Nutrologia e nutrição em unidade de terapia intensiva: sinergia em busca de excelência
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Journal of Nutrology (Online) |
Texto Completo: | https://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/96 |
Resumo: | Objective: Nutritional therapy, in spite of current guidelines, does not seem to be perceived yet as an important therapeutic strategy in critical patients. The objective of this study was to assess the joint action of a team composed of a nutrology specialist and a nutritionist in ICU by measuring quality indicators such as fasting time and adequacy of caloric intake. Methods: This is a prospective descriptive study realized in a mixed adult intensive care unit, with patients that remained stayed for longer than 24h. Patients received nutritional therapy according to a protocol based on guidelines and adapted to the unit. Demographic and clinical data were gathered; nutritional route, time of start of therapy, prescribed volume, and received volume of enteral feeding. Results: Out of 89 patients assessed, 48 (53.9%) started with oral feeding, 2 (2.2%) received parenteral feeding, and 39 (43.8%), enteral feeding. The time for enteral therapy to start was 24h and 25 minutes (QI: 7-44h), and 87.2% of patients received enteral feeding in the first 48h of stay. For surgical patients (n=42), the time to start feeding via any route was 20h and 59 minutes (QI: 14h 45 min - 41h 15 min). 87% of the calories prescribed were instilled via enteral feeding throughout the 284 days of assessment. Conclusion: The presence of a team composed of a nutrology specialist and a nutritionist may be capable of meeting the attention and specific knowledge in nutritional therapy needs, bringing high quality and proven excellence through the indicators measured. |
id |
ABRAN-1_f9ff78815825603f447669228a2a5ce0 |
---|---|
oai_identifier_str |
oai:ojs2.ijn.zotarellifilhoscientificworks.com:article/96 |
network_acronym_str |
ABRAN-1 |
network_name_str |
International Journal of Nutrology (Online) |
repository_id_str |
|
spelling |
Nutrologia e nutrição em unidade de terapia intensiva: sinergia em busca de excelênciaEnteral NutritionNutritionistsIntensive Care UnitQuality IndicatorsPatient Care TeamFastingObjective: Nutritional therapy, in spite of current guidelines, does not seem to be perceived yet as an important therapeutic strategy in critical patients. The objective of this study was to assess the joint action of a team composed of a nutrology specialist and a nutritionist in ICU by measuring quality indicators such as fasting time and adequacy of caloric intake. Methods: This is a prospective descriptive study realized in a mixed adult intensive care unit, with patients that remained stayed for longer than 24h. Patients received nutritional therapy according to a protocol based on guidelines and adapted to the unit. Demographic and clinical data were gathered; nutritional route, time of start of therapy, prescribed volume, and received volume of enteral feeding. Results: Out of 89 patients assessed, 48 (53.9%) started with oral feeding, 2 (2.2%) received parenteral feeding, and 39 (43.8%), enteral feeding. The time for enteral therapy to start was 24h and 25 minutes (QI: 7-44h), and 87.2% of patients received enteral feeding in the first 48h of stay. For surgical patients (n=42), the time to start feeding via any route was 20h and 59 minutes (QI: 14h 45 min - 41h 15 min). 87% of the calories prescribed were instilled via enteral feeding throughout the 284 days of assessment. Conclusion: The presence of a team composed of a nutrology specialist and a nutritionist may be capable of meeting the attention and specific knowledge in nutritional therapy needs, bringing high quality and proven excellence through the indicators measured.MetaScience Press2022-02-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed Articleapplication/pdfhttps://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/9610.1055/s-0040-1705270International Journal of Nutrology; Vol. 9 No. 1 (2016): International Journal of Nutrology (IJN) - January 2016; 109-1172595-28541984-301110.1055/s-010-45870reponame:International Journal of Nutrology (Online)instname:Associação Brasileira de Nutrologia (ABRAN)instacron:ABRANenghttps://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/96/92Copyright (c) 2022 International Journal of Nutrologyinfo:eu-repo/semantics/openAccessMuñoz, Karen Fernanda FerruchPereira, Caroline AguiarLima, Júlia Romero deLora, Priscila Schmidt2022-02-06T20:22:56Zoai:ojs2.ijn.zotarellifilhoscientificworks.com:article/96Revistahttps://ijn.zotarellifilhoscientificworks.com/index.php/ijnONGhttps://ijn.zotarellifilhoscientificworks.com/index.php/ijn/oaiijn@zotarellifilhoscientificworks.com || editorchief@zotarellifilhoscientificworks.com10.544482595-28541984-3011opendoar:2022-02-06T20:22:56International Journal of Nutrology (Online) - Associação Brasileira de Nutrologia (ABRAN)false |
