Inadequate energy and protein and associate factors in critically ill patients
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Nutrição |
Texto Completo: | https://periodicos.puc-campinas.edu.br/nutricao/article/view/8106 |
Resumo: | ObjectiveTo investigate the energy and protein adequacies of intensive care unit of a university hospital patients in exclusive enteral nutrition. Methods This longitudinal study was conducted between April and November 2014 in the adult intensive care unit of a university hospital. The following items were assessed during 14 days: percentage of protein energy adequacy, based on the mean prescribed and administered values; clinical conditions (unit and diagnosis on admission, Acute Physiology and Chronic Health Evaluation II, nutritional status, and length of stay); gastrointestinal complications; and reason for diet interruption. Values below 80% of the caloric and protein adequacies were considered inadequate. Multivariate analysis was performed by Poisson Regression at a significance level of 5%. ResultsThe sample consisted of 38 patients, and 52.63% were undernourished. The mean caloric and protein adequacies were 76.47% and 69.11%, respectively. The prevalences of caloric and protein inadequacies were 55.26% and 68.42%, respectively. Fasting for procedures was the most frequent cause for diet interruption. Residual gastric volume and diarrhea were the most common gastrointestinal complications. Caloric inadequacy was associated with length of stay ≤14 days and high residual gastric volume. Protein inadequacy was associated with length of stay ≤14 days, high residual gastric volume, and catheter displacement or obstruction. ConclusionMore than half of the patients had caloric and protein inadequacies. Strategies, such as the development of protocols for multidisciplinary teams, should be created to minimize disruption of the administered diet, establish measures to control gastrointestinal complications, and thus ensure adequate nutritional intake during intensive care unit stay. |
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Inadequate energy and protein and associate factors in critically ill patientsInadequação calórica e proteica e fatores associados em pacientes gravesCritical careEnergy intakeEnergy requirementEnteral nutritionNutrition therapyCuidados críticosIngestão de energiaNecessidade energéticaNutrição enteralTerapia nutricionalObjectiveTo investigate the energy and protein adequacies of intensive care unit of a university hospital patients in exclusive enteral nutrition. Methods This longitudinal study was conducted between April and November 2014 in the adult intensive care unit of a university hospital. The following items were assessed during 14 days: percentage of protein energy adequacy, based on the mean prescribed and administered values; clinical conditions (unit and diagnosis on admission, Acute Physiology and Chronic Health Evaluation II, nutritional status, and length of stay); gastrointestinal complications; and reason for diet interruption. Values below 80% of the caloric and protein adequacies were considered inadequate. Multivariate analysis was performed by Poisson Regression at a significance level of 5%. ResultsThe sample consisted of 38 patients, and 52.63% were undernourished. The mean caloric and protein adequacies were 76.47% and 69.11%, respectively. The prevalences of caloric and protein inadequacies were 55.26% and 68.42%, respectively. Fasting for procedures was the most frequent cause for diet interruption. Residual gastric volume and diarrhea were the most common gastrointestinal complications. Caloric inadequacy was associated with length of stay ≤14 days and high residual gastric volume. Protein inadequacy was associated with length of stay ≤14 days, high residual gastric volume, and catheter displacement or obstruction. ConclusionMore than half of the patients had caloric and protein inadequacies. Strategies, such as the development of protocols for multidisciplinary teams, should be created to minimize disruption of the administered diet, establish measures to control gastrointestinal complications, and thus ensure adequate nutritional intake during intensive care unit stay.Objetivo Investigar a adequação calórico-proteica de pacientes em terapia nutricional enteral exclusiva internados nas Unidades de Terapia Intensiva de um hospital universitário. MétodosEstudo longitudinal realizado entre abril e novembro de 2014 nas Unidades de Terapia Intensiva de um hospital universitário. Foram avaliados no período de 14 dias: percentual de adequação calórico-proteica, calculada pelas médias dos valores prescritos e administrados; condições clínicas (unidade e diagnóstico de internação, escore prognóstico Acute Physiology and Chronic Health Evaluation II, estado nutricional, tempo de internação); complicações gastrointestinais; e motivo de interrupção da dieta. Valores inferiores a 80% de adequação calórica e proteica foram considerados inadequados. Realizou-se análise multivariada por Regressão de Poisson com nível de significância de 5%. ResultadosO estudo contou com uma amostra de 38 pacientes, sendo 52,63% desnutridos. As médias de adequação calórica e proteica foram de 76,47% e 69,11%, respectivamente. A prevalência de inadequação calórica foi de 55,26% e de proteica, 68,42%. O jejum para procedimentos foi a causa mais frequente de interrupção da dieta. O volume residual gástrico e a diarreia foram as complicações gastrointestinais mais comuns. A inadequação calórica associou-se ao tempo de permanência ≤14 dias e ao volume residual elevado. A inadequação proteica associou-se ao tempo de permanência ≤14 dias, ao volume residual gástrico elevado e à saída ou obstrução da sonda. ConclusãoA prevalência de inadequação calórica e proteica ocorreu em mais da metade dos pacientes avaliados. Estratégias como a elaboração de protocolos por equipe multiprofissional devem ser implantadas para minimizar interrupções da dieta administrada, estabelecer medidas de controle para complicações gastrointestinais