Evaluation of the degree of adherence to the nutritional recommendations of the critical care patient

被引：4

作者：

Servia-Goixart, Lluis ^{[1
,2
,7
]}

Carlos Lopez-Delgado, Juan ^{[3
,4
,10
]}

Grau-Carmona, Teodoro ^{[5
,6
,8
]}

Trujillano-Cabello, Javier ^{[7
]}

Escobar-Ortiz, Joan ^{[7
]}

Montserrat-Ortiz, Neus ^{[7
]}

Zapata-Rojas, Amalia ^{[7
]}

Bautista-Redondo, Iris ^{[8
]}

Cruz-Ramos, Ana ^{[8
]}

Diaz-Castellanos, Laura ^{[8
]}

Morales-Cifuentes, Miriam ^{[8
]}

Plaza-Bono, Montserrat ^{[8
]}

Carlos Montejo-Gonzalez, Juan ^{[8
]}

Temprano-Vazquez, Susana ^{[8
]}

Arjona-Diaz, Veronica ^{[8
]}

Garcia-Fuentes, Carlos ^{[9
]}

Mudarra-Reche, Carolina ^{[9
]}

Orejana-Martin, Maria ^{[9
]}

Lores-Obradors, Africa ^{[10
]}

Anguela-Calvet, Laura ^{[10
]}

Munoz-Del Rio, Gloria ^{[10
]}

Alejandra Revelo-Esquibel, Pamela ^{[10
]}

Alanez-Saavedra, Henry ^{[10
]}

Serra-Paya, Pau ^{[10
]}

Maria Luna-Solis, Stephani ^{[10
]}

Salinas-Canovas, Alvaro ^{[10
]}

De Frutos-Seminario, Fernando ^{[11
]}

Rodriguez-Queraito, Oriol ^{[11
]}

Gonzalez-Iglesias, Carlos ^{[12
]}

Zamora-Elson, Monica ^{[12
]}

de la Fuente-O'Connor, Eugenia ^{[13
]}

Seron-Arbeloa, Carlos ^{[14
]}

Bueno-Vidales, Nestor ^{[14
]}

Iglesias-Rodriguez, Rayden ^{[15
]}

Martin-Luengo, Ana ^{[16
]}

Sanchez-Miralles, Angel ^{[17
]}

Marmol-Peis, Enrique ^{[17
]}

Ruiz-Miralles, Miriam ^{[17
]}

Gonzalez-Sanz, Maria ^{[17
]}

Server-Martinez, Arantzazu ^{[17
]}

Vila-Garcia, Belen ^{[18
]}

Lorencio-Cardenas, Carol ^{[19
]}

Macaya-Redin, Laura ^{[20
]}

Flecha-Viguera, Raquel ^{[20
]}

Aldunate-Calvo, Sara ^{[20
]}

Luis Flordelis-Lasierra, Jose ^{[21
]}

Jimenez-del Rio, Irene ^{[21
]}

Ramon Mampaso-Recio, Jose ^{[21
]}

Manuel Rodriguez-Roldan, Jose ^{[21
]}

Gastaldo-Simeon, Rosa ^{[22
]}

机构：

[1] Hosp Arnau Vilanova, Unidad Cuidados Intens, Lleida, Spain

[2] Lleida Fdn Dr Pifarre IRBLleida, Inst Rec Biomed, Lleida, Spain

[3] Hosp Univ Bellvitge, Unidad Cuidados Intens, Hosp Llobregat, C Feixa Llarga S-N, Barcelona 08907, Spain

