Open AccessAnálise da adequação energética e proteica, de pacientes em terapia nutricional enteral internados em unidade de terapia intensiva em um hospital geral da Zona da Mata Mineira
Author(s) -
Fabiane Maciel Carneiro,
Mayla Cardoso Fernandes Toffolo
Publication year - 2020
Publication title -
braspen journal
Language(s) - English
Resource type - Journals
eISSN - 2764-1546
pISSN - 2525-7374
DOI - 10.37111/braspenj.2020351013
Subject(s) - medicine , calorie , enteral administration , parenteral nutrition , protein calorie malnutrition , intensive care unit , statistical significance , malnutrition , protein–energy malnutrition
Enteral nutritional therapy is of great importance in the intensive care unit (ICU), due to the clinical conditions of these patients, who often have an inability to feed themselves orally. This study aims to analyze the goals and calculated caloric and protein adequacy prescribed and infused in hospitalized patients in the ICU of a general hospital. Methods: This is an observational and retrospective study, referring to the period from January to June 2018. We included patients ≥19 years old,who received enteral nutrition for at least 72 hours. It was analyzed the energy and protein nutritional goals, calculated, prescribed and infused in the inpatients. Values greater than 80% were adopted as a reference for adequacy. The paired t-test was performed in order to compare the calculated values of protein and calculated calorie, prescribed and infused. Statistical significance was set at p <0.05. Results: The study had a sample of 94 patients, with a mean age of 65.40 ± 17.51 years, being 54.26% male. The adequacy between calculated and prescribed nutrition was 99.68% for calorie and 91.18% for protein. The ratio between prescribed and infused nutrition was 96.38% and 95.97% for calorie and protein, respectively, and the relationship between calculated and infused was 96.06 and 87.5% for calorie and protein. Although all the means found obtained values greater than 80%, the means between the calories, prescribed vs. infused, calculated vs. infused and protein analysis, in allthe questions presented p 48 hours. The frequency of diarrhea and constipation episodes were 32.98% and 51.06%, respectively. A total of 78.72% of patients reached their nutritional needs by the third day of NE. Conclusion: In the present study, it was possible to observe that the calculated, prescribed and infused caloric and protein meanvalues per kg of patient weight in TN patients, were close to the recommended minimum. However, the means were different, demonstrating the need for better adequacy of calculated, prescribed and infused calories and protein.