Adequação calórico-proteica da terapia nutricional enteral em pacientes cirúrgicos

Isidro, Marília Freire; Lima, Denise Sandrelly Cavalcanti de

doi:10.1590/s0104-42302012000500016

Cited by 10 publications

(6 citation statements)

References 31 publications

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“…Nevertheless, low calorie and protein intakes were observed regardless of the route of feeding. These results were corroborated by other studies 24 which found that enteral feeding does not ensure adequate calorie intake, especially in patients undergoing intensive therapy 25 . Parenteral nutrition may be better able to meet caloric requirements 26 , but this could not be verified by the present study as few patients (0.8%) received such feeding.…”

Section: Discussionsupporting

confidence: 81%

Decreased calorie and protein intake is a risk factor for infection and prolonged length of stay in surgical patients: A prospective cohort study

Assis¹,

Silveira

Beghetto

et al. 2016

Rev. Nutr.

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Objective The aim was to assess whether postoperative calorie and protein intakes increase the risk of infection and prolonged length of stay in a tertiary care university hospital in Southern Brazil. Methods This is a prospective cohort study approved by the hospital's Research Ethics Committee. The sample consisted of adult patients undergoing elective surgery. The exclusion criteria included patients who could not undergo nutritional assessment and those with a planned hospital stay of fewer than 72 hours. Nutritional status was assessed on admission and every seven days thereafter until hospital discharge or death. Demographic and clinical data, as well as information regarding independent and outcome variables, were collected from the patient's records. Food intake assessment was conducted by researchers six times a week. Calorie and protein intakes were considered adequate if equal to or greater than 75% of the prescribed amount, and length of stay was considered prolonged when above the average for specialty and type of surgery. Data was analyzed using Poisson regression. Results Of the 519 study patients, 16.2% had adequate nutritional therapy. Most of these patients were men with ischemic heart disease and acquired immunodeficiency syndrome. After adjusting for confounders, inadequate nutritional therapy increased risk of infection by 121.0% (RR=2.21; 95%CI=1.01-4.86) and risk of prolonged length of stay by 89.0% (RR=1.89; 95%CI=1.01-3.53). Conclusion Most patients did not have adequate nutritional therapy. Those with inadequate nutritional therapy had a higher risk of infection and longer length of stay.

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Section: Discussionsupporting

confidence: 81%

Decreased calorie and protein intake is a risk factor for infection and prolonged length of stay in surgical patients: A prospective cohort study

Assis¹,

Silveira

Beghetto

et al. 2016

Rev. Nutr.

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“…A similar result was found in the study by Isidro and Lima (2012), with fasting for procedures being the biggest reason for suspension of the enteral diet (84.6%), followed by nausea/emesis (38.5%). In addition to diarrhea and vomiting, gastroparesis is another gastrointestinal complication associated with the use of ENT.…”

Section: Discussionsupporting

confidence: 88%

Causes of Interruption of Enteral Nutritional Therapy in Critical Patients: A Literature Review

Gemelli¹,

Santana²,

Libório³

et al. 2022

JHS

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Enteral nutritional therapy (ENT) is indicated when the patient is at risk of malnutrition, that is, when oral intake is insufficient and is still contraindicated in cases where the gastrointestinal tract is not intact or functioning. Early administration of ENT, even when indicated, is not free from inconveniences such as mechanical, gastrointestinal, metabolic, respiratory, infectious and psychological complications, situations that can lead to interruption of ENT. To optimize the administration of enteral nutrition (EN), the knowledge and control of these complications related to ENT, by the multidisciplinary team, are essential for the early resolution of the factors that negatively interfere in the adequate supply of nutrients. The aim of the study was to describe the main causes of ENT interruption in critically ill patients through a literature review. A systematic bibliographic review study was carried out, of the exploratory type with a bibliographic approach with analysis and discussion. Throughout the work, it was possible to recognize the main causes of interruption of ENT and that these must not be disregarded by the multidisciplinary team.

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“…Observou-se, neste estudo, uma alta prevalência de inadequação calórica e proteica, resultados semelhantes aos encontrados na literatura [23][24][25][26][27][28] . A luta contra o deficit de calorias e proteínas em pacientes de UTI com TNE exclusiva é diária.…”

Section: I S C U S S ã Ounclassified

Inadequação calórica e proteica e fatores associados em pacientes graves

et al. 2016

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ObjetivoInvestigar a adequação calórico-proteica de pacientes em terapia nutricional enteral exclusiva internados nas Unidades de Terapia Intensiva de um hospital universitário. MétodosEstudo longitudinal realizado entre abril e novembro de 2014 nas Unidades de Terapia Intensiva de um hospital universitário. Foram avaliados no período de 14 dias: percentual de adequação calórico-proteica, calculada pelas médias dos valores prescritos e administrados; condições clínicas (unidade e diagnóstico de internação, escore prognóstico Acute Physiology and Chronic Health Evaluation II, estado nutricional, tempo de internação); complicações gastrointestinais; e motivo de interrupção da dieta. Valores inferiores a 80% de adequação calórica e proteica foram considerados inadequados. Realizou-se análise multivariada por Regressão de Poisson com nível de significância de 5%. ResultadosO estudo contou com uma amostra de 38 pacientes, sendo 52,63% desnutridos. As médias de adequação calórica e proteica foram de 76,47% e 69,11%, respectivamente. A prevalência de inadequação calórica foi de 55,26% e de proteica, 68,42%. O jejum para procedimentos foi a causa mais frequente de interrupção da dieta. O volume residual gástrico e a diarreia foram as complicações gastrointestinais mais comuns. A inadequação calórica associou-se ao tempo de permanência ≤14 dias e ao volume residual elevado. A inadequação proteica associou-se ao tempo de permanência ≤14 dias, ao volume residual gástrico elevado e à saída ou obstrução da sonda.

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Adequação calórico-proteica da terapia nutricional enteral em pacientes cirúrgicos

Cited by 10 publications

References 31 publications

Decreased calorie and protein intake is a risk factor for infection and prolonged length of stay in surgical patients: A prospective cohort study

Decreased calorie and protein intake is a risk factor for infection and prolonged length of stay in surgical patients: A prospective cohort study

Causes of Interruption of Enteral Nutritional Therapy in Critical Patients: A Literature Review

Inadequação calórica e proteica e fatores associados em pacientes graves

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