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...

Full description

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/
id UDEA2_138d5097d82406babb5a306c29e458ed
oai_identifier_str oai:bibliotecadigital.udea.edu.co:10495/21393
network_acronym_str UDEA2
network_name_str 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
bitstream.checksum.fl_str_mv 3c986ee98daf8a86aefd829cd311deda
b88b088d9957e670ce3b3fbe2eedbc13
8a4605be74aa9ea9d79846c1fba20a33
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
_version_ 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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