Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study
ABSTRACT: Introduction: Nutritional support generates complications that must be detected and treated on time. Objective: To estimate the incidence of some complications of nutritional support in patients admitted to general hospital wards who received nutritional support in six high-complexity inst...
- Autores:
-
Agudelo Ochoa, Gloria María
Giraldo Giraldo, Nubia Amparo
Aguilar, Nora Luz
Restrepo, Beatriz Elena
Vanegas, Marcela
Alzate, Sandra
Martínez, Mónica
Gamboa, Sonia Patricia
Castaño, Eliana
Barbosa, Janeth
Román, Juliana
Serna, Ángela María
Hoyos, Gloria Marcela
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2011
- Institución:
- Universidad de Antioquia
- Repositorio:
- Repositorio UdeA
- Idioma:
- eng
- OAI Identifier:
- oai:bibliotecadigital.udea.edu.co:10495/21393
- Acceso en línea:
- http://hdl.handle.net/10495/21393
- Palabra clave:
- Complications
complicaciones
Hospitalization
Hospitalización
Nutritional Support
Apoyo Nutricional
Enteral Nutrition
Nutrición Enteral
Parenteral Nutrition
Nutrición Parenteral
adults
Adultos
http://aims.fao.org/aos/agrovoc/c_139
http://id.nlm.nih.gov/mesh/
http://id.nlm.nih.gov/mesh/D006760
- Rights
- openAccess
- License
- http://creativecommons.org/licenses/by-nc-nd/2.5/co/
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oai:bibliotecadigital.udea.edu.co:10495/21393 |
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UDEA2 |
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Repositorio UdeA |
repository_id_str |
|
dc.title.spa.fl_str_mv |
Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study |
dc.title.alternative.spa.fl_str_mv |
Incidencia of complicaciones del soporte nutricional en pacientes hospitalizados en salas. Estudio Multicéntrico |
title |
Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study |
spellingShingle |
Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study Complications complicaciones Hospitalization Hospitalización Nutritional Support Apoyo Nutricional Enteral Nutrition Nutrición Enteral Parenteral Nutrition Nutrición Parenteral adults Adultos http://aims.fao.org/aos/agrovoc/c_139 http://id.nlm.nih.gov/mesh/ http://id.nlm.nih.gov/mesh/D006760 |
title_short |
Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study |
title_full |
Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study |
title_fullStr |
Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study |
title_full_unstemmed |
Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study |
title_sort |
Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study |
dc.creator.fl_str_mv |
Agudelo Ochoa, Gloria María Giraldo Giraldo, Nubia Amparo Aguilar, Nora Luz Restrepo, Beatriz Elena Vanegas, Marcela Alzate, Sandra Martínez, Mónica Gamboa, Sonia Patricia Castaño, Eliana Barbosa, Janeth Román, Juliana Serna, Ángela María Hoyos, Gloria Marcela |
dc.contributor.author.none.fl_str_mv |
Agudelo Ochoa, Gloria María Giraldo Giraldo, Nubia Amparo Aguilar, Nora Luz Restrepo, Beatriz Elena Vanegas, Marcela Alzate, Sandra Martínez, Mónica Gamboa, Sonia Patricia Castaño, Eliana Barbosa, Janeth Román, Juliana Serna, Ángela María Hoyos, Gloria Marcela |
dc.subject.mesh.none.fl_str_mv |
Complications complicaciones Hospitalization Hospitalización |
topic |
Complications complicaciones Hospitalization Hospitalización Nutritional Support Apoyo Nutricional Enteral Nutrition Nutrición Enteral Parenteral Nutrition Nutrición Parenteral adults Adultos http://aims.fao.org/aos/agrovoc/c_139 http://id.nlm.nih.gov/mesh/ http://id.nlm.nih.gov/mesh/D006760 |
dc.subject.decs.none.fl_str_mv |
Nutritional Support Apoyo Nutricional Enteral Nutrition Nutrición Enteral Parenteral Nutrition Nutrición Parenteral |
dc.subject.agrovoc.none.fl_str_mv |
adults Adultos |
dc.subject.agrovocuri.none.fl_str_mv |
http://aims.fao.org/aos/agrovoc/c_139 |
dc.subject.meshuri.none.fl_str_mv |
http://id.nlm.nih.gov/mesh/ http://id.nlm.nih.gov/mesh/D006760 |
description |
ABSTRACT: Introduction: Nutritional support generates complications that must be detected and treated on time. Objective: To estimate the incidence of some complications of nutritional support in patients admitted to general hospital wards who received nutritional support in six high-complexity institutions. Methods: Prospective, descriptive and multicentric study in patients with nutritional support; the variables studied were medical diagnosis, nutritional condition, nutritional support duration, approach, kind of formula, and eight complications. Results: A total of 277 patients were evaluated; 83% received enteral nutrition and 17% received parenteral nutrition. Some 69.3% presented risk of malnourishment or severe malnourishment at admittance. About 35.4% of those receiving enteral nutrition and 39.6% of the ones who received parenteral nutrition had complications; no significant difference per