Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral
-
Multicenter Study Observational Study
Study of hyperglycemia in non critically-ill patients receiving parenteral nutrition: incidence and risk factors.
The objectives of our study on non-critically ill patients receiving parenteral nutrition (PN) are to assess the incidence of hyperglycemia, the risk factors associated to its development and its influence in patient's evolution. ⋯ Glucose administration in non-critically ill patients receiving PN should be reassessed downwards, especially in the immediate postsurgery, renal impairment and in patients treated with somatostatin analogues. It should be taken into account that an increase in glucose dose may lead to hyperglycemia in these patients and hyperglycemia correlates with longer hospital stay and increased frequency of ICU admissions.
-
Review Meta Analysis
Childhood overweight and obesity prevention interventions among Hispanic children in the United States: systematic review.
The aim of this study was to conduct a systematic review of childhood obesity interventions among Hispanic children in the United States. An electronic search was conducted to identify articles published in the PubMED, CINAHL and EBSCO databases. Keyword that used included "Latino", "Hispanic", "childhood", "obesity", "interventions". ⋯ Overall, improvements in BMI and z-BMI across studies were inconsistent. Only two studies had a follow-up of 3 years, and the most recent study showed an increase in the proportion of children classified as obese. The overall quality rate of evidence with respect to reducing BMI or the prevalence of childhood obesity was low.
-
In Chile, the prevalence of obesity in schoolchildren is 21.3%. The study and individual intervention of this malnutrition, it is necessary to have not only global indicators of nutritional status, but also indicators that give information on body composition. ⋯ The deuterium isotopic dilution would be the most sensitive method for estimating body fat in research studies because it shows the best agreement with the gold standard multicompartmental model.
-
In a preceding article the state of Nutritional support (NS) in an Intensive Care Unit (ICU) was documented [Martinuzzi A et al. Estado del soporte nutricional en una unidad de Cuidados críticos. RNC 2011; 20: 5-17]. In this follow-up work we set to assess the impact of several organizational, recording and educational interventions upon the current state of NS processes. ⋯ Educational, recording and organizational interventions might result in a better conduction of NS processes, and thus, in a lower mortality. Hemodynamic instability is still the most formidable obstacle for initiating and completing NS.
-
Review Meta Analysis
Enteral nutrition therapy for critically ill adult patients; critical review and algorithm creation.
Undernutrition directly affects critically ill patient's clinical outcome and mortality rates. ⋯ For nutrition therapy success it is essential routine monitoring and extensive interaction between the professionals involved. Nutritional conducts should be reevaluated and improved, seeking complete and specialized care to the critically ill patients. Adherence to new practices is challenging, though instruments such as protocols and algorithms help making information more accessible and comprehensible.