Produção Nacional
Nutrição enteral: diferenças entre volume, calorias e proteínas prescritos e administrados em adultos
2010; Associação de Medicina Intensiva Brasileira; Volume: 22; Issue: 4 Linguagem: Inglês
10.1590/s0103-507x2010000400006
ISSN1982-4335
AutoresMichelli Cristina Silva de Assis, Stella Marys Rigatti Silva, Dória Migotto Leães, Claudine Lazzari Novello, Carla Rosane de Moraes Silveira, Elza Daniel de Mello, Mariur Gomes Beghetto,
Tópico(s)Child Nutrition and Feeding Issues
ResumoDifferent conditions require that critically ill patients to receive lower than prescribed enteral nutrition volumes, energy and protein. This study objective was to evaluate the prescribed versus administered enteral nutrition difference in adults admitted to an intensive care unit.In 2009, patients were followed for 30 days from the start of enteral nutrition to its discontinuation, or discharge from the intensive care unit. Parametric and nonparametric tests were used to evaluate prescribed versus administered differences.Eighty five patients were enrolled; mean age was 58.6±18.0 years and 40% were male. The patients remained in hospital for 29.5 days (IQ: 15.2 - 48.7) and were under enteral nutrition for 10 (IQ: 4.2 - 27.5) days. Lower than enteral nutrition prescribed volume (-428±243ml/day), energy (-665±412 Kcal/day) and protein (-30±19 g protein/day) was received. Individual patients' evaluation demonstrated that about 40% of the prescribed volume was not actually given. The main reasons for enteral nutrition interruptions were nausea and vomiting, abdominal distension, constipation and clinical complications (52%); diagnostic procedures (41.6%); and transition to oral feeding (5.6%).Patients admitted to intensive care unit receive less than the prescribed enteral nutrition. The routine care and gastrointestinal tract complications lead to enteral nutrition interruptions, contributing to less than prescribed calories administration.
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