dc.title.none.fl_str_mv |
Nutrologia e nutrição em unidade de terapia intensiva: sinergia em busca de excelência |
title |
Nutrologia e nutrição em unidade de terapia intensiva: sinergia em busca de excelência |
spellingShingle |
Nutrologia e nutrição em unidade de terapia intensiva: sinergia em busca de excelência Muñoz, Karen Fernanda Ferruch Enteral Nutrition Nutritionists Intensive Care Unit Quality Indicators Patient Care Team Fasting |
title_short |
Nutrologia e nutrição em unidade de terapia intensiva: sinergia em busca de excelência |
title_full |
Nutrologia e nutrição em unidade de terapia intensiva: sinergia em busca de excelência |
title_fullStr |
Nutrologia e nutrição em unidade de terapia intensiva: sinergia em busca de excelência |
title_full_unstemmed |
Nutrologia e nutrição em unidade de terapia intensiva: sinergia em busca de excelência |
title_sort |
Nutrologia e nutrição em unidade de terapia intensiva: sinergia em busca de excelência |
author |
Muñoz, Karen Fernanda Ferruch |
author_facet |
Muñoz, Karen Fernanda Ferruch Pereira, Caroline Aguiar Lima, Júlia Romero de Lora, Priscila Schmidt |
author_role |
author |
author2 |
Pereira, Caroline Aguiar Lima, Júlia Romero de Lora, Priscila Schmidt |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Muñoz, Karen Fernanda Ferruch Pereira, Caroline Aguiar Lima, Júlia Romero de Lora, Priscila Schmidt |
dc.subject.por.fl_str_mv |
Enteral Nutrition Nutritionists Intensive Care Unit Quality Indicators Patient Care Team Fasting |
topic |
Enteral Nutrition Nutritionists Intensive Care Unit Quality Indicators Patient Care Team Fasting |
description |
Objective: Nutritional therapy, in spite of current guidelines, does not seem to be perceived yet as an important therapeutic strategy in critical patients. The objective of this study was to assess the joint action of a team composed of a nutrology specialist and a nutritionist in ICU by measuring quality indicators such as fasting time and adequacy of caloric intake. Methods: This is a prospective descriptive study realized in a mixed adult intensive care unit, with patients that remained stayed for longer than 24h. Patients received nutritional therapy according to a protocol based on guidelines and adapted to the unit. Demographic and clinical data were gathered; nutritional route, time of start of therapy, prescribed volume, and received volume of enteral feeding. Results: Out of 89 patients assessed, 48 (53.9%) started with oral feeding, 2 (2.2%) received parenteral feeding, and 39 (43.8%), enteral feeding. The time for enteral therapy to start was 24h and 25 minutes (QI: 7-44h), and 87.2% of patients received enteral feeding in the first 48h of stay. For surgical patients (n=42), the time to start feeding via any route was 20h and 59 minutes (QI: 14h 45 min - 41h 15 min). 87% of the calories prescribed were instilled via enteral feeding throughout the 284 days of assessment. Conclusion: The presence of a team composed of a nutrology specialist and a nutritionist may be capable of meeting the attention and specific knowledge in nutritional therapy needs, bringing high quality and proven excellence through the indicators measured. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-02-06 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/96 10.1055/s-0040-1705270 |
url |
https://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/96 |
identifier_str_mv |
10.1055/s-0040-1705270 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/96/92 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 International Journal of Nutrology info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 International Journal of Nutrology |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
MetaScience Press |
publisher.none.fl_str_mv |
MetaScience Press |
dc.source.none.fl_str_mv |
International Journal of Nutrology; Vol. 9 No. 1 (2016): International Journal of Nutrology (IJN) - January 2016; 109-117 2595-2854 1984-3011 10.1055/s-010-45870 reponame:International Journal of Nutrology (Online) instname:Associação Brasileira de Nutrologia (ABRAN) instacron:ABRAN |
instname_str |
Associação Brasileira de Nutrologia (ABRAN) |
instacron_str |
ABRAN |
institution |
ABRAN |
reponame_str |
International Journal of Nutrology (Online) |
collection |
International Journal of Nutrology (Online) |
repository.name.fl_str_mv |
International Journal of Nutrology (Online) - Associação Brasileira de Nutrologia (ABRAN) |
repository.mail.fl_str_mv |
ijn@zotarellifilhoscientificworks.com || editorchief@zotarellifilhoscientificworks.com |
_version_ |
1792204587775557632 |