Caloric and Protein Infusion versus Dietary Prescription in Enteral Nutritional Therapy for Cancer Patients

Bibliographic Details
Main Author: Silva, Mikelly Joanny da
Publication Date: 2021
Other Authors: Silva, Thalia de Jesus Souza da, Cordeiro Sobrinho, Jorge Antonio Pavão, Garcia, Erika Ribeiro, Medeiros, Maria Tereza Silva de, Câmara, Thalita Albuquerque Véras, Sousa, Rosângela Maria Lopes de, Santos, Alexsandro Ferreira dos
Format: Article
Language: por
eng
Source: Revista Brasileira de Cancerologia (Online)
Download full: https://rbc.inca.gov.br/index.php/revista/article/view/1275
Summary: Introduction: Nutritional support for cancer patients is not restricted to the calculation of nutritional needs and dietary prescription, it is necessary that the prescribed volume is actually infused. Objective: To compare caloric and protein infusion with dietary prescription in cancer patients undergoing enteral nutritional therapy. Method: Retrospective, analytical study, conducted on nutritional monitoring cards who were hospitalized at least for seven days, exclusively under enteral nutritional therapy by tube or ostomy, between January 2009 and December 2012. The cards that met the selection criteria were ordered alphabetically and randomly selected by withdrawal interval (k=5). It was collected: age, sex, tumor location, nutritional composition, prescribed and infused volume of the enteral formula utilized. With these last two, the indicator “prescription versus infusion” was calculated. Student t test, paired t test and chi-square test were applied at a maximum significance level of 5%. Results: Of the 120 cards analyzed, men (61.7%) were more prevalent with mean age of 58.3±16.8 years. In 2010, higher means of the difference between prescribed and infused volume (-392.64 ml) and prescribed versus infused calories (-528.23 cal) were observed. Only 37.5% of the patients received a minimum of 70% of the prescribed volume. Conclusion: There was an inadequate intake of the infused in relation to the prescribed diet. It is suggested nutritional therapy interventions from the multi-professional team to minimize the complications encountered.
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spelling Caloric and Protein Infusion versus Dietary Prescription in Enteral Nutritional Therapy for Cancer PatientsInfusión de Calorías y Proteínas versus Prescripción Dietética en la Terapia Nutricional Enteral para Pacientes con CáncerInfusão Calórica e Proteica versus Prescrição Dietética na Terapia Nutricional Enteral do Paciente OncológicoTerapia NutricionalNutrição EnteralNeoplasiasNutrition TherapyEnteral NutritionNeoplasmsTerapia NutricionalNutrición EnteralNeoplasiasIntroduction: Nutritional support for cancer patients is not restricted to the calculation of nutritional needs and dietary prescription, it is necessary that the prescribed volume is actually infused. Objective: To compare caloric and protein infusion with dietary prescription in cancer patients undergoing enteral nutritional therapy. Method: Retrospective, analytical study, conducted on nutritional monitoring cards who were hospitalized at least for seven days, exclusively under enteral nutritional therapy by tube or ostomy, between January 2009 and December 2012. The cards that met the selection criteria were ordered alphabetically and randomly selected by withdrawal interval (k=5). It was collected: age, sex, tumor location, nutritional composition, prescribed and infused volume of the enteral formula utilized. With these last two, the indicator “prescription versus infusion” was calculated. Student t test, paired t test and chi-square test were applied at a maximum significance level of 5%. Results: Of the 120 cards analyzed, men (61.7%) were more prevalent with mean age of 58.3±16.8 years. In 2010, higher means of the difference between prescribed and infused volume (-392.64 ml) and prescribed versus infused calories (-528.23 cal) were observed. Only 37.5% of the patients received a minimum of 70% of the prescribed volume. Conclusion: There was an inadequate intake of the infused in relation to the prescribed diet. It is suggested nutritional therapy interventions from the multi-professional team to minimize the complications encountered.Introducción: El soporte nutricional en pacientes oncológicos no se limita al cálculo de necesidades nutricionales y prescripción dietética, es necesario que el volumen prescrito sea efectivamente infundido. Objetivo: Comparar la infusión calórica y proteica con la prescripción dietética en pacientes oncológicos sometidos a terapia nutricional enteral. Método: Estudio retrospectivo, analítico, realizado en formularios de seguimiento de pacientes que estuvieron hospitalizados durante al menos siete días, exclusivamente bajo terapia nutricional enteral por sonda u ostomía entre enero/2009 a diciembre/2012. Los formularios que cumplieron con los criterios de selección se ordenaron alfabéticamente y se seleccionaron aleatoriamente por intervalo de retiro (k=5). Se recogió: edad, sexo, localización del tumor, composición nutricional, volumen prescrito y el infundido con la fórmula enteral empleada. Con estos dos últimos se calculó el indicador “receta versus infusión”. La prueba t de Student, la prueba t pareada y la prueba de chi-cuadrado se aplicaron a un nivel máximo de significancia del 5%. Resultados: De los 120 registros analizados, predominó: hombres (61,7%), con una edad promedio de 58,3±16,8 años. En 2010, hubo mayores promedios de diferencia entre el volumen prescrito y el infundido (-392,64 ml) y las calorías prescritas frente a las infundidas (-528,23cal). Solo el 37,5% de los pacientes recibió un mínimo del 70% del volumen prescrito. Conclusión: Existió un consumo inadecuado de la dieta infundida en relación con la prescrita. Se sugiere que intervenciones del equipo multiprofesional en terapia nutricional minimicen las complicaciones encontradas.Introdução: O suporte nutricional no paciente oncológico não se restringe ao cálculo das necessidades nutricionais e à prescrição dietética, é necessário que o volume prescrito seja realmente infundido. Objetivo: Comparar a infusão calórica e proteica com a prescrição dietética em pacientes oncológicos sob terapia nutricional enteral. Método: Estudo retrospectivo, analítico, conduzido em fichas de acompanhamento nutricional de pacientes que estiveram internados durante sete dias no mínimo, exclusivamente sob terapia nutricional enteral por sonda ou ostomia entre janeiro/2009 e dezembro/2012. As fichas que atenderam aos critérios de seleção foram ordenadas alfabeticamente e, aleatoriamente, selecionadas por intervalo de retirada (k=5). Coletaram-se: idade, sexo, localização tumoral, composição nutricional, volume prescrito e aquele infundido da fórmula enteral utilizada. Com estes dois últimos, calculou-se o indicador “prescrição versus infusão”. Os testes t Student, t pareado e qui-quadrado foram aplicados a um nível de significância máximo de 5%. Resultados: Das 120 fichas analisadas, prevaleceram homens (61,7%) com idade média de 58,3±16,8anos. Em 2010, houve maiores médias de diferença entre volume prescrito e infundido (-392,64ml) e calorias prescritas versus infundidas (-528,23cal). Apenas 37,5% dos pacientes receberam um mínimo de 70% do volume prescrito. Conclusão: Houve um inadequado consumo da dieta infundida em relação à prescrita. Sugere-se que intervenções pela equipe multiprofissional em terapia nutricional minimizem as intercorrências encontradas.INCA2021-07-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/127510.32635/2176-9745.RBC.2021v67n3.1275Revista Brasileira de Cancerologia; Vol. 67 No. 3 (2021): July/Aug./Sept.; e-111275Revista Brasileira de Cancerologia; Vol. 67 Núm. 3 (2021): jul./ago./sept.; e-111275Revista Brasileira de Cancerologia; v. 67 n. 3 (2021): jul./ago./set.; e-1112752176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporenghttps://rbc.inca.gov.br/index.php/revista/article/view/1275/1362https://rbc.inca.gov.br/index.php/revista/article/view/1275/1474Copyright (c) 2021 Revista Brasileira de Cancerologiainfo:eu-repo/semantics/openAccessSilva, Mikelly Joanny daSilva, Thalia de Jesus Souza daCordeiro Sobrinho, Jorge Antonio Pavão Garcia, Erika Ribeiro Medeiros, Maria Tereza Silva de Câmara, Thalita Albuquerque Véras Sousa, Rosângela Maria Lopes de Santos, Alexsandro Ferreira dos 2021-11-29T18:25:15Zoai:rbc.inca.gov.br:article/1275Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T18:25:15Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Caloric and Protein Infusion versus Dietary Prescription in Enteral Nutritional Therapy for Cancer Patients
Infusión de Calorías y Proteínas versus Prescripción Dietética en la Terapia Nutricional Enteral para Pacientes con Cáncer
Infusão Calórica e Proteica versus Prescrição Dietética na Terapia Nutricional Enteral do Paciente Oncológico
title Caloric and Protein Infusion versus Dietary Prescription in Enteral Nutritional Therapy for Cancer Patients
spellingShingle Caloric and Protein Infusion versus Dietary Prescription in Enteral Nutritional Therapy for Cancer Patients
Silva, Mikelly Joanny da
Terapia Nutricional
Nutrição Enteral
Neoplasias
Nutrition Therapy
Enteral Nutrition
Neoplasms
Terapia Nutricional
Nutrición Enteral
Neoplasias
title_short Caloric and Protein Infusion versus Dietary Prescription in Enteral Nutritional Therapy for Cancer Patients
title_full Caloric and Protein Infusion versus Dietary Prescription in Enteral Nutritional Therapy for Cancer Patients
title_fullStr Caloric and Protein Infusion versus Dietary Prescription in Enteral Nutritional Therapy for Cancer Patients
title_full_unstemmed Caloric and Protein Infusion versus Dietary Prescription in Enteral Nutritional Therapy for Cancer Patients
title_sort Caloric and Protein Infusion versus Dietary Prescription in Enteral Nutritional Therapy for Cancer Patients
author Silva, Mikelly Joanny da
author_facet Silva, Mikelly Joanny da
Silva, Thalia de Jesus Souza da
Cordeiro Sobrinho, Jorge Antonio Pavão
Garcia, Erika Ribeiro
Medeiros, Maria Tereza Silva de
Câmara, Thalita Albuquerque Véras
Sousa, Rosângela Maria Lopes de
Santos, Alexsandro Ferreira dos
author_role author
author2 Silva, Thalia de Jesus Souza da
Cordeiro Sobrinho, Jorge Antonio Pavão
Garcia, Erika Ribeiro
Medeiros, Maria Tereza Silva de
Câmara, Thalita Albuquerque Véras
Sousa, Rosângela Maria Lopes de
Santos, Alexsandro Ferreira dos
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Silva, Mikelly Joanny da
Silva, Thalia de Jesus Souza da
Cordeiro Sobrinho, Jorge Antonio Pavão
Garcia, Erika Ribeiro
Medeiros, Maria Tereza Silva de
Câmara, Thalita Albuquerque Véras
Sousa, Rosângela Maria Lopes de
Santos, Alexsandro Ferreira dos
dc.subject.por.fl_str_mv Terapia Nutricional
Nutrição Enteral
Neoplasias
Nutrition Therapy
Enteral Nutrition
Neoplasms
Terapia Nutricional
Nutrición Enteral
Neoplasias
topic Terapia Nutricional
Nutrição Enteral
Neoplasias
Nutrition Therapy
Enteral Nutrition
Neoplasms
Terapia Nutricional
Nutrición Enteral
Neoplasias
description Introduction: Nutritional support for cancer patients is not restricted to the calculation of nutritional needs and dietary prescription, it is necessary that the prescribed volume is actually infused. Objective: To compare caloric and protein infusion with dietary prescription in cancer patients undergoing enteral nutritional therapy. Method: Retrospective, analytical study, conducted on nutritional monitoring cards who were hospitalized at least for seven days, exclusively under enteral nutritional therapy by tube or ostomy, between January 2009 and December 2012. The cards that met the selection criteria were ordered alphabetically and randomly selected by withdrawal interval (k=5). It was collected: age, sex, tumor location, nutritional composition, prescribed and infused volume of the enteral formula utilized. With these last two, the indicator “prescription versus infusion” was calculated. Student t test, paired t test and chi-square test were applied at a maximum significance level of 5%. Results: Of the 120 cards analyzed, men (61.7%) were more prevalent with mean age of 58.3±16.8 years. In 2010, higher means of the difference between prescribed and infused volume (-392.64 ml) and prescribed versus infused calories (-528.23 cal) were observed. Only 37.5% of the patients received a minimum of 70% of the prescribed volume. Conclusion: There was an inadequate intake of the infused in relation to the prescribed diet. It is suggested nutritional therapy interventions from the multi-professional team to minimize the complications encountered.
publishDate 2021
dc.date.none.fl_str_mv 2021-07-05
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1275
10.32635/2176-9745.RBC.2021v67n3.1275
url https://rbc.inca.gov.br/index.php/revista/article/view/1275
identifier_str_mv 10.32635/2176-9745.RBC.2021v67n3.1275
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1275/1362
https://rbc.inca.gov.br/index.php/revista/article/view/1275/1474
dc.rights.driver.fl_str_mv Copyright (c) 2021 Revista Brasileira de Cancerologia
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Revista Brasileira de Cancerologia
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 67 No. 3 (2021): July/Aug./Sept.; e-111275
Revista Brasileira de Cancerologia; Vol. 67 Núm. 3 (2021): jul./ago./sept.; e-111275
Revista Brasileira de Cancerologia; v. 67 n. 3 (2021): jul./ago./set.; e-111275
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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