Nutrologia e nutrição em unidade de terapia intensiva: sinergia em busca de excelência

• Autor(a) principal: Muñoz, Karen Fernanda Ferruch
• Data de Publicação: 2022
• Outros Autores: Pereira, Caroline Aguiar, Lima, Júlia Romero de, Lora, Priscila Schmidt
• 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
• topic: Enteral Nutrition; Nutritionists; Intensive Care Unit; Quality Indicators; Patient Care Team; Fasting

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.