Prevalence of diarrhea in adult patients in intensive care and its relationship with ready-to-use enteral formulas
Introduction: Diarrhea is a frequent complication in critically ill patients. Its origin is multifactorial. The objective of this work is to analyze the relationship between 5 ready-to-use formulas and the development of diarrhea in critically ill patients. Methods: Retrospective study where the vol...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/36975 |
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I10-R327-article-36975 |
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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 |
diarrhea nutrition, food and diet critical care outcomes There are no conflicts of interest with other authors, institutions, professionals or others. diarrea nutrición, alimentación y dieta; resultados de cuidados críticos No existen conflictos de intereses con otros autores, instituciones, profesionales u otros. diarréia nutrição, alimentação e dieta resultados de cuidados intensivos Não há conflitos de interesse com outros autores, instituições, profissionais ou outros. |
| spellingShingle |
diarrhea nutrition, food and diet critical care outcomes There are no conflicts of interest with other authors, institutions, professionals or others. diarrea nutrición, alimentación y dieta; resultados de cuidados críticos No existen conflictos de intereses con otros autores, instituciones, profesionales u otros. diarréia nutrição, alimentação e dieta resultados de cuidados intensivos Não há conflitos de interesse com outros autores, instituições, profissionais ou outros. Chapela, Sebastián Martinez, Pablo Ignacio Reberendo, María Jimena Llobera, Natalia Daniela Ernst, Glenda Prevalence of diarrhea in adult patients in intensive care and its relationship with ready-to-use enteral formulas |
| topic_facet |
diarrhea nutrition, food and diet critical care outcomes There are no conflicts of interest with other authors, institutions, professionals or others. diarrea nutrición, alimentación y dieta; resultados de cuidados críticos No existen conflictos de intereses con otros autores, instituciones, profesionales u otros. diarréia nutrição, alimentação e dieta resultados de cuidados intensivos Não há conflitos de interesse com outros autores, instituições, profissionais ou outros. |
| author |
Chapela, Sebastián Martinez, Pablo Ignacio Reberendo, María Jimena Llobera, Natalia Daniela Ernst, Glenda |
| author_facet |
Chapela, Sebastián Martinez, Pablo Ignacio Reberendo, María Jimena Llobera, Natalia Daniela Ernst, Glenda |
| author_sort |
Chapela, Sebastián |
| title |
Prevalence of diarrhea in adult patients in intensive care and its relationship with ready-to-use enteral formulas |
| title_short |
Prevalence of diarrhea in adult patients in intensive care and its relationship with ready-to-use enteral formulas |
| title_full |
Prevalence of diarrhea in adult patients in intensive care and its relationship with ready-to-use enteral formulas |
| title_fullStr |
Prevalence of diarrhea in adult patients in intensive care and its relationship with ready-to-use enteral formulas |
| title_full_unstemmed |
Prevalence of diarrhea in adult patients in intensive care and its relationship with ready-to-use enteral formulas |
| title_sort |
prevalence of diarrhea in adult patients in intensive care and its relationship with ready-to-use enteral formulas |
| description |
Introduction: Diarrhea is a frequent complication in critically ill patients. Its origin is multifactorial. The objective of this work is to analyze the relationship between 5 ready-to-use formulas and the development of diarrhea in critically ill patients.
Methods: Retrospective study where the volume of the stools of 315 patients and the presence of diarrhea defined with a cut-off point of a volume of 250 ml/day were evaluated. 35.34% of the patients presented diarrhea with said cut-off point. The mean volume of stools was 269.20 ml (95% CI: 255.05-283.06).
Results: It was observed that all the formulas analyzed had a slight correlation with the Spearman test between the volume provided and the volume of stools, being: Nutricia Nutrison ® (R: 0.159; P: 0.053), Nutricia Multifibra ® (R: 0.296; <0.001), Nutricia Peptisorb ® (R: 0.323; P<0.001), Nutricia Protison ® (R: 0.108; P<0.001), Fresenius Supportan ® (R: 0.152; P<0.001). Multivariate analysis was performed and it was observed that there were no differences in the incidence of diarrhea between the different enteral formulas during the first 10 days. Soluble fiber would be a protective factor, while mixed and semi-elemental fiber would be factors that increase the incidence of diarrhea.
Conclusion: Therefore, the formula and the volume provided are factors that could influence whether patients have diarrhoea. Understanding these possible influences in a deeper way will allow the safest choice of enteral formulas for a patient with diarrhea. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/36975 |
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I10-R327-article-369752022-09-29T15:08:29Z Prevalence of diarrhea in adult patients in intensive care and its relationship with ready-to-use enteral formulas Prevalencia de diarrea en pacientes adultos en terapia intensiva y su relación con las fórmulas enterales listas para utilizar Prevalência de diarreia em pacientes adultos em terapia intensiva e sua relação com fórmulas enterais prontas para uso Chapela, Sebastián Martinez, Pablo Ignacio Reberendo, María Jimena Llobera, Natalia Daniela Ernst, Glenda diarrhea nutrition, food and diet critical care outcomes There are no conflicts of interest with other authors, institutions, professionals or others. diarrea nutrición, alimentación y dieta; resultados de cuidados críticos No existen conflictos de intereses con otros autores, instituciones, profesionales u otros. diarréia nutrição, alimentação e dieta resultados de cuidados intensivos Não há conflitos de interesse com outros autores, instituições, profissionais ou outros. Introduction: Diarrhea is a frequent complication in critically ill patients. Its origin is multifactorial. The objective of this work is to analyze the relationship between 5 ready-to-use formulas and the development of diarrhea in critically ill patients. Methods: Retrospective study where the volume of the stools of 315 patients and the presence of diarrhea defined with a cut-off point of a volume of 250 ml/day were evaluated. 35.34% of the patients presented diarrhea with said cut-off point. The mean volume of stools was 269.20 ml (95% CI: 255.05-283.06). Results: It was observed that all the formulas analyzed had a slight correlation with the Spearman test between the volume provided and the volume of stools, being: Nutricia Nutrison ® (R: 0.159; P: 0.053), Nutricia Multifibra ® (R: 0.296; <0.001), Nutricia Peptisorb ® (R: 0.323; P<0.001), Nutricia Protison ® (R: 0.108; P<0.001), Fresenius Supportan ® (R: 0.152; P<0.001). Multivariate analysis was performed and it was observed that there were no differences in the incidence of diarrhea between the different enteral formulas during the first 10 days. Soluble fiber would be a protective factor, while mixed and semi-elemental fiber would be factors that increase the incidence of diarrhea. Conclusion: Therefore, the formula and the volume provided are factors that could influence whether patients have diarrhoea. Understanding these possible influences in a deeper way will allow the safest choice of enteral formulas for a patient with diarrhea. Introducción: La diarrea es una complicación frecuente en los pacientes críticos. Su origen es multifactorial. El objetivo de este trabajo es analizar la relación entre 5 fórmulas listas para usar y el desarrollo de diarrea en pacientes críticos. Métodos: Estudio retrospectivo donde se evaluó el volumen de las deposiciones de 315 pacientes y la presencia de diarrea definida con un punto de corte con un volumen de 250 ml/día. Resultados: 35.34% de los pacientes presentaron diarrea con dicho punto de corte. El volumen medio de deposiciones fue de 269.20 ml (IC 95%: 255.05-283.06). Se observó que todas las fórmulas analizadas tenían una correlación leve con la prueba de spearman entre el volumen aportado y el volumen de las deposiciones, siendo: Nutricia Nutrison ® (R: 0.159; P: 0.053), Nutricia Multifibra ® (R: 0.296; <0.001), Nutricia Peptisorb ® (R: 0.323; P<0.001), Nutricia Protison ® (R: 0.108; P<0.001), Fresenius Supportan ® (R: 0.152; P<0.001). Se realizó análisis multivariado y se observó que no hubo diferencias en la incidencia de diarrea entre las distintas fórmulas enterales durante los primeros 10 días. La fibra soluble sería un factor protector en cambio la fibra mixta y semielemental serían factores que aumentan la incidencia de diarrea. Conclusión: Por lo tanto, la fórmula y el volumen aportado son factores que podrían influenciar en que los pacientes tengan diarrea. Entendiendo estas posibles influencias de una manera mas profunda, permitirá elegir las formulas enterales con mas seguridad para un paciente con diarrea. Introdução: A diarreia é uma complicação frequente em pacientes críticos. Sua origem é multifatorial. O objetivo deste trabalho é analisar a relação entre 5 fórmulas prontas para uso e o desenvolvimento de diarreia em pacientes críticos. Métodos: Estudo retrospectivo onde foram avaliados o volume das fezes de 315 pacientes e a presença de diarreia definida com ponto de corte de volume de 250 ml/dia. 35,34% dos pacientes apresentaram diarreia com o referido ponto de corte. O volume médio das fezes foi de 269,20 ml (IC 95%: 255,05-283,06). Resultados: Observou-se que todas as fórmulas analisadas tiveram uma leve correlação com o teste de Spearman entre o volume fornecido e o volume das fezes, sendo: Nutricia Nutrison ® (R: 0,159; P: 0,053), Nutricia Multifibra ® (R: 0,296; < 0,001), Nutricia Peptisorb® (R: 0,323; P<0,001), Nutricia Protison® (R: 0,108; P<0,001), Fresenius Supportan® (R: 0,152; P<0,001). Foi realizada análise multivariada e observou-se que não houve diferenças na incidência de diarreia entre as diferentes fórmulas enterais durante os primeiros 10 dias. A fibra solúvel seria um fator protetor, enquanto a fibra mista e semi-elementar seriam fatores que aumentam a incidência de diarreia. Conclusão: Portanto, a fórmula e o volume fornecido são fatores que podem influenciar se os pacientes têm diarreia. Compreender essas possíveis influências de forma mais profunda permitirá a escolha mais segura de fórmulas enterais para um paciente com diarreia. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-09-16 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Original Article Articulo Original Artigo original text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/36975 10.31053/1853.0605.v79.n3.36975 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. 3 (2022); 254-259 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. 3 (2022); 254-259 Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. 3 (2022); 254-259 1853-0605 0014-6722 10.31053/1853.0605.v79.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/36975/38694 https://revistas.unc.edu.ar/index.php/med/article/view/36975/38760 Derechos de autor 2022 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |