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2018, Number 3

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Geroinfo 2018; 13 (3)

Nutritional state, stay and state to the expenditure in ICU

Larreinaga BR, León PDO, Soneira J, Mezquia PN

Language: Spanish
References: 13
Page: 1-18
PDF size: 165.73 Kb.


ABSTRACT

Introduction: the malnutrition to be continuing a frequent cause of mortality and the principal problem of heath around the world, affecting principally the subjects hospitalizes.
Method: prospective study, observational, realized as longitudinal cut in patients admitted in the Intensive Care Unit (UCI) at the Hospital Miguel Enriquez, between july 2013 and February 2014, to define the relation between the nutritional state, state of the expenditure and stay. It was mandate as measure of the association between the variable through the coefficient of correlation of Pearson.
Results: the middle of the age as show it was of 55,7% ± 20,2 with 50.9 of males and 49.1% of females. The mortality was of 20,9%. The CONUT correlation with mortality was of 0.187 (p= 0.01) and with the stay was of 0.130 (p=0.025), the Abdominal Circumference (AC) showed the correlation with the stay 0.144 (p=0.013) and with the TIMI 0.191(p= 0.042) the relation between albumin with the mortality was of -0.119 (p=0.039) equal of the level of hemoglobin 0.165 (p=0.04).
Conclusion: half of the patients were on the 6ta decade of their life, showing the same proportion in male/ female sex, the mortality was low. CONUT have a direct relation with the stay in UCI and the state of the expenditure, the Abdominal Circumference showed the same relation with stay and the hemoglobin with state of the expenditure. The albumin has an inverse relation withstate of the expenditure. We have founded a direct relation between the anthropometric variable (AC) and TIMI, the CONUT exhibit a positive correlation with APACHE II.


REFERENCES

  1. Ridley E, Gantner D, Pellegrino V: Nutrition therapy in critically ill patients- a review of current evidence for clinicians. ClinNutr. 2015;34(4):565–71. 10.1016/j.clnu.2014.12.008 [PubMed] [Cross Ref]

  2. Ulibarri Pérez JI y colaboradores. “Proyecto para la prevención, detección precoz y control de la desnutrición hospitalaria. Proyecto CONUT” [16 Septiembre 2005] disponible en: www.conut.com/docs/proyecto.pdf

  3. Rodriguez NG, Herrera HA., Luque MC, Hernández RA, Hernández de Valera Y. Caracterización antropométrica de un grupo de adultos mayores de vida libre e institucionalizados. RevAntropo, 2004;(8): 57-71.

  4. Barrera MP, Castillo MP, Martin J, Torrado J, Cifuentes AM, Rodríguez MN. Evaluación nutricional de adultos mayores hospitalizados en la clínica “Carlos Lleras Restrepo” de Bogotá , utilizando un instrumento adaptado del mini nutrimental assessment (MNA).Rev. Asoc. Colomb. Gerontol. Geriatr, 2008; 22(3):26-34.

  5. Araujo Mendoza GJ, Ávila Jiménez L, Benítez V. Escala para identificar desnutrición energético-proteica del adulto mayor hospitalizado. RevMed IMSS 2004; 42 (5): 387-94.

  6. McClave SA, Taylor BE, Martindale RG, et al. : Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN J Parenter Enteral Nutr. 2016;40(2):159–211. 10.1177/0148607115621863 [PubMed] [Cross Ref]

  7. Tappenden KA, Quatrara B, Parkhurst ML, et al. : Critical role of nutrition in improving quality of care: an interdisciplinary call to action to address adult hospital malnutrition. JPEN J Parenter Enteral Nutr. 2013;37(4):482–97. 10.1177/0148607113484066 [PubMed] [Cross Ref]

  8. Allard JP, Keller H, Jeejeebhoy KN, 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. ClinNutr. 2016;35(1):144–52. 10.1016/j.clnu.2015.01.009 [PubMed] [Cross Ref]

  9. Montoya, Isabel Miguel, et al. "Evaluación del efecto de una intervención en el estado nutricional de pacientes hospitalizados." Medicina Clínica.2017, 148.(7): 291-296.

  10. Chavarro-Carvajal, Diego Andrés, et al. "Factores asociados al estado nutricional en pacientes adultos mayores hospitalizados." Acta Médica Colombiana .2018 43.(2): 69.

  11. Castro-Vega, Iciar, et al. "Validación del cribado nutricional Malnutrition Screening Tool comparado con la valoración nutricional completa y otros cribados en distintos ámbitos sociosanitarios." Nutrición Hospitalaria.2018, 35. (2) : 351-358.

  12. Rentero Redondo, Lorena, et al. "Desnutrición en el paciente anciano al ingreso hospitalario, un viejo problema sin solucionar." Nutrición Hospitalaria.2015; 32. (5): 2169-2177.

  13. Ulibarri, J. I., Burgos, R., Lobo, G., Martínez, M. A., Planas, M., & de la Cruz, A. P. Recomendaciones sobre la evaluación del riesgo de desnutrición en los pacientes hospitalizados. Nutr Hosp 2009; 24: 467-72.




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