Caloric-protein adequacy of internal patients in a unit of intensive therapy

Detalhes bibliográficos
Autor(a) principal: Fischer, Maiara de Queiroz
Data de Publicação: 2018
Outros Autores: Tatsch, Carina Garcia, Faber, Jaqueline, Silveira, Taismara, Poll, Fabiana Assmann
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Epidemiologia e Controle de Infecção
Texto Completo: https://online.unisc.br/seer/index.php/epidemiologia/article/view/11779
Resumo: Background and Objectives: Enteral Nutritional Therapy (NER) is used for the maintenance or recovery of nutritional status in individuals with functioning gastrointestinal tract, with oral intake partially or totally compromised. The objective of this study was to evaluate the adequacy of NER between the prescribed and administered in patients hospitalized in an Intensive Care Unit of a Teaching Hospital in the interior of Rio Grande do Sul. Methods: This is a descriptive, cross-sectional and quantitative study of 25 patients aged ≥18 years, who were on exclusive NSTEM for a period ≥72 hours. Data collection was performed between September and December 2017 through a Nutrition Service form and the follow-up was carried out until the discharge of the unit or death or discontinuation of the exclusive TNE. Appropriate energy and protein administration ≥ 80% of the needs were considered. The data were analyzed through descriptive statistics and tested by Spearman Correlation in the SPSS program version 20.0. Results: Of the patients evaluated, the majority were overweight (52%), pulmonary disease (28%), started with early nutrition in up to 48 hours (92%), were discharged from home (68%) and 20.0% or diarrhea. We observed that the adequacy of the caloric value was 88.25% ± 2.55, similar to the protein adequacy 88.49% ± 2.51. Conclusion: There was an adequacy between the calories and the prescribed and administered protein higher than expected, allowing an effective caloric / protein administration, thus being more efficient the nutritional conduct.
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spelling Caloric-protein adequacy of internal patients in a unit of intensive therapyAdecuación calórico-proteica de pacientes internos en una unidad de terapia intensivaAdequação calórico-proteica de pacientes internados em uma unidade de terapia intensivaBackground and Objectives: Enteral Nutritional Therapy (NER) is used for the maintenance or recovery of nutritional status in individuals with functioning gastrointestinal tract, with oral intake partially or totally compromised. The objective of this study was to evaluate the adequacy of NER between the prescribed and administered in patients hospitalized in an Intensive Care Unit of a Teaching Hospital in the interior of Rio Grande do Sul. Methods: This is a descriptive, cross-sectional and quantitative study of 25 patients aged ≥18 years, who were on exclusive NSTEM for a period ≥72 hours. Data collection was performed between September and December 2017 through a Nutrition Service form and the follow-up was carried out until the discharge of the unit or death or discontinuation of the exclusive TNE. Appropriate energy and protein administration ≥ 80% of the needs were considered. The data were analyzed through descriptive statistics and tested by Spearman Correlation in the SPSS program version 20.0. Results: Of the patients evaluated, the majority were overweight (52%), pulmonary disease (28%), started with early nutrition in up to 48 hours (92%), were discharged from home (68%) and 20.0% or diarrhea. We observed that the adequacy of the caloric value was 88.25% ± 2.55, similar to the protein adequacy 88.49% ± 2.51. Conclusion: There was an adequacy between the calories and the prescribed and administered protein higher than expected, allowing an effective caloric / protein administration, thus being more efficient the nutritional conduct.Justificación y objetivos: La Terapia Nutricional Enteral (TNE) es utilizada para el mantenimiento o recuperación del estado nutricional en los individuos con el tracto gastrointestinal funcional, con la ingestión oral parcial o totalmente comprometida. El objetivo de este estudio fue evaluar la adecuación de la TNE entre lo prescrito y administrado en pacientes internados en una Unidad de Terapia Intensiva de un Hospital de Enseñanza del interior del Río Grande del Sur. Métodos: Se trata de un estudio descriptivo, transversal y cuantitativo realizado con 25 pacientes con edad ≥18 años, que estaban en TNE exclusiva por período ≥72 horas. La recolección de datos fue realizada entre septiembre a diciembre de 2017 por medio de un formulario del Servicio de Nutrición y el seguimiento fue realizado hasta el alta de la unidad o muerte o discontinuación de la TNE exclusiva. Se consideró, como adecuada la administración energética y protege el 80% de las necesidades. Los datos fueron analizados a través de estadística descriptiva y probado a Correlación de Spearman en el programa SPSS versión 20.0. Resultados: De los pacientes evaluados, la mayoría presentaba sobrepeso (52%), enfermedad pulmonar (28%), iniciaron con la nutrición precoz en hasta 48 horas (92%), tuvieron alta domiciliar (68%) y 20,0% presentaron vómito o diarrea. Se observó que la adecuación del valor calórico quedó 88,25% ± 2,55, similar a la adecuación de proteína 88,49% ± 2,51. Conclusiones: Hubo una adecuación entre las calorías y la proteína prescrita y administrada superior a lo esperado, permitiendo una efectiva administración calórico / proteica, siendo así más eficaz la conducta nutricional.RESUMO Justificativa e Objetivo: A Terapia Nutricional Enteral (TNE) é utilizada para a manutenção ou recuperação do estado nutricional nos indivíduos