e, assim, garantir um aporte nutricional adequado durante o período de internação. Núcleo de Editoração – PUC-Campinas2023-03-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/8106Brazilian Journal of Nutrition; Vol. 29 No. 5 (2016): Revista de NutriçãoRevista de Nutrição; Vol. 29 Núm. 5 (2016): Revista de NutriçãoRevista de Nutrição; v. 29 n. 5 (2016): Revista de Nutrição1678-9865reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMPporhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/8106/5616Copyright (c) 2023 Mariana de Melo Alves SANTANA, Liana Lima VIEIRA, Daniela de Araújo Medeiros DIAS, Cinthya Costa BRAGA, Raphaela Moiana da COSTAhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessde Melo Alves SANTANA, Mariana Lima VIEIRA, Liana de Araújo Medeiros DIAS, Daniela Costa BRAGA, CinthyaMoiana da COSTA, Raphaela 2023-03-28T14:10:03Zoai:ojs.periodicos.puc-campinas.edu.br:article/8106Revistahttp://www.scielo.br/rnPRIhttps://periodicos.puc-campinas.edu.br/nutricao/oai||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2023-03-28T14:10:03Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)false |
dc.title.none.fl_str_mv |
Inadequate energy and protein and associate factors in critically ill patients Inadequação calórica e proteica e fatores associados em pacientes graves |
title |
Inadequate energy and protein and associate factors in critically ill patients |
spellingShingle |
Inadequate energy and protein and associate factors in critically ill patients de Melo Alves SANTANA, Mariana Critical care Energy intake Energy requirement Enteral nutrition Nutrition therapy Cuidados críticos Ingestão de energia Necessidade energética Nutrição enteral Terapia nutricional |
title_short |
Inadequate energy and protein and associate factors in critically ill patients |
title_full |
Inadequate energy and protein and associate factors in critically ill patients |
title_fullStr |
Inadequate energy and protein and associate factors in critically ill patients |
title_full_unstemmed |
Inadequate energy and protein and associate factors in critically ill patients |
title_sort |
Inadequate energy and protein and associate factors in critically ill patients |
author |
de Melo Alves SANTANA, Mariana |
author_facet |
de Melo Alves SANTANA, Mariana Lima VIEIRA, Liana de Araújo Medeiros DIAS, Daniela Costa BRAGA, Cinthya Moiana da COSTA, Raphaela |
author_role |
author |
author2 |
Lima VIEIRA, Liana de Araújo Medeiros DIAS, Daniela Costa BRAGA, Cinthya Moiana da COSTA, Raphaela |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
de Melo Alves SANTANA, Mariana Lima VIEIRA, Liana de Araújo Medeiros DIAS, Daniela Costa BRAGA, Cinthya Moiana da COSTA, Raphaela |
dc.subject.por.fl_str_mv |
Critical care Energy intake Energy requirement Enteral nutrition Nutrition therapy Cuidados críticos Ingestão de energia Necessidade energética Nutrição enteral Terapia nutricional |
topic |
Critical care Energy intake Energy requirement Enteral nutrition Nutrition therapy Cuidados críticos Ingestão de energia Necessidade energética Nutrição enteral Terapia nutricional |
description |
ObjectiveTo investigate the energy and protein adequacies of intensive care unit of a university hospital patients in exclusive enteral nutrition. Methods This longitudinal study was conducted between April and November 2014 in the adult intensive care unit of a university hospital. The following items were assessed during 14 days: percentage of protein energy adequacy, based on the mean prescribed and administered values; clinical conditions (unit and diagnosis on admission, Acute Physiology and Chronic Health Evaluation II, nutritional status, and length of stay); gastrointestinal complications; and reason for diet interruption. Values below 80% of the caloric and protein adequacies were considered inadequate. Multivariate analysis was performed by Poisson Regression at a significance level of 5%. ResultsThe sample consisted of 38 patients, and 52.63% were undernourished. The mean caloric and protein adequacies were 76.47% and 69.11%, respectively. The prevalences of caloric and protein inadequacies were 55.26% and 68.42%, respectively. Fasting for procedures was the most frequent cause for diet interruption. Residual gastric volume and diarrhea were the most common gastrointestinal complications. Caloric inadequacy was associated with length of stay ≤14 days and high residual gastric volume. Protein inadequacy was associated with length of stay ≤14 days, high residual gastric volume, and catheter displacement or obstruction. ConclusionMore than half of the patients had caloric and protein inadequacies. Strategies, such as the development of protocols for multidisciplinary teams, should be created to minimize disruption of the administered diet, establish measures to control gastrointestinal complications, and thus ensure adequate nutritional intake during intensive care unit stay. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-03-28 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8106 |
url |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8106 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8106/5616 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
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Núcleo de Editoração – PUC-Campinas |
dc.source.none.fl_str_mv |
Brazilian Journal of Nutrition; Vol. 29 No. 5 (2016): Revista de Nutrição Revista de Nutrição; Vol. 29 Núm. 5 (2016): Revista de Nutrição Revista de Nutrição; v. 29 n. 5 (2016): Revista de Nutrição 1678-9865 reponame:Revista de Nutrição instname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) instacron:PUC_CAMP |
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Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
instacron_str |
PUC_CAMP |
institution |
PUC_CAMP |
reponame_str |
Revista de Nutrição |
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Revista de Nutrição |
repository.name.fl_str_mv |
Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
repository.mail.fl_str_mv |
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