support was found (p= 0.363). For the enteral nutrition, the most significant complication was the removal of the catheter (14%), followed by diarrhea (8.3%); an association between the duration of the enteral support with diarrhea, constipation and removal of the catheter was found (p < 0.05). For parenteral nutrition, hyperglycemia was the complication of highest incidence (22.9%), followed by hypophosphatemia (12.5%); all complications were associated with the duration of the support (p < 0.05). Nutritional support was suspended in 24.2% of the patients. Conclusions: Complications with nutritional support in hospital-ward patients were frequent, with the removal of the catheter and hyperglycemia showing the highest incidence. Duration of the support was the variable that revealed an association with complications. Strict application of protocols could decrease the risk for complications and boost nutritional support benefits. |
publishDate |
2011 |
dc.date.issued.none.fl_str_mv |
2011 |
dc.date.accessioned.none.fl_str_mv |
2021-08-01T19:13:05Z |
dc.date.available.none.fl_str_mv |
2021-08-01T19:13:05Z |
dc.type.spa.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.hasversion.spa.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
dc.type.redcol.spa.fl_str_mv |
https://purl.org/redcol/resource_type/ART |
dc.type.local.spa.fl_str_mv |
Artículo de investigación |
format |
http://purl.org/coar/resource_type/c_2df8fbb1 |
status_str |
publishedVersion |
dc.identifier.citation.spa.fl_str_mv |
Agudelo Ochoa, GM, Giraldo Giraldo, N., Aguilar, N., Restrepo, B., Vanegas, M., Alzate, S., Martínez, M., Gamboa, S., Castaño, E., Barbosa, J. , Román, J., Serna, AM y Hoyos, G. (2012). Incidencia de complicaciones del soporte nutricional en pacientes hospitalizados en salas. estudio multicéntrico. Colombia Médica , 43 (2), 147-153. https://doi.org/10.25100/cm.v43i2.830 |
dc.identifier.issn.none.fl_str_mv |
0120-8322 |
dc.identifier.uri.none.fl_str_mv |
http://hdl.handle.net/10495/21393 |
dc.identifier.doi.none.fl_str_mv |
10.25100/cm.v39i3.596 |
dc.identifier.eissn.none.fl_str_mv |
1657-9534 |
identifier_str_mv |
Agudelo Ochoa, GM, Giraldo Giraldo, N., Aguilar, N., Restrepo, B., Vanegas, M., Alzate, S., Martínez, M., Gamboa, S., Castaño, E., Barbosa, J. , Román, J., Serna, AM y Hoyos, G. (2012). Incidencia de complicaciones del soporte nutricional en pacientes hospitalizados en salas. estudio multicéntrico. Colombia Médica , 43 (2), 147-153. https://doi.org/10.25100/cm.v43i2.830 0120-8322 10.25100/cm.v39i3.596 1657-9534 |
url |
http://hdl.handle.net/10495/21393 |
dc.language.iso.spa.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartofjournalabbrev.spa.fl_str_mv |
Colomb. Med. |
dc.rights.spa.fl_str_mv |
info:eu-repo/semantics/openAccess |
dc.rights.uri.*.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/2.5/co/ |
dc.rights.accessrights.spa.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
dc.rights.creativecommons.spa.fl_str_mv |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/2.5/co/ http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by-nc-nd/4.0/ |
dc.format.extent.spa.fl_str_mv |
7 |
dc.format.mimetype.spa.fl_str_mv |
application/pdf |
dc.publisher.spa.fl_str_mv |
Universidad del Valle |
dc.publisher.group.spa.fl_str_mv |
Alimentación y Nutrición Humana |
dc.publisher.place.spa.fl_str_mv |
Cali, Colombia |
institution |
Universidad de Antioquia |
bitstream.url.fl_str_mv |
http://bibliotecadigital.udea.edu.co/bitstream/10495/21393/1/AgudeloGloria_2012_IncidenceNutritionalSupport.pdf http://bibliotecadigital.udea.edu.co/bitstream/10495/21393/2/license_rdf http://bibliotecadigital.udea.edu.co/bitstream/10495/21393/3/license.txt |
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bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositorio Institucional Universidad de Antioquia |
repository.mail.fl_str_mv |
andres.perez@udea.edu.co |
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1812173212263383040 |
spelling |
Agudelo Ochoa, Gloria MaríaGiraldo Giraldo, Nubia AmparoAguilar, Nora LuzRestrepo, Beatriz ElenaVanegas, MarcelaAlzate, SandraMartínez, MónicaGamboa, Sonia PatriciaCastaño, ElianaBarbosa, JanethRomán, JulianaSerna, Ángela MaríaHoyos, Gloria Marcela2021-08-01T19:13:05Z2021-08-01T19:13:05Z2011Agudelo Ochoa, GM, Giraldo Giraldo, N., Aguilar, N., Restrepo, B., Vanegas, M., Alzate, S., Martínez, M., Gamboa, S., Castaño, E., Barbosa, J. , Román, J., Serna, AM y Hoyos, G. (2012). Incidencia de complicaciones del soporte nutricional en pacientes hospitalizados en salas. estudio multicéntrico. Colombia Médica , 43 (2), 147-153. https://doi.org/10.25100/cm.v43i2.8300120-8322http://hdl.handle.net/10495/2139310.25100/cm.v39i3.5961657-9534ABSTRACT: Introduction: Nutritional support generates complications that must be detected and treated on time. Objective: To estimate the incidence of some complications of nutritional support in patients admitted to general hospital wards who received nutritional support in six high-complexity institutions. Methods: Prospective, descriptive and multicentric study in patients with nutritional support; the variables studied were medical diagnosis, nutritional condition, nutritional support duration, approach, kind of formula, and eight complications. Results: A total of 277 patients were evaluated; 83% received enteral nutrition and 17% received parenteral nutrition. Some 69.3% presented risk of malnourishment or severe malnourishment at admittance. About 35.4% of those receiving enteral nutrition and 39.6% of the ones who received parenteral nutrition had complications; no significant difference per support was found (p= 0.363). For the enteral nutrition, the most significant complication was the removal of the catheter (14%), followed by diarrhea (8.3%); an association between the duration of the enteral support with diarrhea, constipation and removal of the catheter was found (p < 0.05). For parenteral nutrition, hyperglycemia was the complication of highest incidence (22.9%), followed by hypophosphatemia (12.5%); all complications were associated with the duration of the support (p < 0.05). Nutritional support was suspended in 24.2% of the patients. Conclusions: Complications with nutritional support in hospital-ward patients were frequent, with the removal of the catheter and hyperglycemia showing the highest incidence. Duration of the support was the variable that revealed an association with complications. Strict application of protocols could decrease the risk for complications and boost nutritional support benefits.RESUMEN: Introducción: El soporte nutricional genera complicaciones que deben detectarse y tratarse oportunamente. Objetivo: Estimar la incidencia de algunas complicaciones del soporte nutricional en pacientes hospitalizados en salas generales que recibieron soporte nutricional en seis instituciones de alta complejidad. Métodos: Estudio multicéntrico, descriptivo, prospectivo en pacientes que recibieron soporte nutricional. Las variables estudiadas fueron diagnóstico médico, estado nutricional, duración del soporte, vía de acceso, tipo de fórmula y ocho complicaciones. Resultados: Se evaluaron 277 pacientes; 83% recibieron nutrición enteral y 17% parenteral. El 69.3% presentaron al ingreso riesgo de malnutrición o malnutrición severa. El 35.4% que recibieron nutrición enteral y el 39.6 % de los que recibieron parenteral presentaron complicaciones, sin diferencia significativa por tipo de soporte (p= 0.363). Para la nutrición enteral, la complicación más incidente fue el retiro de sonda (14%) seguida de la diarrea (8.3%); se encontró asociación de la duración del soporte con la diarrea, estreñimiento y retiro de sonda (p < 0.05). Para la nutrición parenteral, la hiperglicemia fue la complicación de mayor incidencia (22.9%) seguida por la hipofosfatemia (12.5%); todas las complicaciones se asociaron con la duración del soporte (p < 0.05); en el 24.2% de los pacientes fue suspendido el soporte. Conclusiones: Las complicaciones del soporte nutricional en pacientes de salas fueron frecuentes, mayor incidencia el retiro de sonda y la hiperglicemia. La duración mostró asociación con las complicaciones. La aplicación estricta de los protocolos podría disminuir el riesgo de las complicaciones y potenciar los beneficios del soporte nutricional.COL00004077application/pdfengUniversidad del ValleAlimentación y Nutrición HumanaCali, Colombiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-nd/4.0/ComplicationscomplicacionesHospitalizationHospitalizaciónNutritional SupportApoyo NutricionalEnteral NutritionNutrición EnteralParenteral NutritionNutrición ParenteraladultsAdultoshttp://aims.fao.org/aos/agrovoc/c_139http://id.nlm.nih.gov/mesh/http://id.nlm.nih.gov/mesh/D006760Incidence of nutritional support complications in patient hospitalized in wards. Multicentric studyIncidencia of complicaciones del soporte nutricional en pacientes hospitalizados en salas. Estudio MulticéntricoColomb. Med.Colombia Médica148154432ORIGINALAgudeloGloria_2012_IncidenceNutritionalSupport.pdfAgudeloGloria_2012_IncidenceNutritionalSupport.pdfArtículo de investigaciónapplication/pdf381826http://bibliotecadigital.udea.edu.co/bitstream/10495/21393/1/AgudeloGloria_2012_IncidenceNutritionalSupport.pdf3c986ee98daf8a86aefd829cd311dedaMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8823http://bibliotecadigital.udea.edu.co/bitstream/10495/21393/2/license_rdfb88b088d9957e670ce3b3fbe2eedbc13MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://bibliotecadigital.udea.edu.co/bitstream/10495/21393/3/license.txt8a4605be74aa9ea9d79846c1fba20a33MD5310495/21393oai:bibliotecadigital.udea.edu.co:10495/213932021-10-25 13:39:51.796Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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 |