[4] Hosp Tiobregat, Inst Invest Biomed Bellvitge IDIBELL, Barcelona, Spain

[5] Hosp Univ 12 Octubre, Unidad Cuidados Intens, Madrid, Spain

[6] Hosp 12 Octubre I 12, Inst Invest Sanitaria, Madrid, Spain

[7] Hosp Arnau Vilanova, Lleida, Spain

[8] Hosp Univ 12 Octubre, Madrid, Spain

[9] Hosp Univ 12 Octubre, UCI Trauma & Emergencia, Madrid, Spain

[10] Hosp Univ Bellvitge, Hosp Llobregat, Barcelona, Spain

[11] Hosp Univ Bellvitge, Hosp Llobregat, Unidad Coronaria, Barcelona, Spain

[12] Hosp Barbastro, Barbastro, Huesca, Spain

[13] Hosp Univ Infanta Sofia, Madrid, Spain

[14] Hosp San Jorge, Huesca, Spain

[15] Hosp Gen Granollers, Barcelona, Spain

[16] Hosp Rio Hortega, Valladolid, Spain

[17] Hosp St Joan dAlacant, Alicante, Spain

[18] Hosp Infanta Cristina Parla, Madrid, Spain

[19] Hosp Univ Josep Trueta, Girona, Spain

[20] Hosp Navarra, Pamplona, Spain

[21] Hosp Univ Severo Ochoa, Madrid, Spain

[22] Hosp Manacor, Mallorca, Spain

[23] Hosp Reg Univ Carlos Haya, Malaga, Spain

[24] Hosp Univ Doctor Peset, Valencia, Spain

[25] Hosp Univ Puerto Real, Cadiz, Spain

[26] Hosp Santa Creu & Sant Pau, Barcelona, Spain

[27] Hosp Badalona Germans Trias & Pujol, Badalona, Spain

[28] Hosp G Univ Morales Meseguer, Murcia, Spain

[29] Hosp Univ Getafe, Madrid, Spain

[30] Hosp Clin Univ Valladolid, Valladolid, Spain

[31] Hosp Mutua Terrassa, Barcelona, Spain

[32] Hosp Royo Villanova, Zaragoza, Spain

[33] Hosp Mataro, Barcelona, Spain

[34] Hosp Univ Fuenlabrada, Madrid, Spain

[35] Hosp G Univ Alicante, Alicante, Spain

[36] Hosp Mar, Barcelona, Spain

[37] Hosp G Univ Castellon, Castellon de La Plana, Spain

[38] Hosp Principe Asturias, Madrid, Spain

[39] Hosp Clin Lozano Blesa, Zaragoza, Spain

[40] Hosp Miguel Servet, Zaragoza, Spain

[41] Hosp Alvaro Cunqueiro, Vigo, Spain

[42] Hosp Plato, Barcelona, Spain

[43] Hosp Univ Burgos, Burgos, Spain

[44] Hosp Virgen de la Concha, Zamora, Spain

来源：

NUTRICION HOSPITALARIA | 2019年 / 36卷 / 03期

关键词：

Clinical practice guidelines; Recommendations; Critical care patient; Intensive care units; Specialized nutritional support; CLINICAL-PRACTICE GUIDELINES; ENTERAL NUTRITION; PARENTERAL-NUTRITION; ILL; MANAGEMENT; IMPLEMENTATION; UNITS;

D O I：

10.20960/nh.02323

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Background: the application of specialized nutritional support (SNE) is difficult at the organizational level due to the complexity of clinical practice guidelines and we do not know the degree of adherence to the published nutritional recommendations. The aim of this study was to assess the degree of adherence to the recommendations of high impact and "do not do" within our environment, in order to show areas for improvement. Methods: survey of nine questions agreed by experts and carried out in different ICUs of our environment, which reflected the recommendations in SNE. Data related to the organizational characteristics and the healthcare provider that indicated the nutritional support were collected. The differences regarding the degree of adherence between the level of care and the presence of an expert in these units were analyzed. Results: thirty-seven ICUs participated, which corresponded mostly to second level hospitals and polyvalent ICUs with an SNE indicated by intensivists. The adherence to the recommendations was > 80%, with three exceptions associated with issues related to the refeeding syndrome (70.3%), the caloric-protein adjustment of nutrition according to the patient's evolutionary phase (51.4%) and the adjustment of protein intake in patients with renal failure (40.5%). There were no differences according to the level of care or the presence of an expert in these ICUs. Only a greater availability of local nutrition protocols was observed in those ICUs with an expertise. Conclusions: there is a high theoretical adherence to the majority of recommendations in the nutritional field, with exceptions that could correspond to areas where there is an opportunity for improvement.

引用

页码：510 / 516

页数：7

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