medigraphic.com
ISSN 2218-6719 (Print)

2022, Number 2

<< Back Next >>

Rev Cub de Tec de la Sal 2022; 13 (2)

Assessment of the risk of malnutrition in patients admitted to a post-surgical Intensive Care Unit

Valdivia GL

Language: Spanish
References: 25
Page: 19-31
PDF size: 406.05 Kb.


ABSTRACT

Introduction: malnutrition in patients admitted to the post-surgical intensive care unit is high, causing increased mortality. Objective: to evaluate the risk of malnutrition in patients admitted to a post-surgical intensive care unit. Methods: a descriptive, cross-sectional study was carried out in the intensive care unit of the National Center for Minimal Access Surgery, from January to December 2020. In a universe of 151 post-surgical patients. Nutritional variables (albumin, cholesterol, global lymphocyte count), presence of complications, use of mechanical ventilation, length of stay and status at discharge were studied and operationalized. The information was collected from the medical records. The chi-square test was used to evaluate the association between qualitative variables. The significance level was set at α=0.05. Results: 76.8% of the patients had some risk of malnutrition, only associated with the presence of complications, and the state at discharge. 22% of the patients had some type of complication, with a higher frequency in patients with moderate and severe risk. Four percent of the patients were discharged deceased with some risk of malnutrition. Of the patients with some risk of malnutrition, 6% required mechanical ventilation. The average length of stay was highest (36 days) in patients with moderate and severe risk of malnutrition. Conclusions: the risk of malnutrition of patients admitted to a post-surgical intensive care unit was evaluated with the Nutritional Control tool, which helped to make a timely diagnosis of malnutrition.


REFERENCES

  1. Cederholm T, Jensen GL, Correia M, Gonzalez MC, Fukushima R, Higashiguchi T, et al. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community. Clin Nutr [Internet]. 2019 Feb [cited 2020 Dec 2]; 38(1):1-9. Available from: https://pubmed.ncbi.nlm.nih.gov/30181091/

  2. Gutiérrez-de Santiago JL, Aguilar-Valdez S, Casas-Robles ML, Garza-Veloz I, Ortega-Cisneros V, Martínez-Fierro ML. Screening of nutritional risk: assessment of predictive variables of nutritional risk in hospitalized patients in a second-level care center in Mexico. Nutr Hosp [Internet] 2019 [cited 2020 Dec 2]; 36(3):626-32. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112019000300019&lng=es.Epub 17-Feb-2020. https://dx.doi.org/10.20960/nh.2394.

  3. Peev MP, Yeh DD, Quraishi SA, et al. Causes and consequences of interrupted enteral nutrition: a prospective observational study in critically ill surgical patients. JPEN J Parenter Enteral Nutr [Internet] 2015 [cited 2020 Dec 2]; 39(1):21-7. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4402286/

  4. Penié JB, Porbén SS, González CM, Borrás AE. Desnutrición hospitalaria: la experiencia del Hospital" Hermanos Ameijeiras". Acta Méd [Internet]. 2003 [citado 02 Dic 2020]; 11(1). Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=50806

  5. Castro-Vega I. et al. Prevalencia de riesgo de desnutrición y desnutrición establecida en población ambulatoria institucionalizada y hospitalizada en un departamento de salud. nutr hosp [Internet]. 2017 Ago [citado 07 Mar 2021]; 34(4):889-98. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112017000400020&lng=es. http://dx.doi.org/10.20960/nh.847.

  6. Ulibarri-Perez JI. Cribado nutricional y eficiencia. Nutr Hosp. [Internet] 2018 Ago [citado 2021 Mar 16]; 35(4):1001-02 Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112019000300019&lng=es. Epub 17-Feb-2020. https://dx.doi.org/10.20960/nh.2394.

  7. Álvarez-Álvarez B, Rodríguez-Mañero M, García-Seara FJ, Abellas-Sequeiros RM, González-Melchor L, Fernández-López A, et al. Valor pronóstico del CONUT en pacientes con terapia de resincronización cardiaca. Rev Esp Cardiol. 2017[citado 20 Dic 2020]; 70(Supl 1):608. Disponible en: https://www.revespcardiol.org/en-congresos-sec-2017-el-congreso-51-sesion-estimulacion-cardiaca-desfibriladores-implantables-resincronizacion-3338-valor-pronostico-del-conut-pacientes-37920

  8. Molina-Soria JB, Lobo-Támer G, Pérez-de la Cruz AJ, Ruiz-López MD. Prevalencia de desnutrición al ingreso en un hospital general básico. Nutr Hosp [Internet]. 2017 [citado 3 Dic 2020]; 34(6):1390-8. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112017000900020&nrm=iso.

  9. García-Vázquez MN, Palma-Milla S, López-Plaza Br, Valero-Pérez M, Morato-Martínez M, Gómez-Candela C. Comparación del método CONUT con la VGS y el VEN para la predicción de complicaciones, estancia hospitalaria, readmisiones y mortalidad. Nutr. Hosp. [Internet] 2020 Ago [citado 2021 Oct 16]; 37(4): 799-806. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112020000500022&lng=es. Epub 14-Dic-2020.

  10. Nemoto et al. The Controlling Nutritional Status CONUT Score in Patients With Advanced Bladder Cancer After Radical Cystectomy. In vivo. 2021 Mar [cited 2021 Oct 16]; 35: 999-1006. Available from: https://iv.iiarjournals.org/content/invivo/35/2/999.full.pdf

  11. Takagi K, Domagala P, Polak WG, Buettner S, Ijzermans JNM. Prognostic significance of the controlling nutritional status (CONUT) score in patients undergoing hepatectomy for hepatocellular carcinoma: a systematic review and meta-analysis. BMC Gastroenterol [Internet] 2019 [cited 2020 May 24]; 19(1):211. Available from: http://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=31818259&lang=es&site=ehost-live

  12. Takagi K, Buettner S, Ijzermans JNM. Prognostic significance of the controlling nutritional status (CONUT) score in patients with colorectal cancer: A systematic review and meta-analysis. Intern J Surg (London, England). [Internet]. 2020 [cited 2020 May 24]; 78:91–6. Available from: http://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=32335238&lang=es&site=ehost-live.

