Hernández OM, Hernández JA, Núrquez MA, Padrón MM

Language: Spanish
References: 0
Page: 314-327
PDF size: 473.07 Kb.

ABSTRACT

Rationale: Malnutrition presupposes a disadvantage for evolution of sepsis in critically ill patient. Objective: To assess the associations between the nutritional status and the evolution of sepsis in critically ill patiens. Study location: Intensive Care Unit (ICU), “Aleida Fernández Chardiet”, General Teaching hospital, Güines (Mayabeque, Cuba). Study design: Retrospective, analytical. Study serie: Eightyeight patients (Women: 61.4%; Average age: 60.9 ± 16.7 years; APACHE II score > 15: 48.9%; ICU length of stay: 8.9 ± 8.4 days; Allcauses mortality: 47.7%) diagnosed with sepsis ( SOFA score ≥ 2) on admission at the hospital ICU between January 2015 and June 2017. Methods: Associations between the CONUT scale for nutritional assessment, on one hand; and indicators of physiopathologism, ICU length of stay, indication for mechanical ventilation, complications, and condition on discharge of the septic patient, on the other; were assessed. Results: Average CONUT score was 4.9 ± 3.6. Fifty-three-point-five percent of patients presented with CONUT scores ≥ 5. Elevated CONUT scores associated with the use of mechanical ventilation, elevated APACHE II score, and mortality during ICU stay. Conclusions: Malnutrition on admission to an ICU of a septic patient is associated with a higher use of mechanical ventilation, frequent physiopathologism, and an increased mortality.