Evaluación y tratamiento nutricional en pacientes con pancreatitis aguda: estudio observacional en el Hospital Nacional Alejandro Posadas

Clarisa Real; Pilar Navarro; Eliana Gómez; Marisa Canicoba

doi:10.35454/rncm.v5n4.423

Authors

Clarisa Real hospital posadas
Pilar Navarro
Eliana Gómez
Marisa Canicoba

DOI:

https://doi.org/10.35454/rncm.v5n4.423

Keywords:

Pancreatitis aguda, Evaluación nutricional, Terapia nutricional

Abstract

Introduction: Acute pancreatitis is a highly metabolic disease. An early initiation of feeding can self-limit catabolism and lead to better outcomes. The characteristics of the nutritional treatment implemented in hospitalized patients in Argentina are unknown.

Objectives: To report on the nutritional status and the characteristics of the nutritional therapy implemented in patients with acute pancreatitis admitted to the Alejandro Posadas National Hospital, and to analyze the association between nutritional status and severity of acute pancreatitis, its complications, the use of nutritional therapy, and length of hospital stay.

Methods: Descriptive cross-sectional study. A database with data collected from October 2019 to October 2021 at a third level hospital in Buenos Aires was used. A descriptive analysis of the variables was carried out and Kendall’s Tau b test was used to assess association (p < 0.05).

Results: A sample of 55 patients was obtained, 70.9% female with a median age of 40 years. Overall, 81.8% of the acute pancreatitis cases were mild, 49.1% had malnutrition, associated with acute pancreatitis severity (p < 0.001), the onset of complications (p < 0.001), and use of nutritional therapy (p < 0.002) but not with length of stay (p 0.16). Body mass

index was not associated with any of the variables mentioned above. Overall, 71% started late feeding. 14.5% received enteral nutrition and 7.2% received parenteral nutrition during hospitalization.

Conclusions: Malnutrition is common in patients with acute pancreatitis. Frequently, feeding was initiated late. Patients with malnutrition developed a more severe disease, more complications and required nutritional therapy more frequently.

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