Enteral nutrition in patient at clinical medical admission
BACKGROUND: When a patient is unable to swallow enough calores by mouth and has his digestive tube working normally, the Enteral Nutrition (EN) is prescribed. Our aims was identify the patient who requires EN by sounding at Clinical Medical admission. METHODS: From 11/2001 to 11/ 2002; 331...
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/27925 |
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I10-R327-article-27925 |
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Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
enteral nutrition ffeeding by sound Katz index elderly patients nutrición enteral alimentación por sonda indice de Katz geronte |
| spellingShingle |
enteral nutrition ffeeding by sound Katz index elderly patients nutrición enteral alimentación por sonda indice de Katz geronte Belletti, Gerardo A Gómez, Jaime Yorio, Marcelo A Enteral nutrition in patient at clinical medical admission |
| topic_facet |
enteral nutrition ffeeding by sound Katz index elderly patients nutrición enteral alimentación por sonda indice de Katz geronte |
| author |
Belletti, Gerardo A Gómez, Jaime Yorio, Marcelo A |
| author_facet |
Belletti, Gerardo A Gómez, Jaime Yorio, Marcelo A |
| author_sort |
Belletti, Gerardo A |
| title |
Enteral nutrition in patient at clinical medical admission |
| title_short |
Enteral nutrition in patient at clinical medical admission |
| title_full |
Enteral nutrition in patient at clinical medical admission |
| title_fullStr |
Enteral nutrition in patient at clinical medical admission |
| title_full_unstemmed |
Enteral nutrition in patient at clinical medical admission |
| title_sort |
enteral nutrition in patient at clinical medical admission |
| description |
BACKGROUND: When a patient is unable to swallow enough calores by mouth and has his digestive tube working normally, the Enteral Nutrition (EN) is prescribed. Our aims was identify the patient who requires EN by sounding at Clinical Medical admission. METHODS: From 11/2001 to 11/ 2002; 331 patients were attended in cornrnon rooms. 50 of them (15%) required EN. Retrospective descriptive study was made, evaluatlng: dernographic data, diagnoses, comorbilities, self-validity, staying, nosocornial complications, studies, medicaments, inter-consulting and mortality as well. RESULTS: In 50 patients under EN, 56 % were men, with an age rate of 65 years Standar Error (SE) 2.37 and daily life activity rnecllurn rate was 2 (SE) 0.35. Diagnoses at admission: Strocke 22%, acute pneurnonia of community 22%, pneurnonia by bronchoaspiration 10%, acute confusional syndrorne 10%, etc.. Comorbilities: 54% presented 3 or more concurrent diseases, Hypertension 60 %. Dernentia 28%, type 2 Diabetes and strocke 26%, iskemic cardiopathy 14%. etc. Adrnission time rate: 6 days (SE) 2.02, staying at intensive care unit 40%. Nosocomial compllcations carne up in 34%, 76% ACS, 11.7% urinary tract infection, pneumnonia and enclovascular infection 1 each. 4 labs were required in rate (SE) 1. 14, and 3 cornplernentary studies per patient (SE) of 0.24. In arnbulatory treatment they used 3 drugs as an average (SE) 0.37. The highest prescription day approached 7 as average (SE) of 0.61. At discharge they left with an average of 4 (SE) 0.39. In every case kinesiotherapy and phonoaudiology were used as well. Ther was lnterconsulting regardirig lnfectology in 24%, general surgery 16%. Mortality 22%. CONCLUSION: EN is usual in clinical admission. It regards an elderly patient with lacking self-validity, who oven 50% of cases presents more than three cornorbilities (mnostly hypertension). Facts of admission usually registered: neurological pathologies and infectioris. Adrnission length was the sarne as general settlers. Alrnost half of them needed intensive care assistance. Nosocomial cornpllcations are usually found. They are patients who require many drugs at home, while admitted and discharge time as well. lii every one kinesiotherapyand phonoaudiology were applied. Mortality raised high. Unable chance to use commercial diets was not a trouble to feed them. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/27925 |
