Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral
-
Multicenter Study
[Spanish multicenter study: hyperammonemia not associated with inborn errors of metabolism in children].
The hyperammonemic encephalopathy induced by causes different from inborn errors of metabolism is a relatively uncommon but severe complication. ⋯ This study suggests that secondary hyperammonemia could be underdiagnosed because it is only detected when severe symptoms appear. Risk seems to be higher in those patients receiving antiepileptic drugs or those critically ill with a restricted diet or incremented metabolism. The response to specific treatment is adequate but should be established earlier to avoid neurological sequelae of this entity.
-
Multicenter Study
Estimating the prevalence of phenotypes in patients with pulmonary obstructive disease. ADEPOCLE study
Objective: To estimate the prevalence of chronic obstructive pulmonary disease (COPD) phenotypes in the province of Leon. Methods: Multicenter epidemiological cross-sectional study (30 health centers in the province of Leon). It included patients older than 35 years diagnosed and treated for COPD. Study variables: age, sex, habitat, anthropometric data, smoking, postbronchodilator spirometry, dyspnea (mMRC), exacerbations, severity (Bodex Index), hospitalization, treatment, monitoring and characterization of the phenotype (GesEOPC 2014). ⋯ The exacerbator phenotype with emphysema have 5.7 exacerbations, 2.8 hospitalitations and 3.1 drugs prescribed/year. The FMEA have an average of 5 exacerbations, 1 hospitalitation and 2.6 prescribed drugs/year, p < 0.001. Conclusions: The clinical phenotypes are postulated as prognostic and therapeutic targets. Knowing its prevalence enables personalized treatment planning and better reallocation of resources for control and monitoring of COPD.
-
Hospital malnutrition is a global health problem affecting 30-50% of hospitalized patients. There are no estimates of the size of this problem in Ecuadorian hospitals. Hospital malnutrition might influence the quality of medical assistance provided to hospitalized populations. ⋯ Malnutrition currently affects an important proportion of patients hospitalized in public health institutions of Ecuador. Policies and actions are urgently required in order to successfully deal with this health problem and thus to ameliorate its negative impact upon quality of medical care.
-
Multicenter Study
[Management of parenteral nutrition in intensive care units in Spain].
some relevant aspects related to parenteral nutrition in the Spanish ICUs are still unclear. These aspects include: caloric and protein intake, total volume, glycemic control, the type of lipid emulsion used or the comparison of different formulations. Our objective is to know the clinical practice patterns of artificial nutrition therapeutics, particularly of parenteral nutrition in the Spanish ICUs. ⋯ In the twelve ICUs included in the survey, the clinical practice patterns related to parenteral nutrition management are adapted to the guidelines of scientific societies such as the Spanish Society of Intensive Care Medicine and Coronary Units (SEMICYUC), the Spanish Society of Parenteral and Enteral Nutrition (SENPE) and the European Society for Clinical Nutrition and Metabolism (ESPEN). The new formulations designed for critically ill patients may be indicated for these conditions.
-
Multicenter Study Observational Study
[Nutrition status on pediatric admissions in Spanish hospitals; DHOSPE study].
Malnutrition among hospitalized patients has clinical implications and is associated with adverse outcomes: depression of the immune system, impaired wound healing, muscle wasting, longer length of stay, higher costs and increased mortality. Although the rate of malnutrition in hospitalized children varies in different studies, it seems to be lower than in adult population. Nevertheless, this is a population that has a higher risk of developing malnutrition during hospital stay. There is a need to find the most suitable nutrition screening tool for pediatric patients. ⋯ 991 patients were finally included. Mean age was 5.0 years (SD: 4.6), distributed uniformly among ages. Moderate to severe malnutrition was present in 7.8%, and overweight-obesity in 37.9%. We found a significant correlation between nutritional status and type of disease. There were no correlationship with age, or with plasmatic albumin levels. comments: This is the first nationwide study on the prevalence of malnutrition on admission in pediatric patients. Malnutrition in pediatric patients was present in around 8% of admissions, slightly inferior to other series. The most likely explanation is that the study included patients from different types of hospitals, mimicking real life conditions.