  13. Tokunaga R, Sakamoto Y, Nakagawa S. et al. CONUT: a novel independent predictive score for colorectal cancer patients undergoing potentially curative resection. Int J Colorectal Dis. [Internet]. 2017. [cited 2020 Jun 01]; 32: 99–106. Available from: https://doi.org/10.1007/s00384-016-2668-5

  14. Huang Y, Huang Y, Lu M, Sun W, Sun X, Chen X, Li L, Chandoo A, Li L. Controlling Nutritional Status (CONUT) Score Is A Predictor Of Post-Operative Outcomes In Elderly Gastric Cancer Patients Undergoing Curative Gastrectomy: A Prospective Study. Cancer Manag Res. 2019[cited 2021 Oct 16];11:9793-9800 Available from: https://doi.org/10.2147/CMAR.S233872

  15. del Valle-LLufrío P, Coronel-Naranjo J. Colangiopancreatografía retrógrada endoscópica: estudio de 8 años en pacientes geriátricos. Rev. Med Electron. 2020 ene-Febr [citado 16 Oct 2021]; 42:1684-1824. Disponible en : https://www.medigraphic.com/pdfs/revmedele/me-2020/me201c.pdf

  16. Rivera MVM, Almazán UFE, Rangel CESH, et al. Complicaciones postcolangiopancreatografía retrógrada endoscópica en pacientes tratados por obstrucción de la vía biliar. Rev Sanid Milit Mex. 2019;73(2):85-9. Disponible en: https://www.medigraphic.com/cgi-bin/new/directorio.cgi?IDREVISTA=330

  17. Oliva-Hernández J, Jiménez-Hernández A, Merlán-Nurques A, Maydolis-Padrón M. El estado nutricional al ingreso en una unidad de cuidados críticos como factor pronóstico de la evolución de la sepsis. RECAN [Internet] 2018 [ citado 2021 Oct 16];28(2):314-27. Disponible en: http://www.revalnutricion.sld.cu/index.php/rcan/article/view/604/pdf_80

  18. Rosales-García J, de Dios-Perera C, Calaña-Valdevila Y, Gómez-Martínez L, Quesada-Castillo Y. Estado nutricional de pacientes geriátricos con ventilación mecánica en cuidados intensivos. Rev Cubana Anestesiología y Reanimación [Internet] 2019 [citado 15 Dic 2021]; 19 (2). Disponible en:http://revanestesia.sld.cu/index.php/anestRean/article/view/598

  19. Allard JP, Keller H, Jeejeebhoy KN, Laporte M, Duerksen DR, Gramlich L, et al. Decline in nutritional status is associated with prolonged length of stay in hospitalized patients admitted for 7 days or more: A prospective cohort study. Clin Nutr. [Internet] 2016 [cited 2020 May 24]; 35:144-52. Available from: http://dx.doi.org/10.1016/j.clnu.2015.01.009

  20. Torres TB, Ballesteros PD, García CS, Castro LM, De la Fuente SB, Izaola JO, et al. Repercusiones clínicas y económicas de la desnutrición relacionada con la enfermedad en un servicio quirúrgico. Nutr Hosp. [Internet] 2018 [citado 28 mayo 2020];35(2):384-91. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112018000200384

  21. Suárez-Núñez L, Rodríguez-Felipe B, Gutiérrez-Gutiérrez L, Brito-Cruz A. Sobre el comportamiento del Índice CONUT de Control Nutricional en el paciente atendido en un hospital general provincial debido a complicaciones quirúrgicas. RECAN [Internet] 2018 [citado 2020 Jun 1]; 28(2): [aprox. -13 p.]. Disponible en: http://www.revalnutricion.sld.cu/index.php/rcan/article/view/611

  22. Larreinaga BR, León PDO, Soneira J. Estado nutricional, estadía y estado al egreso en UCI. Geroinfo. [Internet]. 2018. [citado 2020 mayo 28];13(3):1-18. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=86536

  23. Hernández-Fernández E, Quiles-Gómez L, Abdo-Cuza A, Álvarez-Rodríguez A, Noriega D. Valoración del estado nutricional en pacientes críticos. Invest Medicoquir [Internet]. 2021 [citado 16 Oct 2021]; 13(3): [aprox. 0 p.]. Disponible en: http://revcimeq.sld.cu/index.php/imq/article/view/736

  24. Quesada-Castillo Y, León-Pérez DO, Rosales-García J, Rodríguez-Sánchez VZ, Gutiérrez-Rojas ÁR. Caracterización del estado nutricional de pacientes posoperados con complicaciones en una unidad de cuidados intensivos. Rev cuba anestesiol reanim [Internet] 2019 [citado 2020 Dic 3]; 18(2): e 551. Disponible en:http://revanestesia.sld.cu/index.php/anestRean/article/view/551

  25. Fukami Y, Saito T, Osawa T, et al. Preoperative Controlling Nutritional Status plus Tumor Burden Score for the Assessment of Prognosis after Curative Liver Resection for Hepatocellular Carcinoma. Med Princ Pract. 2021[cited 2020 Jun 01]; 30(2):131-137. Available from: https://pubmed.ncbi.nlm.nih.gov/33361696/




2020     |     www.medigraphic.com