Proceso de alimentación hospitalaria

Folgueras, Tomás Martín; Gimeno, Cristina Velasco; Crespo, Soledad Salcedo; Gurrutxaga, Hegoi Segurola; Brito, Néstor Benítez; Ballesteros-Pomar, María D.; Álvarez, Julia; Casariego, Alfonso Vidal

doi:10.20960/nh.02543

Cited by 7 publications

(5 citation statements)

References 8 publications

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“…En gestión del riesgo nutricional, estos representan una unidad de medida gerencial, que permiten evaluar el desempeño y las desviaciones en el manejo nutricional. El análisis de estos indicadores permite generar alertas sobre la acción en el seguimiento y finalmente alinear o perfeccionar el proceso en fin (19) . Los indicadores seleccionados por consenso en este modelo hacen parte de los 10 indicadores seleccionados como prioritarios en la terapia nutricional por Gimenez Verotti (17) .…”

Section: Gestión Organizacional De La Nutrición En Las Instituciones ...unclassified

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Modelo de proceso de cuidado nutricional: consenso para Latinoamérica

Pérez¹,

Muñoz²,

Moscoso³

et al. 2022

rncm

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Introducción: los modelos de cuidado nutricional son procesos estandarizados y sistematizados, cuyo objetivo es brindar consistencia y vinculación de la información, lo cual genera un impacto positivo en términos de calidad, servicio y costos. El objetivo del consenso de expertos fue proponer un modelo de cuidado nutricional para Latinoamérica, teniendo en cuenta el principio No. 2 de la Declaración Internacional de Cartagena. Método: se desarrolló un cuestionario, el cual fue sometido a la opinión de expertos siguiendo la metodología Delphi. El cuestionario inicialmente contó con 16 preguntas que evaluaban los siguientes temas: ¿cuáles son las etapas y herramientas del modelo? ¿Qué enfoque debe tener? ¿Sobre qué pilares fundamentar el modelo? Se consideró consenso cuando los ítems del cuestionario lograron un puntaje ≥ 70 % en la escala de Likert 4 (de acuerdo) y 5 (totalmente de acuerdo). Resultados: se realizaron tres rondas de consulta a expertos, donde se definió un modelo consistente en cinco pasos (que inició con el tamizaje del riesgo de desnutrición y terminó con los cuidados domiciliarios), los cuales se fundamentan en cinco pilares: educación, políticas públicas, fundamentos éticos, economía de la nutrición clínica y enfoque multidisciplinar/multisectorial. Se propusieron y analizaron indicadores de calidad de cada uno de los cinco pasos. Conclusión: el modelo de cuidado nutricional para Latinoamérica se basa en cinco pasos y cinco pilares. Este modelo se debe considerar como una herramienta y estrategia didáctica, que facilite la implementación y enseñanza del cuidado nutricional en el contexto latinoamericano en el ámbito clínico en todo nivel de atención.

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Section: Gestión Organizacional De La Nutrición En Las Instituciones ...unclassified

“…Hospital San Javier, Guadalajara, México 18. Departamento de Nutrición y Bioquímica, Pontificia Universidad Javeriana, Bogotá, Colombia 19. Asociación Panameña de Nutrición Clínica y Metabolismo, Hospital "Dr. Gustavo Nelson Collado Ríos" de la Caja de Seguro Social, Herrera, Panamá 20.…”

unclassified

Modelo de proceso de cuidado nutricional: consenso para Latinoamérica

Pérez¹,

Muñoz²,

Moscoso³

et al. 2022

rncm

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show abstract

“…The level of acceptance of hospital food has an important relationship with the user’s overall satisfaction and quality of life during admission [ 20 ]. Thus, the assessment of the quality of menus during hospital admission and patient satisfaction is considered an appropriate method of nutritional assessment in patients at risk of malnutrition and dysphagia [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study

