Evaluation of the degree of adherence to the nutritional recommendations of the critical care patient
Por:
Servia-Goixart, L, Lopez-Delgado, J, Grau-Carmona, T, Trujillano-Cabello, J, Escobar-Ortiz, J, Montserrat-Ortiz, N, Zapata-Rojas, A, Bautista-Redondo, I, Cruz-Ramos, A, Diaz-Castellanos, L, Morales-Cifuentes, M, Plaza-Bono, M, Montejo-Gonzalez, J, Temprano-Vazquez, S, Arjona-Diaz, V, Garcia-Fuentes, C, Mudarra-Reche, C, Orejana-Martin, M, Lores-Obradors, A, Anguela-Calvet, L, Munoz-Del Rio, G, Revelo-Esquibel, P, Alanez-Saavedra, H, Serra-Paya, P, Luna-Solis, S, Salinas-Canovas, A, De Frutos-Seminario, F, Rodriguez-Queraito, O, Gonzalez-Iglesias, C, Zamora-Elson, M, de la Fuente-O'Connor, E, Seron-Arbeloa, C, Bueno-Vidales, N, Iglesias-Rodriguez, R, Martin-Luengo, A, Sanchez-Miralles, A, Marmol-Peis, E, Ruiz M, Gonzalez-Sanz, M, Server-Martinez, A, Vila-Garcia, B, Lorencio-Cardenas, C, Macaya-Redin, L, Flecha-Viguera, R, Aldunate-Calvo, S, Flordelis-Lasierra, J, Jimenez-del Rio, I, Mampaso-Recio, J, Rodriguez-Roldan, J, Gastaldo-Simeon, R, Gimenez-Castellanos, J, Fernandez-Ortega, J, Martinez-Carmona, J, Lopez-Luque, E, Ortega-Ordiales, A, Crespo-Gomez, M, Ramirez-Montero, V, Lopez-Garcia, E, Navarro-Lacalle, A, Martinez-Garcia, P, Dominguez-Fernandez, M, Vera-Artazcoz, P, Izura-Gomez, M, Hernandez-Duran, S, Bordeje-Laguna, M, Mor-Marco, E, Rovira-Valles, Y, Philibert, V, Alcazar-Espin, M, Higon-Canigral, A, Calvo-Herranz, E, Manzano-Moratinos, D, Portugal-Rodriguez, E, Andaluz-Ojeda, D, Parra-Morais, L, Citores-Gonzalez, R, Garcia-Gonzalez, M, Sanchez-Giron, G, Navas-Moya, E, Ferrer-Pereto, C, Lluch-Candal, C, Ruiz-Izquierdo, J, Castor-Bekari, S, Leon-Cinto, C, de Lagran, I, Yebenes-Reyes, J, Nieto-Martino, B, Vaquerizo-Alonso, C, Almanza-Lopez, S, Perez-Quesada, S, Anton-Pascual, J, Marin-Corral, J, Sistachs-Baquedano, M, Hacer-Puig, M, Picornell-Noguera, M, Mateu-Campos, L, Martinez-Valero, C, Ortiz-Suner, A, Llorente-Ruiz, B, Martinez-Diaz, M, de la Pena, M, Rodriguez-Serrano, D, Fernandez-Salvatierra, L, Barcelo-Castello, M, Millan-Taratiel, P, Tejada-Artigas, A, Martinez-Arroyo, I, Araujo-Aguilar, P, Fuster-Cabre, M, Andres-Gines, L, Soldado-Olmo, S, Menor-Fernandez, E, Lage-Cendon, L, Touceda-Bravo, A, Sanchez-Ales, L, Almorin-Gonzalvez, L, Gero-Escapa, M, Martinez-Barrio, E, Ossa-Echeverri, S, Monge-Donaire, D and Grp Estudio ENPIC
Publicada:
1 may 2019
Resumen:
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.