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I10-R327-article-279252024-08-27T18:27:50Z Enteral nutrition in patient at clinical medical admission Características de los pacientes internados con alimentación enteral de un servicio de clínica médica Belletti, Gerardo A Gómez, Jaime Yorio, Marcelo A enteral nutrition ffeeding by sound Katz index elderly patients nutrición enteral alimentación por sonda indice de Katz geronte BACKGROUND: When a patient is unable to swallow enough calores by mouth and has his digestive tube working normally, the Enteral Nutrition (EN) is prescribed. Our aims was identify the patient who requires EN by sounding at Clinical Medical admission. METHODS: From 11/2001 to 11/ 2002; 331 patients were attended in cornrnon rooms. 50 of them (15%) required EN. Retrospective descriptive study was made, evaluatlng: dernographic data, diagnoses, comorbilities, self-validity, staying, nosocornial complications, studies, medicaments, inter-consulting and mortality as well. RESULTS: In 50 patients under EN, 56 % were men, with an age rate of 65 years Standar Error (SE) 2.37 and daily life activity rnecllurn rate was 2 (SE) 0.35. Diagnoses at admission: Strocke 22%, acute pneurnonia of community 22%, pneurnonia by bronchoaspiration 10%, acute confusional syndrorne 10%, etc.. Comorbilities: 54% presented 3 or more concurrent diseases, Hypertension 60 %. Dernentia 28%, type 2 Diabetes and strocke 26%, iskemic cardiopathy 14%. etc. Adrnission time rate: 6 days (SE) 2.02, staying at intensive care unit 40%. Nosocomial compllcations carne up in 34%, 76% ACS, 11.7% urinary tract infection, pneumnonia and enclovascular infection 1 each. 4 labs were required in rate (SE) 1. 14, and 3 cornplernentary studies per patient (SE) of 0.24. In arnbulatory treatment they used 3 drugs as an average (SE) 0.37. The highest prescription day approached 7 as average (SE) of 0.61. At discharge they left with an average of 4 (SE) 0.39. In every case kinesiotherapy and phonoaudiology were used as well. Ther was lnterconsulting regardirig lnfectology in 24%, general surgery 16%. Mortality 22%. CONCLUSION: EN is usual in clinical admission. It regards an elderly patient with lacking self-validity, who oven 50% of cases presents more than three cornorbilities (mnostly hypertension). Facts of admission usually registered: neurological pathologies and infectioris. Adrnission length was the sarne as general settlers. Alrnost half of them needed intensive care assistance. Nosocomial cornpllcations are usually found. They are patients who require many drugs at home, while admitted and discharge time as well. lii every one kinesiotherapyand phonoaudiology were applied. Mortality raised high. Unable chance to use commercial diets was not a trouble to feed them. Introduccion: Cuando un paciente no puede ingerir suficientes calorías por boca y tiene su tubo digestivo funcionante está indicada la nutrición enteral (NE). Objetivos: Caracterizar el paciente (pte) que requiere NE por sonda en el internado de Clínica Médica. Material y método: Desde ci 11 / 2001 al 11/02, fueron asistidos en sala común por Clínica Médica 331 pacientes, 50 (15%) requirieron NE. Estudio retrospectivo Descriptivo, valorándose: datos demográficos, diagnósticos, autovalidez, comorbilidades, estadía, complicaciones nosocomiales, estudios, fármacos, interconsultas y mortalidad. Resultados: 50 ptes con NE. 56% eran hombres, edad promedio 65 años (ES) de 2.37 y la Mediana del puntaje de la actividad de la vida diaria fue de 2 (ES) : 0.35. Diagnósticos Ingreso: accidente cerebrovascular (ACV) 22%, neumonía aguda de la comunidad 22%;Neumonía por broncoaspiración 10%; síndrome confusional agudo (SCA)10%; etc. Comorbilidades: 54% presentaba 3 o más enfermedades concomitantes, HTA 60%, Demencia 28%, DBT II y ACV 26%, Cardiopatía isquémica 14%, etc. Promedio internación 6 días (ES)2.02. Estadía en UTI 40%. El 34% presentaron complicaciones nosocomiales, 76.4% SCA, 11,7% ITU, Neumonía e infección endovascular 1 cada uno. Se solicitaron en promedio, 4 laboratorios (ES): 1. 14, y 3 estudios complementarios por pte. (ES) de 0.24. En ambulatorio usaban 3 fármacos promedio (ES): 0.37. El día de mayor indicación fue promedio 7 (ES) de 0.61. Al alta se retiraron en promedio con 4, (ES): 0.39. Con todos se trabajó con Kinesioterapia y fonoaudiología. Se interconsultó Infectología en el 24%. Cirugía general 16%. Mortalidad 22 %. Conclusión: La NE es frecuente en el internado clínico. Corresponde un geronte, no autoválido, que en la mitad de los casos presenta más de tres comorbilidades (1-ITA más común). Los motivos de ingreso más frecuentes: patologías neurológicas e infecciosas. El tiempo de internación fue similar a la población general. Casi la mitad necesitaron UTI. Las complicaciones nosocomiales son frecuentes. Son ptes que en el domicilio, el internado y al alta requieren po11 fa r m a e i a. k¡ n e si o te r ap i a y fonoaudio)ogía asistieron a todos ellos. La mortalidad fue elevada. La imposibilidad de utilizar dietas comerciales no representó un obstáculo para alimentarlos. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-03-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/27925 10.31053/1853.0605.v62.n3.27925 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 62 No. 3 (2005); 12 - 18 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 62 Núm. 3 (2005); 12 - 18 Revista da Faculdade de Ciências Médicas de Córdoba; v. 62 n. 3 (2005); 12 - 18 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/27925/29199 Derechos de autor 2021 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |