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Latin American Study on parenteral and enteral nutritional therapy—ELANPE Study ELANPE Group

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Publicado en:Nutrition vol. 129 (Jan 2025)
Autor principal: A Ferreira Heyn
Otros Autores: Riveros, C Bordón, Martínez, M Morínigo, Serra, L Elizeche, L Ibarra Samudio, Aguilar-Rabito, A, Martinetti, ME Goiburú, Campos, A C, Kliger, G, A Miján de la Torre, Perman, M, Velasco, N, R Figueredo Grijalba, Suarez, M, Ibañez, C, Goncalvez, T, D Van Aanholt, Sánchez, A, Pérez, A, Alfonso, L, Andrade, I, García, E, Gramajo, JL, Méndez, Y, J Ho, D Quispe, Rodríguez, C, Texeira, A, Barozzi, C, Trejo, D, Jaquez, A
Publicado:
Elsevier Limited
Materias:
Latin America
Dietary supplements
Nutrition assessment
Data processing
Hemodynamics
Malnutrition
Nutrition research
Mortality
Intervention
Telemedicine
Indicators
Nutrition therapy
Hospitals
Monitoring
Therapy
Distension
Dietitians
Teams
Enteral nutrition
Parenteral nutrition
Body composition
Patients
Indication
Closed systems
Social
Acceso en línea:Citation/Abstract
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Resumen:ObjectiveWe describe the status of medical nutrition therapy in adult patients in several hospitals in Latin America in 2023. with the aim of deepening understanding of its implementation and thus, in turn, contributing to the advancement of future guidelines.Materials and methodsThis is a descriptive, multicenter, cross-sectional study. An electronic questionnaire was applied, containing screening, nutritional therapy, multidisciplinary nutritional support, and monitoring indicators. Descriptive statistics were used in data processing.ResultsA total of 132 hospitals from 14 Latin American countries participated; 68.2% were state-owned with a median of 23,804 patients. In 66% of hospitals (n = 87) nutritional screening is systematically implemented; NRS-2002 (n = 66; 75.9%) applied mostly by dietitians. Median malnutrition at admission was 33% (IQR = 30.8). Median indication for diet therapy was 54.4% (IQR = 44.3); oral supplementation 13.6% (IQR = 18), and enteral and parenteral nutritional support 14.6% (IQR = 10.2). Indication is carried out mostly by dietitians (n = 78; 59.1%). 29.5% (n = 39) of hospitals count on multidisciplinary nutritional support. 75% (n = 99) use industrialized formulas, mostly in closed systems (n = 53; 40.2%). For parenteral nutrition, individually compounded and preprepared solutions are used (n = 71; 53.8%) generally administered by central catheters. Most frequently cited monitoring indicators were hemodynamic instability, metabolic complications, abdominal distension, and gastric residue.ConclusionThere are still low implementation percentages of nutritional screening, formation of nutritional therapy teams, and use of oral supplements. Malnutrition upon admission is within the expected range.
ISSN:0899-9007
1873-1244
0888-1294
DOI:10.1016/j.nut.2024.112590
Fuente:Healthcare Administration Database