Filiaciones:
Servia-Goixart, L:
Hosp Arnau Vilanova, Unidad Cuidados Intens, Lleida, Spain
Lleida Fdn Dr Pifarre IRBLleida, Inst Rec Biomed, Lleida, Spain
Hosp Arnau Vilanova, Lleida, Spain
Lopez-Delgado, J:
Hosp Univ Bellvitge, Unidad Cuidados Intens, Hosp Llobregat, C Feixa Llarga S-N, Barcelona 08907, Spain
Hosp Tiobregat, Inst Invest Biomed Bellvitge IDIBELL, Barcelona, Spain
Hosp Univ Bellvitge, Hosp Llobregat, Barcelona, Spain
Grau-Carmona, T:
Hosp Univ 12 Octubre, Unidad Cuidados Intens, Madrid, Spain
Hosp 12 Octubre I 12, Inst Invest Sanitaria, Madrid, Spain
Hosp Univ 12 Octubre, Madrid, Spain
Trujillano-Cabello, J:
Hosp Arnau Vilanova, Lleida, Spain
Escobar-Ortiz, J:
Hosp Arnau Vilanova, Lleida, Spain
Montserrat-Ortiz, N:
Hosp Arnau Vilanova, Lleida, Spain
Zapata-Rojas, A:
Hosp Arnau Vilanova, Lleida, Spain
Bautista-Redondo, I:
Hosp Univ 12 Octubre, Madrid, Spain
Cruz-Ramos, A:
Hosp Univ 12 Octubre, Madrid, Spain
Diaz-Castellanos, L:
Hosp Univ 12 Octubre, Madrid, Spain
Morales-Cifuentes, M:
Hosp Univ 12 Octubre, Madrid, Spain
Plaza-Bono, M:
Hosp Univ 12 Octubre, Madrid, Spain
Montejo-Gonzalez, J:
Hosp Univ 12 Octubre, Madrid, Spain
Temprano-Vazquez, S:
Hosp Univ 12 Octubre, Madrid, Spain
Arjona-Diaz, V:
Hosp Univ 12 Octubre, Madrid, Spain
Garcia-Fuentes, C:
Hosp Univ 12 Octubre, UCI Trauma & Emergencia, Madrid, Spain
Mudarra-Reche, C:
Hosp Univ 12 Octubre, UCI Trauma & Emergencia, Madrid, Spain
Orejana-Martin, M:
Hosp Univ 12 Octubre, UCI Trauma & Emergencia, Madrid, Spain
Lores-Obradors, A:
Hosp Univ Bellvitge, Hosp Llobregat, Barcelona, Spain
Anguela-Calvet, L:
Hosp Univ Bellvitge, Hosp Llobregat, Barcelona, Spain
Munoz-Del Rio, G:
Hosp Univ Bellvitge, Hosp Llobregat, Barcelona, Spain
Revelo-Esquibel, P:
Hosp Univ Bellvitge, Hosp Llobregat, Barcelona, Spain
Alanez-Saavedra, H:
Hosp Univ Bellvitge, Hosp Llobregat, Barcelona, Spain
Serra-Paya, P:
Hosp Univ Bellvitge, Hosp Llobregat, Barcelona, Spain
Luna-Solis, S:
Hosp Univ Bellvitge, Hosp Llobregat, Barcelona, Spain
Salinas-Canovas, A:
Hosp Univ Bellvitge, Hosp Llobregat, Barcelona, Spain
De Frutos-Seminario, F:
Hosp Univ Bellvitge, Hosp Llobregat, Unidad Coronaria, Barcelona, Spain
Rodriguez-Queraito, O:
Hosp Univ Bellvitge, Hosp Llobregat, Unidad Coronaria, Barcelona, Spain
Gonzalez-Iglesias, C:
Hosp Barbastro, Barbastro, Huesca, Spain
Zamora-Elson, M:
Hosp Barbastro, Barbastro, Huesca, Spain
de la Fuente-O'Connor, E:
Hosp Univ Infanta Sofia, Madrid, Spain
Seron-Arbeloa, C:
Hosp San Jorge, Huesca, Spain
Bueno-Vidales, N:
Hosp San Jorge, Huesca, Spain
Iglesias-Rodriguez, R:
Hosp Gen Granollers, Barcelona, Spain
Martin-Luengo, A:
Hosp Rio Hortega, Valladolid, Spain
:
Hosp St Joan dAlacant, Alicante, Spain
:
Hosp St Joan dAlacant, Alicante, Spain
Ruiz M:
Hosp St Joan dAlacant, Alicante, Spain
:
Hosp St Joan dAlacant, Alicante, Spain
:
Hosp St Joan dAlacant, Alicante, Spain
Vila-Garcia, B:
Hosp Infanta Cristina Parla, Madrid, Spain
Lorencio-Cardenas, C:
Hosp Univ Josep Trueta, Girona, Spain
Macaya-Redin, L:
Hosp Navarra, Pamplona, Spain
Flecha-Viguera, R:
Hosp Navarra, Pamplona, Spain
Aldunate-Calvo, S:
Hosp Navarra, Pamplona, Spain
Flordelis-Lasierra, J:
Hosp Univ Severo Ochoa, Madrid, Spain
Jimenez-del Rio, I:
Hosp Univ Severo Ochoa, Madrid, Spain
Mampaso-Recio, J:
Hosp Univ Severo Ochoa, Madrid, Spain
Rodriguez-Roldan, J:
Hosp Univ Severo Ochoa, Madrid, Spain
Gastaldo-Simeon, R:
Hosp Manacor, Mallorca, Spain
Gimenez-Castellanos, J:
Hosp Manacor, Mallorca, Spain
Fernandez-Ortega, J:
Hosp Reg Univ Carlos Haya, Malaga, Spain
Martinez-Carmona, J:
Hosp Reg Univ Carlos Haya, Malaga, Spain
Lopez-Luque, E:
Hosp Reg Univ Carlos Haya, Malaga, Spain
Ortega-Ordiales, A:
Hosp Reg Univ Carlos Haya, Malaga, Spain
:
Hosp Univ Doctor Peset, Valencia, Spain
:
Hosp Univ Doctor Peset, Valencia, Spain
:
Hosp Univ Doctor Peset, Valencia, Spain
:
Hosp Univ Doctor Peset, Valencia, Spain
Martinez-Garcia, P:
Hosp Univ Puerto Real, Cadiz, Spain
Dominguez-Fernandez, M:
Hosp Univ Puerto Real, Cadiz, Spain
Vera-Artazcoz, P:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Izura-Gomez, M:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Hernandez-Duran, S:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Bordeje-Laguna, M:
Hosp Badalona Germans Trias & Pujol, Badalona, Spain
Mor-Marco, E:
Hosp Badalona Germans Trias & Pujol, Badalona, Spain
Rovira-Valles, Y:
Hosp Badalona Germans Trias & Pujol, Badalona, Spain
Philibert, V:
Hosp Badalona Germans Trias & Pujol, Badalona, Spain
Alcazar-Espin, M:
Hosp G Univ Morales Meseguer, Murcia, Spain
Higon-Canigral, A:
Hosp G Univ Morales Meseguer, Murcia, Spain
Calvo-Herranz, E:
Hosp Univ Getafe, Madrid, Spain
Manzano-Moratinos, D:
Hosp Univ Getafe, Madrid, Spain
Portugal-Rodriguez, E:
Hosp Clin Univ Valladolid, Valladolid, Spain
Andaluz-Ojeda, D:
Hosp Clin Univ Valladolid, Valladolid, Spain
Parra-Morais, L:
Hosp Clin Univ Valladolid, Valladolid, Spain
Citores-Gonzalez, R:
Hosp Clin Univ Valladolid, Valladolid, Spain
Garcia-Gonzalez, M:
Hosp Clin Univ Valladolid, Valladolid, Spain
Sanchez-Giron, G:
Hosp Clin Univ Valladolid, Valladolid, Spain
Navas-Moya, E:
Hosp Mutua Terrassa, Barcelona, Spain
Ferrer-Pereto, C:
Hosp Mutua Terrassa, Barcelona, Spain
Lluch-Candal, C:
Hosp Mutua Terrassa, Barcelona, Spain
Ruiz-Izquierdo, J:
Hosp Mutua Terrassa, Barcelona, Spain
Castor-Bekari, S:
Hosp Mutua Terrassa, Barcelona, Spain
Leon-Cinto, C:
Hosp Royo Villanova, Zaragoza, Spain
de Lagran, I:
Hosp Mataro, Barcelona, Spain
Yebenes-Reyes, J:
Hosp Mataro, Barcelona, Spain
Nieto-Martino, B:
Hosp Univ Fuenlabrada, Madrid, Spain
Vaquerizo-Alonso, C:
Hosp Univ Fuenlabrada, Madrid, Spain
Almanza-Lopez, S:
Hosp G Univ Alicante, Alicante, Spain
:
Hosp G Univ Alicante, Alicante, Spain
Anton-Pascual, J:
Hosp G Univ Alicante, Alicante, Spain
Marin-Corral, J:
Hosp Mar, Barcelona, Spain
Sistachs-Baquedano, M:
Hosp Mar, Barcelona, Spain
Hacer-Puig, M:
Hosp Mar, Barcelona, Spain
Picornell-Noguera, M:
Hosp Mar, Barcelona, Spain
Mateu-Campos, L:
Hosp G Univ Castellon, Castellon de La Plana, Spain
Martinez-Valero, C:
Hosp G Univ Castellon, Castellon de La Plana, Spain
Ortiz-Suner, A:
Hosp G Univ Castellon, Castellon de La Plana, Spain
Llorente-Ruiz, B:
Hosp Principe Asturias, Madrid, Spain
Martinez-Diaz, M:
Hosp Principe Asturias, Madrid, Spain
de la Pena, M:
Hosp Principe Asturias, Madrid, Spain
Rodriguez-Serrano, D:
Hosp Principe Asturias, Madrid, Spain
Fernandez-Salvatierra, L:
Hosp Clin Lozano Blesa, Zaragoza, Spain
Barcelo-Castello, M:
Hosp Clin Lozano Blesa, Zaragoza, Spain
Millan-Taratiel, P:
Hosp Clin Lozano Blesa, Zaragoza, Spain
Tejada-Artigas, A:
Hosp Miguel Servet, Zaragoza, Spain
Martinez-Arroyo, I:
Hosp Miguel Servet, Zaragoza, Spain
Araujo-Aguilar, P:
Hosp Miguel Servet, Zaragoza, Spain
Fuster-Cabre, M:
Hosp Miguel Servet, Zaragoza, Spain
Andres-Gines, L:
Hosp Miguel Servet, Zaragoza, Spain
Soldado-Olmo, S:
Hosp Miguel Servet, Zaragoza, Spain
Menor-Fernandez, E:
Hosp Alvaro Cunqueiro, Vigo, Spain
Lage-Cendon, L:
Hosp Alvaro Cunqueiro, Vigo, Spain
Touceda-Bravo, A:
Hosp Alvaro Cunqueiro, Vigo, Spain
Sanchez-Ales, L:
Hosp PLATO, Barcelona, Spain
Almorin-Gonzalvez, L:
Hosp PLATO, Barcelona, Spain
Gero-Escapa, M:
Hosp Univ Burgos, Burgos, Spain
Martinez-Barrio, E:
Hosp Univ Burgos, Burgos, Spain
Ossa-Echeverri, S:
Hosp Univ Burgos, Burgos, Spain
Monge-Donaire, D:
Hosp Virgen de la Concha, Zamora, Spain
Open Access
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