Trabajo Original
Critical energy deficit and mortality in critically ill patients
Marcia Carolina Siqueira-paese, Diana Borges Dock-nascimento, José Eduardo de Aguilar-Nascimento
Número de descargas:
7779
Número de visitas:
8316
Citas:
0
Compártelo:
Objective: We investigate the influence of caloric and protein deficit on mortality and length of hospital stay of critically ill patients.Methods: A cohort prospective study including 100 consecutive patients in a tertiary intensive care unit (ICU) receiving enteral or parenteral nutrition. The daily caloric and protein deficit were collected each day for a maximum of 30 days. Energy deficits were divided into critical caloric deficit (≥ 480 kcal/day) and non-critical caloric deficit (≤ 480 kcal/day); and in critical protein deficit (≥ 20 g/day) and non-critical protein deficit (≤ 20 g/day). The findings were correlated with hospital stay and mortality.Results: The mortality rate was 33%. Overall, the patients received 65.4% and 67.7% of the caloric and protein needs. Critical caloric deficit was found in 72% of cases and critical protein deficit in 70% of them. There was a significant correlation between length of stay and accumulated caloric deficit (R = 0.37; p < 0.001) and protein deficit (R = 0.28; p < 0.001). The survival analysis showed that mortality was greater in patients with both critical caloric (p < 0.001) and critical protein deficits (p < 0.01). The Cox regression analysis showed that critical protein deficit was associated with higher mortality (HR 0.25, 95% CI 0.07–0.93, p = 0.03).Conclusions: The incidence of caloric and protein deficit in the ICU is high. Both caloric and protein deficits increase the length of hospital stay, and protein deficit greater than 20 g/day is an independent factor for mortality in critical care unit.
Palabras Clave: Critical care. Enteral nutrition. Parenteral nutrition. Energy deficit. Mortality.
Artículos Relacionados:
Trabajo Original: Timing versus caloric goal in nutritional therapy for critically ill patients
Oellen Stuani Franzosi , Sergio Henrique Loss
Revisión: Efficacy of enteral nutritional support after hospital discharge in major gastrointestinal surgery patients: a systematic review
Alfonso Vidal-Casariego , Alicia Calleja Fernández , Rocío Villar Taibo , Ana Urioste Fondo , Begoña Pintor de la Maza , Ana Hernández Moreno , Isidoro Cano Rodríguez , María D. Ballesteros Pomar
Trabajo Original: Drugs via enteral feeding tubes in inpatients: dispersion analysis and safe use of dispensers
Milena Pontes Portela Beserra , Cristiani Lopes Capistrano Gonçalves De Oliveira , Mileyde Ponte Portela , Marcos Venícios De Oliveira Lopes , Marta Maria De França Fonteles
Trabajo Original: Quality indicators for enteral and parenteral nutrition therapy: application in critically ill patients “at nutritional risk”
Ronaldo Sousa Oliveira Filho , Lia Mara Kauchi Ribeiro , Lucia Caruso , Patricia Azevedo Lima , Náglia Raquel Teixeira Damasceno , Francisco García Soriano
Trabajo Original: Hospital malnutrition screening at admission: malnutrition increases mortality and length of stay
Elisabet Leiva Badosa , Maria Badia Tahull , Nuria Virgili Casas , Gema Elguezabal Sangrador , Concepción Faz Méndez , Ignacio Herrero Meseguer , Àngels Izquierdo González , Rafael López Urdiales , Francisco Javier Oca Burguete , María Tubau Molas , Concepció Vilarasau Farré , Josep Manel Llop Talaveron
Trabajo Original: Nitrogenous content in parenteral nutrition: a four-year experience in a general hospital. critically-ill patient specificity
Juan Luis Villalobos-gámez , Carlos Lara-ramos , Yolanda Domínguez-rivas , Antonio Vallejo-báez , Francisco Cota-delgado , Efrén Márquez-fernández , José M. García Almeida , José Antonio López-medina , Rosalía Rioja-vázquez , Albert Santacreu-regí , Francisca Rius-díaz , Alfredo Mínguez-mañanes
Trabajo Original: Quality control of enteral nutrition therapy in cancer patients at nutritional risk
Ariana Lee , Ronaldo Sousa Oliveira Filho , Thais De Campos Cardenas , Gislaine Aparecida Ozório , Juliana Pereira Lima Gropp , Dan Linetzky Waitzberg
Trabajo Original: The nutriqol ® questionnaire for assessing health-related quality of life (hrqol) in patients with home enteral nutrition (hen): validation and fi rst results
Antonio Apezetxea , Lourdes Carrillo , Felipe Casanueva , Cristina Cuerda , Federico Cuesta , José Antonio Irles , María Nuria Virgili , Miquel Layola , Luis Lizán
Revisión: Effects unrelated to anti-inflammation of lipid emulsions containing fish oil in parenteral nutrition for adult patients
Javier Mateu-de Antonio , Marta Florit-sureda
Revisión: Clinical-nutritional, inflammatory and oxidative stress predictors in hemodialysis mortality: a review
Andreza De Paula Santos Epifânio , Karla Pereira Balbino , Sonia Machado Rocha Ribeiro , Sylvia C.c. Franceschini , Helen Hermana Miranda Hermsdorff
Trabajo Original: Multicenter study of parenteral nutrition in non-critically ill elderly patients compared to younger patients - study iaios-pn (incidence and assessment of iatrogenesis in older subjects receiving parenteral nutrition)
Javier Mateu-de Antonio , David Berlana , Montserrat Pons-bussom , Maria B. Badia-tahull , María Teresa Miana-mena , Beatriz Martínez-castro , Neus Sunyer-esquerrà , Mónica Sanmartin-suñer , Juan González-valdivieso , Elisabet Leiva-badosa , Eva Martínez-bernabé , Anna Murgadella-sancho , Nuria Mirerachs-aranda , Anna Vila-bundó , Jordi Fernández-morató , María Teresa Vitales-farrero
Trabajo Original: Malnutrition is a key prognostic factor related to high mortality-rate in patients with severe alcoholic hepatitis
Fatima Higuera-de La Tijera , Alfredo Servín-caamaño , Luis Servìn-abad , José Luis Pérez-hernández
Trabajo Original: Maximal expiratory pressure predicts mortality in patients hospitalized in medical and surgical wards
Maria Pia De La Maza , Sandra Hirsch , Gladys Barrera , Elena Canales , Daniel Bunout
Trabajo Original: Association of anemia and malnutrition in hospitalized patients with exclusive enteral nutrition
Sibila Reck De Jesus , Bruna Pessoa Alves , Anieli Golin , Schott Mairin , Leonardo dos Santos Dachi , Andrea Rodrigues Marques , Elisângela Colpo
Trabajo Original: The 10-item eating assessment tool is associated with nutritional status, mortality and hospital stay in elderly individuals requiring hospitalization with acute diseases
Olatz Izaola , Emilia Gómez Hoyos , Juan José López , Ana Ortolá Buigues , Beatriz Torres , David Primo , Ángeles Castro , Daniel de Luis Román
Trabajo Original: Clinical and economic impact of the taurolidine lock on home parenteral nutrition
María Arnoriaga Rodríguez , Maite Pérez De Ciriza Cordeu , Miguel Camblor Álvarez , Irene Bretón Lesmes , Marta Motilla De La Cámara , Cristina Velasco Gimeno , Loredana Arhip , Pilar García Peris , Cristina Cuerda
Trabajo Original: Epidemiology of home enteral nutrition: an approximation to reality
Rocío Villar Taibo , Miguel Ángel Martinez Olmos , Diego Bellido Guerrero , Alfonso Vidal-Casariego , Roberto Peinó García , Aurelio Martís Sueiro , Vanessa Ríos Barreiro , Pilar Cao Sánchez , Reyes Durán Martínez , María José Rodríguez Iglesias , Brígida Rodríguez Blanco , Juan Rojo Valdés
Trabajo Original: Comparación de Nutrición parenteral “todo-en-uno” frente a nutrición parenteral sin lípidos en prematuros: análisis visual, de pH y tamaño de partículas
Suci Hanifah , Bambang Hernawan Nugroho , Chynthia Pradiftha Sari
Trabajo Original: Evaluación de las prácticas de administración de fármacos por sonda nasoentérica y enterostomía en pacientes hospitalizados
Artículos más populares
Revisión: Ayuno intermitente: efectos en diversos escenarios clínicos
Introducción: los esquemas de ayuno intermitente (...
-
Licencia creative commons: Open Access bajo la licencia Creative Commons 4.0 CC BY-NC-SA
https://creativecommons.org/licenses/by-nc-sa/4.0/legalcode