Carretero-Randez,

Orts-Cortés,

Rodríguez-Pérez

et al. 2023

PLoS ONE

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Background Malnutrition is a recurring problem that has become more relevant in recent years. The aim of this study is to assess the risk of malnutrition and nutritional status on admission and its evolution until discharge in patients aged 65 and over admitted to medical and surgical hospitalization units in hospitals of the Spanish National Health System. Methods Prospective observational study to be carried out in the medical-surgical hospitalization units of 9 public hospitals between 01/09/2022 and 31/12/2024. Using consecutive sampling, a total of 4077 patients will be included (453 in each hospital). Variables included are related to the care process, functionality, cognition and comorbidity, risk profile, nutritional status and dysphagia; as well as frailty, dietary quality and contextual variables. The incidence of risk of malnutrition, undernutrition and dysphagia during the care process and at discharge will be calculated. The association with risk factors will be studied with logistic regression models and multivariate Cox regression models. In addition, an analysis of participants’ satisfaction with food services will be carried out. The study was approved by the Ethics and Research Committee on 30/09/2020, approved for funding on 02/12/2021 and with registration number RBR-5jnbyhk in the Brazilian clinical trials database (ReBEC) for observational studies. Discussion Some studies address nutritional status or dysphagia in older people in various care settings. However, there is a lack of large sample studies including both processes of the impact of hospitalization. The results of the project will provide information on the incidence and prevalence of both pathologies in the study subjects, their associated factors and their relationship with the average length of stay, mortality and early readmission. In addition, early detection of a problem such as malnutrition related to the disease and/or dysphagia during a hospital stay will favor the action of professionals to resolve both pathologies and improve the health status of patients.

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“…The level of acceptance of hospital food has an important relationship with the user's overall satisfaction and quality of life during admission [20]. Thus, the assessment of the quality of menus during hospital admission and patient satisfaction is considered an appropriate method of nutritional assessment in patients at risk of malnutrition and dysphagia [21].…”

Section: Introductionmentioning

confidence: 99%

Impact of hospitalization on nutritional status and dysphagia in persons aged 65 years and over (NUTRIFRAG Study): protocol for a prospective observational study

Carretero-Randez

Orts-Cortés

Pérez

et al. 2022

Preprint

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Background: Malnutrition is a recurrent problem that has acquired its own identity in recent years. The aim of this study is to assess the risk of malnutrition and nutritional status on admission and its evolution until discharge in patients aged 65 and over admitted to medical and surgical hospitalization units in hospitals of the Spanish National Health System. Methods: Prospective observational study to be carried out in the medical-surgical hospitalization units of 9 public hospitals between 01/09/2022 and 31/12/2024. Using consecutive sampling, a total of 4077 patients will be included (453 in each hospital). Variables included are related to the care process, functionality, cognition and comorbidity, risk profile, nutritional status and dysphagia; as well as frailty, dietary quality and contextual variables. The incidence of risk of malnutrition, undernutrition and dysphagia during the care process and at discharge will be calculated. The association with risk factors will be studied with logistic regression models and multivariate Cox regression models. In addition, an analysis of participants' satisfaction with food services will be carried out. Discussion: Some studies address nutritional status or dysphagia in older people in various care settings. However, there is a lack of large sample studies including both processes of the impact of hospitalization. The results of the project will provide information on the incidence and prevalence of both pathologies in the study subjects, their associated factors and their relationship with the average length of stay, mortality and early readmission. These results will serve to improve their health status. Trial registration: The study was approved by the Ethics and Research Committee on 30/09/2020, approved for funding on 02/12/2021 and with registration number RBR-5jnbyhk in the Brazilian clinical trials database (ReBEC) for observational studies.

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Proceso de alimentación hospitalaria

Cited by 7 publications

References 8 publications

Modelo de proceso de cuidado nutricional: consenso para Latinoamérica

Modelo de proceso de cuidado nutricional: consenso para Latinoamérica

Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study

Impact of hospitalization on nutritional status and dysphagia in persons aged 65 years and over (NUTRIFRAG Study): protocol for a prospective observational study

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