com o trato gastrintestinal funcionante, com a ingestão oral parcial ou totalmente comprometida. O objetivo deste estudo foi avaliar o uso de TNE exclusiva, em relação ao que é prescrito e ao que é administrado em pacientes internados em uma Unidade de Terapia Intensiva (UTI) de um Hospital de Ensino do interior do Rio Grande do Sul. Métodos: Trata-se de um estudo de coorte, prospectivo, em que foram incluídos 25 pacientes com idade ≥18 anos, que estavam em TNE exclusiva por período ≥72 horas. A coleta de dados foi realizada entre setembro a dezembro de 2017. Os dados coletados foram registrados no formulário do Serviço de Nutrição e o acompanhamento foi realizado até a alta da unidade ou óbito ou descontinuação da TNE exclusiva. Considerou-se, como adequada a administração energética e proteica ≥ 80% das necessidades. Utilizou-se o SPSS versão 20.0 para analisar as medidas descritivas e foi testada a Correlação de Spearman. Resultados: Dos pacientes avaliados, 52,0% apresentavam sobrepeso, 28,0% apresentavam doença pulmonar, 92,0% iniciaram com a nutrição precoce em até 48 horas, 68,0% tiveram alta domiciliar e 20,0% apresentaram vômito ou diarreia. Observamos que a adequação do valor calórico ficou 88,25% ± 2,55, semelhante a adequação de proteína 88,49% ± 2,51. Conclusão: A maioria dos pacientes receberam fórmula hipercalórica, com uma adequação entre as calorias e a proteína prescrita e administrada superior ao esperado pelo presente estudo.Unisc2018-07-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/1177910.17058/reci.v8i3.11779Revista de Epidemiologia e Controle de Infecção; Vol. 8 No. 3 (2018); 248-252Revista de Epidemiologia e Controle de Infecção; v. 8 n. 3 (2018); 248-2522238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/11779/7352Copyright (c) 2018 Maiara de Queiroz Fischer, Carina Garcia Tatsch, Jaqueline Faber, Taismara Silveira, Fabiana Assmann Pollinfo:eu-repo/semantics/openAccessFischer, Maiara de QueirozTatsch, Carina GarciaFaber, JaquelineSilveira, TaismaraPoll, Fabiana Assmann2019-03-06T12:15:09Zoai:ojs.online.unisc.br:article/11779Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2019-03-06T12:15:09Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false
dc.title.none.fl_str_mv Caloric-protein adequacy of internal patients in a unit of intensive therapy
Adecuación calórico-proteica de pacientes internos en una unidad de terapia intensiva
Adequação calórico-proteica de pacientes internados em uma unidade de terapia intensiva
title Caloric-protein adequacy of internal patients in a unit of intensive therapy
spellingShingle Caloric-protein adequacy of internal patients in a unit of intensive therapy
Fischer, Maiara de Queiroz
title_short Caloric-protein adequacy of internal patients in a unit of intensive therapy
title_full Caloric-protein adequacy of internal patients in a unit of intensive therapy
title_fullStr Caloric-protein adequacy of internal patients in a unit of intensive therapy
title_full_unstemmed Caloric-protein adequacy of internal patients in a unit of intensive therapy
title_sort Caloric-protein adequacy of internal patients in a unit of intensive therapy
author Fischer, Maiara de Queiroz
author_facet Fischer, Maiara de Queiroz
Tatsch, Carina Garcia
Faber, Jaqueline
Silveira, Taismara
Poll, Fabiana Assmann
author_role author
author2 Tatsch, Carina Garcia
Faber, Jaqueline
Silveira, Taismara
Poll, Fabiana Assmann
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Fischer, Maiara de Queiroz
Tatsch, Carina Garcia
Faber, Jaqueline
Silveira, Taismara
Poll, Fabiana Assmann
description Background and Objectives: Enteral Nutritional Therapy (NER) is used for the maintenance or recovery of nutritional status in individuals with functioning gastrointestinal tract, with oral intake partially or totally compromised. The objective of this study was to evaluate the adequacy of NER between the prescribed and administered in patients hospitalized in an Intensive Care Unit of a Teaching Hospital in the interior of Rio Grande do Sul. Methods: This is a descriptive, cross-sectional and quantitative study of 25 patients aged ≥18 years, who were on exclusive NSTEM for a period ≥72 hours. Data collection was performed between September and December 2017 through a Nutrition Service form and the follow-up was carried out until the discharge of the unit or death or discontinuation of the exclusive TNE. Appropriate energy and protein administration ≥ 80% of the needs were considered. The data were analyzed through descriptive statistics and tested by Spearman Correlation in the SPSS program version 20.0. Results: Of the patients evaluated, the majority were overweight (52%), pulmonary disease (28%), started with early nutrition in up to 48 hours (92%), were discharged from home (68%) and 20.0% or diarrhea. We observed that the adequacy of the caloric value was 88.25% ± 2.55, similar to the protein adequacy 88.49% ± 2.51. Conclusion: There was an adequacy between the calories and the prescribed and administered protein higher than expected, allowing an effective caloric / protein administration, thus being more efficient the nutritional conduct.
publishDate 2018
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dc.identifier.uri.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/11779
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url https://online.unisc.br/seer/index.php/epidemiologia/article/view/11779
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dc.source.none.fl_str_mv Revista de Epidemiologia e Controle de Infecção; Vol. 8 No. 3 (2018); 248-252
Revista de Epidemiologia e Controle de Infecção; v. 8 n. 3 (2018); 248-252
2238-3360
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