Siete años de NutritionDay en Brasil: ¿Estamos mejorando la atención nutricional de los pacientes hospitalizados?

Autores/as

  • Silvana Paiva Orlandi Federal University of Pelotas
  • Maria Cristina Gonzalez

DOI:

https://doi.org/10.35454/rncm.v0n0.395

Palabras clave:

Malnutrition, nutritional assessment, nutritional therapy, nutritional status, hospital malnutrition.

Resumen

ABSTRACT 

Introduction: Due to the high prevalence of hospital malnutrition, the nutritionDay worldwide project (nutriDia Brasil) aims to evaluate the nutritional care provided by hospital units to their patients. 

Objective: To verify the evolution of nutritional care provided by hospitals that participated in nutriDia Brasil between 2009 and 2015. 

Methods: nutriDia is an audit that takes place simultaneously in all participating countries in a single day, using questionnaires standards that generate a national report. A temporal analysis of the descriptive data obtained through the reports from 2009 to 2015 was conducted. 

Results: During this period, 5,581 patients from 265 hospital units were evaluated. The prevalence of weight loss in the last three months was consistently reported by almost half of the sample, ranging from 47.2% in 2009 to 53.7% in 2015. There was a trend toward an increase in the use of oral supplementation offered to patients from 2009 to 2015 (11.8% to 18.2%). However, enteral and parenteral nutrition therapy remained practically unchanged in all these years (approximately 10% and less than 1%, respectively). From 2012 to 2015, an average of 8% of the units reported not having a Nutritional Support Team. On the other hand, there was an increase in the use of national protocols for nutritional assessment, from only one-third in 2009 to 92% in 2015. Regarding the hospital diet, less than 40% of the patients reported accepting the hospital diet in its entirety, throughout the editions, with causes referring to the patient (anorexia, nausea, and vomiting) being the main reason. 

Conclusions: Important advances were observed concerning hospital routines that allow early identification of malnutrition. However, little progress has been made in implementing nutritional therapy, whether oral, enteral, or parenteral. 

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Publicado

2022-05-14

Cómo citar

Orlandi, S. P., & Gonzalez, M. C. (2022). Siete años de NutritionDay en Brasil: ¿Estamos mejorando la atención nutricional de los pacientes hospitalizados?. Revista De Nutrición Clínica Y Metabolismo. https://doi.org/10.35454/rncm.v0n0.395

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