Uso de nutrição parenteral intradialítica: uma revisão do Grupo de Estudo de Patologia Renal da Associação Argentina de Nutrição Enteral e Parenteral
DOI:
https://doi.org/10.35454/rncm.v6n4.528Palavras-chave:
Desnutrição, Terapia renal substitutiva, Nutrição parenteralResumo
Nos últimos 15 anos, a necessidade de diálise na Argentina aumentou mais de 30%. Em esta população há uma alta prevalência de desnutrição, conhecida como desperdício energético-protéico (PEW). O seu diagnóstico e tratamento oportuno é essencial uma vez que é um grande preditor de morbilidade e mortalidade. Entre as opções de tratamento está a nutrição parenteral intradialítica (NPI), que é recomendada após orientação nutricional, o uso de suplementos nutricionais orais (SNO) e nutrição enteral (NE). A indicação da NPI deve ser avaliada individualmente, levando em consideração os critérios de início, suas vantagens, desvantagens e contraindicações para seu uso, bem como as diversas barreiras existentes para sua implementação. Esta revisão abordará esses pontos tanto para as populações adulta como pediátrica.
Downloads
Referências
Marinovich S, Bisigniano L, Rosa Diez G, Hansen Krogh D, Celia E, et al. Registro Argentino de Diálisis Crónica SAN-INCUCAI 2020. Buenos Aires: Sociedad Argentina de Nefrología e Instituto Nacional Central Único Coordinador de Ablación e Implante; 2021.
Anderson J, Peterson K, Bourne D, Boundy E. Effectiveness of Intradialytic Parenteral Nutrition in Treating Protein-Energy Wasting in Hemodialysis: A Rapid Systematic Review. J Ren Nutr. 2019;29(5):361-369. doi: 10.1053/j.jrn.2018.11.009
Hanna RM, Ghobry L, Wassef O, Rhee CM, Kalantar-Zadeh K. A Practical Approach to Nutrition, Protein-Energy Wasting, Sarcopenia, and Cachexia in Patients with Chronic Kidney Disease. Blood Purif. 2020;49(1-2):202-211. doi: 10.1159/000504240
Sigrist MK, Levin A, Tejani AM. Systematic review of evidence for the use of intradialytic parenteral nutrition in malnourished hemodialysis patients. J Ren Nutr. 2010;20(1):1-7. doi: 10.1053/j.jrn.2009.08.003
Fouque D, Vennegoor M, ter Wee P, Wanner C, Basic A, Canaud B, et al. EBPG guideline on nutrition. Nephrol Dial Transplant. 2007;22 Suppl 2:ii45-ii87. doi: 10.1093/ndt/gfm020
Anderson J, Peterson K, Bourne D, Boundy E. Evidence Brief: Use of Intradialytic Parenteral Nutrition (IDPN) to Treat Malnutrition in Hemodialysis Patients [Internet]. Washington (DC): Department of Veterans Affairs (US); 2018.
Piccoli GB, Lippi F, Fois A, Gendrot L, Nielsen L, Vigreux J, et al. Intradialytic Nutrition and Hemodialysis Prescriptions: A Personalized Stepwise Approach. Nutrients. 2020;12(3):785. doi: 10.3390/nu12030785
Lambert K, Conley MM. Practice Patterns Relating to the Use of Intradialytic Parenteral Nutrition in Australian Renal Units: Results From a Survey of Renal Dietitians. J Ren Nutr. 2020;30(2):163-7. doi: 10.1053/j.jrn.2019.05.003
Wong CS, Hingorani S, Gillen DL, Sherrard DJ, Watkins SL, Brandt JR, et al. Hypoalbuminemia and risk of death in pediatric patients with end-stage renal disease. Kidney Int. 2002. doi: 10.1046/j.1523-1755.2002.00169.x
Wong CS, Gipson DS, Gillen DL, Emerson S, Koepsell T, Sherrard DJ, et al. Anthropometric measures and risk of death in children with end-stage renal disease. Am J Kidney Dis. 2000;36(4):811-9. doi: 10.1053/ajkd.2000.17674
Fiaccadori A, Sabatino A, Barazzoni R, Carrero J, Cupisti A, De Waele E, et al. ESPEN guideline on clinical nutrition in hospitalized patients with acute or chronic kidney disease. Clin Nutr. 2021;40(4):1644-68. doi: 10.1016/j.clnu.2021.01.028
García de Lorenzo A, Arrieta J, Ayúcar A, Barril G, Huarte E. Nutrición parenteral intradiálisis en el enfermo renal crónico: Consenso SEN-SENPE. Nutr. Hosp. 2010;25(3):375-7. doi: 10.3305/nh.2010.25.3.4752
Enteral, parenteral and intraperitoneal nutrition therapy in CKD. En: Canadian association of nephrology dietitians (editor). The Essential Guide for Renal Dietitians, 4.a edición. CAND; 2020. p. 45.
Chan W. Chronic Kidney Disease and Nutrition Support. Nutr Clin Pract. 2021;36(2):312-330. doi: 10.1002/ncp.10658
Sarav M, Friedman AN. Use of Intradialytic Parenteral Nutrition in Patients Undergoing Hemodialysis. Nutr Clin Pract. 2018;33(6):767-771. doi: 10.1002/ncp.10190
Ikizler TA, Burrowes JD, Byham-Gray LD, Campbell KL, Carrero JJ, Chan W, et al. KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update. Am J Kidney Dis. 2020;76(3 Suppl 1):S1-S107. doi: 10.1053/j.ajkd.2020.05.006
Kopple JD, Massry S, Kalantar-Zadeh K, Fouque D. Nutritional Management of Renal Disease. 3.a edición. Elsevier Science; 2012.
Arancibia García M, Adalid R. Nutrición en enfermedad renal crónica: principios y recomendaciones para la práctica clínica. Permanyer; 2022.
Sabatino A, Regolisti G, Antonucci E, Cabassi A, Morabito S, Fiaccadori E. Intradialytic parenteral nutrition in end-stage renal disease: practical aspects, indications and limits. J Nephrol. 2014;27(4):377-383. doi: 10.1007/s40620-014-0051-6
da Silva JSV, Seres DS, Sabino K, Adams SC, Berdahl GJ, Citty SW, et al. ASPEN Consensus Recommendations for Refeeding Syndrome. Nutr Clin Pract. 2020;35(2):178-195. doi: 10.1002/ncp.10474
Cioffi I, Ponzo V, Pellegrini M, Evangelista A, Bioletto F, Ciccone G, et al. The incidence of the refeeding syndrome. A systematic review and meta-analyses of literature. Clin Nutr. 2021;40(6):3688-701. doi: 10.1016/j.clnu.2021.04.023
Calder PC, Waitzberg DL, Koletzko B. Intravenous Lipid Emulsions. World Rev Nutr Diet. 2015;112. doi: 10.1159/isbn.978-3-318-02753-2
KDOQI Work Group. KDOQI Clinical Practice Guideline for Nutrition in Children with CKD: 2008 update. Executive summary. Am J Kidney Dis. 2009;53(3 Suppl 2):S11-104. doi: 10.1053/j.ajkd.2008.11.017
Evans DC, Corkins MR, Malone A, Miller S, Mogensen KM, Guenter P, et al. The Use of Visceral Proteins as Nutrition Markers: An ASPEN Position Paper. Nutr Clin Pract. 2021;36(1):22-28. doi: 10.1002/ncp.10588
Juarez MD. Intradialytic Parenteral Nutrition in Pediatrics. Front Pediatr. 2018;6:267. doi: 10.3389/fped.2018.00267
Huarte-Loza E, Barril-Cuadrado G, Cebollada-Muro J, Cerezo-Morales S, Coronel-Díaz F, Doñate-Cubells T. Nutrición en pacientes en diálisis. Consenso SEDYT. Dial Traspl. 2006;27(4):138-61. doi: 10.1016/S1886-2845(06)71055-4
Barreto Penié J. Sobre la Nutrición parenteral intradialítica. RCAN. 2014;24(2 Supl 1):S131-S142.
