Incertidumbre clínica durante la prescripción de proteína al paciente en estado crítico de Latinoamérica

Autores/as

DOI:

https://doi.org/10.35454/rncm.v2n1.058

Palabras clave:

EFFORT, cuidados críticos, dosis de proteína, soporte nutricional, ensayos clínicos basados en registros

Resumen

Las Guías de Práctica Clínica recomiendan una dosis proteica en pacientes en estado crítico de 1,2 a 2,0 g/kg/día. A pesar de esta recomendación, la cantidad real oscila entre 0,5 y 3,8 g/kg/ día, por lo cual existe en el mundo una controversia significativa acerca de la cantidad de proteína prescrita y la administrada.
Esta revisión introduce el concepto de “equiponderación” clínica, balance o equilibrio en las estrategias de dosificación óptima de proteína. Además, se resalta la contribución limitada de pacientes de Latinoamérica (LATAM) en los Ensayos Clínicos Aleatorizados (ECA) existentes y cuestiona la generalización o extrapolación de sus resultados. Este escrito muestra la evidencia a favor y en contra de la prescripción de proteína en dosis altas e introduce el estudio Efecto de una Dosis Alta de Proteína en Pacientes Críticos (EFFORT) el cual intenta dar respuesta a la pregunta: ¿cuál es la mejor dosis de proteína para este tipo de pacientes?

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Publicado

2019-05-01

Cómo citar

Ortiz-Reyes, L. A., & Heyland, D. (2019). Incertidumbre clínica durante la prescripción de proteína al paciente en estado crítico de Latinoamérica. Revista De Nutrición Clínica Y Metabolismo, 2(1), 47–53. https://doi.org/10.35454/rncm.v2n1.058

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