Evolução antropométrica e sintomas gastrointestinais em pacientes que receberam suplementos nutricionais ou nutrição enteral

Sicchieri, Juliana Maria Faccioli; Unamuno, Maria do Rosário Del Lama de; Marchini, Júlio Sérgio; Cunha, Selma Freire de Carvalho da

doi:10.1590/s0104-42302009000200017

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…Patients unable to consume sufficient quantities of food to satisfy their nutrient requirements need oral supplement or enteral nutrition (6). The possible interactions between the components of the formu la may alter the bioavailab ility of specific nutrients and interfere with the clin ical course of sick individuals.…”

Section: Introductionmentioning

confidence: 99%

Iron Dialyzability in a Multiple Nutrient Formulation and Effect of the Addition of Separate Nutrients

Bueno¹,

Cunha²,

Marchini³

et al. 2012

MEDICINE

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Introduction: Different nutrients added to nutritional formu lations can facilitate, reduce or b lock the iron absorption. Objective: The aims of this study was to assess the modulation of iron bioavailabily by other minerals and vitamins in an mu ltip le nutrient formu lation and in an aqueous iron solution. Material and Methods: We analyzed the iron dialy zability in the mu ltiple nutrients formu lation developed to simu late an enteral diet. Furthermo re, the iron dialy zability was determined in aqueous solutions containing 25 mg o f iron, which were added separately usual amounts of soluble fiber, salt mixture, vitamin mixture, calciu m and v itamin C. The d ialysed iron was measured by atomic absorption spectrometry. Results: In the multip le nutrients formu lation, we docu mented low bioavailab ility of iron (0.80 ± 0.01%). Co mpared with the aqueous iron solution (70.0 ± 6.0%), the addit ion of 135 mg of vitamin C increased the iron d ialy zability (90.0 ± 3.0%). There was reduction of iron dialysis after addit ion of soluble fiber (1.00 ± 0.01%), the v itamin mixture (25.00 ± 0.12%), salt mixture (2.00 ± 0.06%) and calciu m (0.80 ± 0.02%). Conclusion: The low iron bioavailability in the mu ltip le nutrients formulation can be attributed to the protein source and supply of fiber and calciu m, thereby affecting the absorption of iron.

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Section: Introductionmentioning

confidence: 99%

Iron Dialyzability in a Multiple Nutrient Formulation and Effect of the Addition of Separate Nutrients

Bueno¹,

Cunha²,

Marchini³

et al. 2012

MEDICINE

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“…A diarreia em pacientes com TNE é considerada o evento mais frequente da complicação gastrointestinal em diversos estudos nacionais (8,15,44,95,109,115,116) e internacionais (50,67,71,99,110,113,114,(117)(118)(119)(120)(121)(122) . No presente estudo, a ocorrência de diarreia foi observada em 13,0% dos pacientes (Tabela 10), diferindo do encontrado na literatura.…”

Section: Complicação Gastrointestinal E Eventos Observadosunclassified

Complicações da Terapia Nutricional Enteral (TNE) e fatores associados em pacientes hospitalizados

Figueredo¹

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This observational and retrospective study aimed to describe the profile of patients and the characteristics of the Enteral Nutrition Therapy (ENT), as well as to analyze the complications of this therapy and the associated factors in hospitalized adult patients. The study consisted of a sample of 214 patients, hospitalized between 2008 and 2009 at a university hospital in the city of São Paulo. Data were collected from medical records and of nutritional assessment sheets, using a form developed for the study. Results showed that: 1 a-) in relation to patient profiles and enteral nutrition therapyparticipants were predominantly male (55.6%), with an average age of 64.8 years, hospitalized in semi-intensive and intensive care units (66.8%); b-) Concerning enteral nutrition therapy, the average days of enteral nutrition was 13.2 days, and 43.5% of the patients received it for up to one week. As for the route of enteral access, nasoenteric feeding tube (96.3%) and continuous feeding administration (67.3%) were the most common. 2-) regarding the complications of ENT and the observed events-of the 214 patients of the sample, 200 had complications during the use of enteral nutrition. There was occurrence of gastrointestinal (90.5%), metabolic (55.0%), mechanical (41.5%) and pulmonary (13.0%) complications. The most frequently observed events among gastrointestinal complication were: abdominal distention (33.4%), constipation (17.5%) and high gastric residual volume (GRV) (14.6%). Among the metabolic complication, hyperglycemia (55.0%) was observed, with average of 174.2 mg/dL. The predominant events resulting from mechanical complication were unexpected withdrawal of enteral feeding tube (70.5%), followed by obstruction of enteral feeding tube (19.0%). As for pulmonary complication, pulmonary aspiration (13.0%) was the observed event. 5-) Concerning the method of infusion, there was significant association of continuous infusion with the following events observed in gastrointestinal complication: high GRV (p=0.000), constipation (p=0.010) and abdominal distension (p=0.037). Among the mechanical complication, there was significant association with intermittent infusion at the following events: unexpected withdrawal of enteral feeding tube (p=0.005) and displacement of enteral feeding tube (p=0.040). 6-) Regarding drug therapy, there was significant association of metabolic complication (hyperglycemia) and use of sedatives/opioids (p=0.000) and vasoactive drugs (p=0.000). This study evidenced that complications concomitant with ENT are very prevalent in this population (93.5%). Moreover, it was found that there is a high occurrence of observed events (617), with complications (400) presenting significant intersections with other variables described above. Therefore, research on the clinical conditions, treatments and care to the use of enteral feeding tubes should be constantly indicated, particularly for nurses who are responsible for the administration and monitoring of enteral nutrition.

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Enteral nutritional therapy of inpatients: clinical and nutritional outcomes

Homelis

Nakayama

Perpétuo

et al. 2018

Nutrire

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Background Enteral nutritional therapy (ENT) has the principle of maintaining or recovering the nutritional status of individuals who cannot or unable to feed them the oral diet. The aim of this study was to verify the clinical and nutritional outcome of patients on ENT during the period of 1 year. Methods It is a quantitative, descriptive, retrospective, and documentary research, through the analysis of medical records of all individuals who used ENT for 1 year in a public hospital of Bauru, SP, with evaluation of weight loss, time of ENT’s use, and outcomes such as death and weaning. The collection took place in the adult hospital unit containing 165 hospital beds, including 33 beds of the intensive care unit (ICU), and 132 beds divided into nine clinics (surgical and medical), with reference mainly to trauma, neurosurgery, and neurology. All patients admitted to these wards using ENT were collected. Results A total of 527 patients were included, and it was observed that the majority of ENT’s indications came from neurological diseases (42.2%), with the onset of the ENT in the intensive care unit with 69.0% due to needs for mechanical ventilation. The mean number of ENT days was 20.4 days. There was a positive correlation between the percentage of weight loss and time of ENT’s use (p < .0001). There was worst outcome and lower weaning rate in the elderly. Conclusions It has been shown that the longer the time of ENT’s use, the greater the percentage of weight loss of these individuals; malnourished patients present longer time using the therapy, and the elderly presented higher mortality rate.

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Evolução antropométrica e sintomas gastrointestinais em pacientes que receberam suplementos nutricionais ou nutrição enteral

Cited by 3 publications

References 22 publications

Iron Dialyzability in a Multiple Nutrient Formulation and Effect of the Addition of Separate Nutrients

Iron Dialyzability in a Multiple Nutrient Formulation and Effect of the Addition of Separate Nutrients

Complicações da Terapia Nutricional Enteral (TNE) e fatores associados em pacientes hospitalizados

Enteral nutritional therapy of inpatients: clinical and nutritional outcomes

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