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2016, Number 1

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Mediciego 2016; 22 (1)

Nutritional assessment of critically ill patients admitted to the Intensive Care Unit of the Provincial Hospital in Ciego de Ávila

Tejidor BDM, Iglesias ANR, López RY, Tejidor FJ, Guerra PJC

Language: Spanish
References: 16
Page: 37-44
PDF size: 100.39 Kb.


ABSTRACT

Introduction: the nutritional assessment is one of the cornerstones for further action on the various conditions of the patient admitted to the Intensive Care Unit.
Objective: to assess the nutritional status of critically ill patients, depending on the type of disease, in the Intensive Care Unit of the Provincial General Teaching Hospital "Dr. Antonio Luaces Iraola" of Ciego de Ávila province.
Method: an analytical observational cross-sectional study was carried out in the Intensive Care Unit of the Provincial General Teaching Hospital "Dr. Antonio Luaces Iraola" of Ciego de Ávila, between March 2012 and March 2013. The universe consisted of the total of critically ill patients admitted to the Unit in the period; the sample was composed of 535 patients who met the inclusion criteria.
Results: the highest number of patients corresponded to female, white skin and over 50 years. Nonsurgical causes were the most frequent reason for admission. Regarding body mass index, obesity predominated over malnutrition. Enteral was the nutrition way more used, particularly in non-surgical patients; the most frequent complications were constipation and gastric residual increase. The percentage of patients discharged alive was higher than the deceased, with the highest survival rate in patients with enteral nutrition and those with hospital stay of 1 to 7 days.
Conclusions: adequate nutritional assessment of the patient in critical care reduces morbidity and mortality.


REFERENCES

  1. Acosta Escribano J, Gómez Tello V, Ruiz Santana A. Valoración del estado nutricional en el paciente grave. Nutr Hosp [Internet]. 2005 [citado 12 Mar 2014];20(Supl 2):5-8. Disponible en: http://scielo.isciii.es/pdf/nh/v20s2/02valoracion.pdf

  2. Palacios Rueda L, Patiño Ramírez I. Estado nutricional de los pacientes que ingresan al Servicio de Atención del Paciente en Estado Crítico. Rev UNIMAR [Internet]. 2014 [citado 12 Dic 2014];27(2):41-50. Disponible en: http://www.umariana.edu.co/ojseditorial/ index.php/unimar/article/viewFile/133/113

  3. Elamin EM, Camporesi E. Evidence based nutritional support in the intensive care unit. [Internet]. Int Anesthesiol Clin [Internet]. 2009 [citado 12 Mar 2014];47(1):121-38. Disponible en: http://www.researchgate.net/profile/Enrico_Camporesi/publication/23766530_Evidencebased _nutritional_support_in_the_intensive_care_unit/links/09e41513119e91e53e000000.pdf

  4. Sabol VK. Nutrition assessment of the critically ill adult. AACN Clin Issues [Internet]. 2004 Oct-Dic [citado 12 Mar 2014];15(4):595-606. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/15586160

  5. Mueller C, Compher C, Druyan ML; American Society for Parenteral and Enteral Nutrition. A.S.P.E.N. Clinical Guidelines: nutrition screening, assessment, and intervention in adults. J Parenter Enteral Nutr [Internet]. 2011 [citado 12 Mar 2015];35(1):16-24. Disponible en: https://www.researchgate.net/profile/Charlene_Compher/publication/49745268_A.S.P.E.N._C linical_Guidelines_Nutrition_Screening_Assessment_and_Intervention_in_Adults/links/0deec5 1d494607cbe4000000.pdf

  6. Tappenden KA, Quatrara B, Parkhurst ML, Malone AM, Fanjiang G, Ziegler TR. Critical role of nutrition in improving quality of care: an interdisciplinary call to action to address adult hospital malnutrition. J Parenter Enteral Nutr [Internet]. 2013 [citado 12 Mar 2015];37(4):482-97. Disponible en: http://pen.sagepub.com/content/37/4/482.full.pdf

  7. Sotelo González S, Sánchez Sobrino P, Carrasco Álvarez JA, González Villarroel P, Páramo Fernández C. Parámetros antropométricos en la evaluación de la malnutrición en pacientes oncológicos hospitalizados: utilidad del índice de masa corporal y del porcentaje de pérdida de peso. Nutr Hosp [Internet]. 2013 [citado 12 Mar 2015];28(3):965-8. Disponible en: http://scielo.isciii.es/pdf/nh/v28n3/57_comunicaccionbreve01.pdf

  8. Ramos Martínez A, Asensio Vegas A, Núñez Palomo S, Millán Santos I. Prevalencia y factores asociados a malnutrición en ancianos hospitalizados. An Med Interna (Madrid) [Internet]. 2004 [citado 12 Mar 2014];21(6):9-18. Disponible en: http://scielo.isciii.es/pdf/ami/v21n6/original1.pdf

  9. De la Uz Ruesga MM, Morales Larramendi R, Álvarez Puig NM. Evaluación nutricional de pacientes críticos en el Servicio de Cuidados Intermedios. MEDISAN [Internet]. 2003 [citado 12 Mar 2014];7(2):33-41. Disponible en: http://www.bvs.sld.cu/revistas/san/vol7_2_03/san06203.pdf

  10. Pérez DO. Evaluación del estado nutricional de pacientes críticos en sala de terapia intensiva del hospital “Hermanos Ameijeiras”. Rev Cub Med Int Emerg [Internet]. 2014 [citado 12 Dic 2014];13(4):374-87. Disponible en: http://www.revmie.sld.cu/index.php/mie/article/viewFile/45/109

  11. Hernández González J, Rodríguez Ramos W, Breijo Puentes A, Sánchez Portela CA. Estado nutricional de los pacientes atendidos en una unidad hospitalaria de cuidados críticos. Rev. Cubana Aliment Nutr. 2007;17(2):129-35.

  12. Casanova González MP, Travieso Peña R, Molina Díaz F. Guía de práctica clínica para la nutrición del paciente en estado crítico. Medisur [Internet]. 2009 [citado 12 Mar 2014];7(1):75-81. Disponible en: http://medisur.sld.cu/index.php/medisur/article/viewFile/721/5208

  13. Duarte Molina P, Sánchez Velázquez L, Guzmán Legorreta JA, López Raya VM. Experiencia de ocho años de la Terapia Intensiva Central del Hospital General de México, OD. Rev Asoc Mex Med Crit y Ter Int [Internet]. 2012 [citado 12 Mar 2014];26(2):85-9. Disponible en: http://www.medigraphic.com/pdfs/medcri/ti-2012/ti122e.pdf

  14. Santana Porbén S. Quality control an assessment system. Its location within a program for food, nutrition and metabolic intervention. Nutr Hosp. 2012;27(3):894-907.

  15. Montejo JC, Jiménez J, Ordóñez J, Caparrós T, García A, Ortiz C, et al; Grupo de Trabajo de Metabolismo y Nutrición de la SEMICYUC. Complicaciones gastrointestinales de la nutrición enteral en el paciente crítico. Med Intens [Internet]. 2001 [citado 12 Mar 2014];25(4):152- 60. Disponible en: http://www.medintensiva.org/es/pdf/13013585/S300/

  16. Agudelo GM, Giraldo NA, Aguilar N, Barbosa J, Castaño E, Gamboa S, et al. Incidencia de complicaciones del soporte nutricional en pacientes críticos: estudio multicéntrico. Nutr Hosp [Internet]. 2011 [citado 12 Mar 2014];26(3):537-45. Disponible en: http://scielo.isciii.es/pdf/nh/v26n3/16_original_12.pdf




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