Quality indicators in nutrition therapy within the intensive care setting of a Brazilian teaching hospital

Rosa, Teresa Cristina Abranches; Raslan, Mariana; Souza, Albert Schiaveto de; Freitas, Karine de Cássia

doi:10.20435/inter.v20i3.1759

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Detecting nutritional risk by performing nutritional screening allows the nutrition support team to take early initiative, even in patients with apparently adequate total body weight, whereas SGA is primarily effective in recognizing current malnutrition [ 7 , 26 , 27 , 28 , 29 ]. Many studies have demonstrated a deficiency in screening nutrition within 24 h of admission, assessment, and even nutritional reassessment [ 8 , 9 , 10 , 13 ]. In studies involving clinical and surgical patients, the nutritional assessment corresponded to 30.7% and 75%, respectively [ 11 , 12 ], which agrees with the current study, the nutritional assessment being achieved in 55.5% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…Nearly half of hospitalized patients have some degree of malnutrition and require nutritional therapy [ 2 ]. Although there is a high prevalence of malnutrition, there are few studies considering quality indicators in nutritional therapy (QINT) [ 8 , 9 , 10 , 11 , 12 , 13 ]. This is important, as these indicators minimize energy and protein imbalance and weight loss, and also help prevent adverse outcomes and clinical complications, including increased infection rate, impaired wound healing, a longer length of hospital stay, higher treatment costs, and mortality [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…Most of the studies about QINT investigated critically ill patients [ 8 , 9 , 10 ], mainly because these patients had intensive monitoring and follow-up due to the high risk of clinical and infectious complications and also had high mortality rates. We found only three studies involving quality indicators with clinical [ 11 ], surgical [ 12 ], or mixed populations [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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High Frequency of Non-Compliance with Quality Indicators of Enteral and Parenteral Nutritional Therapy in Hospitalized Patients

et al. 2020

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Quality indicators in nutritional therapy (QINT) are measures of the effectiveness and quality of nutrition support. The purpose of this study was to evaluate the frequency of the QINT adequacy of Enteral Nutritional Therapy (EN) and/or Parenteral (PN) in hospitalized patients and identify the best indicators according to health professionals. A prospective study was performed, including data from patients aged 18 years or over admitted to clinical or surgical wards. The patients who had received EN and/or PN were followed from the first day of nutritional prescription until discharge. Twelve indicators were calculated, as recommended by the literature. Regarding professional opinion, the QINT adequacy was evaluated by observing its utility, simplicity, objectivity, and cost. Of the 727 hospitalized patients, 101 were on EN and/or PN. Regarding the 12 QINT evaluated, only 25% (3) achieved the goals: involuntary withdrawal of enteral feeding tube (0.01%); feeding tube occlusion or withdrawal per occlusion (0%); the measurement of energy and protein requirements (92%). A high frequency of non-compliance (75% of QINT) was observed in clinical and surgical patients on EN and/or PN. With knowledge of the six best indicators chosen by health professionals in this service, it will be possible to elaborate protocols according to the real-life situation in the institution.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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High Frequency of Non-Compliance with Quality Indicators of Enteral and Parenteral Nutritional Therapy in Hospitalized Patients

et al. 2020

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High frequency of non-compliance with quality indicators during oral nutrition support in hospitalized patients

Nogueira

Ferreira

Lúcia

et al. 2020

Clinical Nutrition ESPEN

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Survival of patients with advanced cancer in Enteral Nutritional Therapy: a comparison between caloric estimates

2022

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Objective To assess factors related to the achievement of the caloric estimates of enteral nutritional therapy and the survival of patients with advanced cancer in exclusively palliative care. Methods Retrospective study, where patients using enteral nutrition admitted from March 2019 to February 2020 were divided into two groups: Group 1 included patients who reached 75% of the estimated caloric goals, and Group 2 included those who did not. The data were extracted from the patients’ electronic medical records. Logistic regression analyzes were performed to assess associations between the studied sociodemographic, clinical, and nutritional variables, and the Kaplan-Meier curve and Cox regression were used to assess the survival of the groups. Results A total of 158 patients participated in the study, with a median age of 63 (IIQ: 55-70) years. 57% reached the caloric goal (Group 1). In the logistic regression, the functional capacity (OR: 5.82; CI: 2.28-14.84; p<0.001) and symptoms of nausea or vomiting (OR: 0.050; CI: 0.005-0.455; p=0.008) were independent variables for achieving the caloric goal. Cox regression showed Karnofsky Performance Status as an independent predictor for survival (HR: 1.85; CI: 1.13-3.04). Conclusion Patients with better functionality have longer survival and are potential candidates for reaching the caloric goals proposed by national and international guidelines for cancer patients.

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Quality indicators in nutrition therapy within the intensive care setting of a Brazilian teaching hospital

Cited by 3 publications

References 8 publications

High Frequency of Non-Compliance with Quality Indicators of Enteral and Parenteral Nutritional Therapy in Hospitalized Patients

High Frequency of Non-Compliance with Quality Indicators of Enteral and Parenteral Nutritional Therapy in Hospitalized Patients

High frequency of non-compliance with quality indicators during oral nutrition support in hospitalized patients

Survival of patients with advanced cancer in Enteral Nutritional Therapy: a comparison between caloric estimates

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