores de qualidade em terapia nutricional: 10 anos de IQTN no Brasil resultados, desafios e propostas. (2018) / [coordenação científica Dan LinetzkyWaitzberg]. (3a ed.).
Lew, C. C. H.; Yandell, R., Fraser, R. J., Chua, A. P., Chong, M. F. F., & Miller, M. (2017). Associação entre desnutrição e resultados clínicos na unidade de terapia intensiva: uma revisão sistemática. JPEN J Parenter Nutr Enteral. 41 (5): 744-758.
Martins, F. C.; Cristina, R.; Vital, C.; Wendel Amaral, F.; Volp, J. P.; & Carolina, A. (2017). Perfil nutricional de pacientes internados em terapia intensiva. Nutr. clin. diet. Hosp.37(4):40-47.
Medeiros, I. M. S; Ritter, C. G; Filho, G. H. C. R.; & Prado, P. R. (2020). Caracterização e adequação energético-proteica da nutrição enteral em pacientes em uma unidade de terapia intensiva. South American Journal, 6(2):381-395.
Patckova, A; Joskova, V; Havel, E; Kovarik, M; Kuckarova, M; Zadak, Z; & Hronek, M. (2017). Energy, Protein, Carbohydrate, and Lipid Intakes and Their Effects on Morbidity and Mortality in Critically Ill Adult Patients: A Systematic Review. American Society for Nutrition . 8: 624-34.
Ribeiro, L. M. K.; Filho, S. R. O.; Caruso, L.; Lima, P. A.; Damasceno, N. R. T.; & Soriano, F. G. (2014). Adequação dos balanços energético e proteico na nutrição por via enteral em terapia intensiva: quais os fatores limitantes? Rev Bras Ter Intensiva, 26(2), 155 – 162.
Stefanello, M. D., & Poll, F. A. Estado nutricional e dieta enteral prescrita e recebida por pacientes de uma Unidade de Terapia Intensiva. ABCS Health Sciences. 39(2):71- 76.
Santos, A. L; & Alves, T. C. H. S. (2018). Terapia nutricional enteral: relação entre percentual de dieta prescrito e administrado e intercorrências associadas em hospital público de Salvador-BA. Braspen J, 33(1): p 58-63.
Silva, A. S; Mannarino I. S., & Moreira, A. S. B. (2014). Risco nutricional em pacientes idosos hospitalizados como determinantes de desfecho clínicos. Revista Geriatria e Gerontologia. 8 (1), 32-37. (4a ed.).
Telles, J. L. H.; Boton, C. R. M.; Mariano, M. L. L., & Paula, M. A. B. (2015). Nutrição enteral: complicações gastrintestinais em pacientes de uma unidade de terapia intensiva. Revista Científica de Enfermagem, 5(3), 5-11.
Toledo, D.; & Castro, M. (2015). Terapia nutricional em terapia UTI,
Vieira, R. M. (2019). Valor nutricional administrado e impacto da oferta proteica calórica em pacientes cardíacos críticos em nutrição enteral. Dissertação Mestrado em ciências da saúde: cardiologia e ciências cardiovasculares.
Uozumi, M., Sanui, M., Komuro, T., Iizuka, Y., Kamio, T., Koyama, H., et al. Interruption of enteral nutrition in the intensive care unit: a single-center survey. J Intensive Care. 5:52.
Yip, K. F.; Rai, V., & Wong, K. K. (2014). Evaluation of delivery of enteral nutrition in mechanically ventiladed Malaysian ICU patients. BMC Anesteshiology.
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Copyright (c) 2021 Camila Melo de Araújo; Adriana Gomes Cézar de Carvalho; Gina Araújo Martins Feitosa; Caroline Sousa Cabral; Janine Maciel Barbosa; Edcleide Oliveira dos Santos Olinto; Juliana Andrade da Silva; Paloma Egídio Andrade de Souza
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