Druml W, Kierdorf HP; Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional Medicine. Parenteral nutrition in patients with renal failure - Guidelines on Parenteral Nutrition, Chapter 17. Ger Med Sci. 2009;7:Doc11. doi: 10.3205/000070
Martindale RG, Berlana D, Boullata JI, Cai W, Calder PC, Deshpande GH, et al. Summary of Proceedings and Expert Consensus Statements From the International Summit “Lipids in Parenteral Nutrition”. JPEN J Parenter Enteral Nutr. 2020;44(Suppl 1):S7-S20. doi: 10.1002/jpen.1746
Hall YN, Larive B, Painter P, Kaysen GA, Lindsay RM, Nissenson AR, et al. Effects of six versus three times per week hemodialysis on physical performance, health, and functioning: Frequent Hemodialysis Network (FHN) randomized trials. Clin J Am Soc Nephrol. 2012;7(5):782-794. doi: 10.2215/CJN.10601011
Visseren FLJ, Mach F, Smulders YM, Carballo D, Koskinas KC, Bäck M, et al. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J. 2021;42(34):3227-3337. doi: 10.1093/eurheartj/ehab484
Lichtenstein AH, Appel LJ, Vadiveloo M, Hu FB, Kris-Etherton PM, Rebholz CM, et al. 2021 Dietary Guidance to Improve Cardiovascular Health: A Scientific Statement From the American Heart Association. Circulation. 2021;144(23):e472-e487. doi: 10.1161/CIR.0000000000001031
Marinovich S, Bisigniano L, Hansen Krogh D, Celia E, Tagliafichi V, Rosa Diez G, et al. Registro Argentino de Diálisis Crónica SAN-INCUCAI 2019. Buenos Aires: Sociedad Argentina de Nefrología e Instituto Nacional Central Único Coordinador de Ablación e Implante; 2020.
Sabatino A, Piotti G, Cosola C, Gandolfini I, Kooman JP, Fiaccadori E. Dietary protein and nutritional supplements in conventional hemodialysis. Semin Dial. 2018;31(6):583-591. doi: 10.1111/sdi.12730
Ruperto M, Sánchez-Muniz FJ, Barril G. A clinical approach to the nutritional care process in protein-energy wasting hemodialysis patients. Nutr Hosp. 2014;29(4):735-50. doi: 10.3305/nh.2014.29.4.7222
Dukkipati R, Kalantar-Zadeh K, Kopple JD. Is there a role for intradialytic parenteral nutrition? A review of the evidence. Am J Kidney Dis. 2010;55(2):352-364. doi: 10.1053/j.ajkd.2009.08.006
Srivaths PR, Wong C, Goldstein SL. Nutrition aspects in children receiving maintenance hemodialysis: impact on outcome. Pediatr Nephrol. 2009;24(5):951-7. doi: 10.1007/s00467-007-0728-3
Janjua HS, Mahan JD. The role and future challenges for recombinant growth hormone therapy to promote growth in children after renal transplantation. Clin Transplant. 2011;25(5):E469-74. doi: 10.1111/j.1399-0012.2011.01473.x
Furth SL, Stablein D, Fine RN, Powe NR, Fivush BA. Adverse clinical outcomes associated with short stature at dialysis initiation: a report of the North American Pediatric Renal Transplant Cooperative Study. Pediatrics. 2002;109(5):909-13. doi: 10.1542/peds.109.5.909
Rodig NM, McDermott KC, Schneider MF, Hotchkiss HM, Yadin O, Seikaly MG, et al. Growth in children with chronic kidney disease: a report from the Chronic Kidney Disease in Children Study. Pediatr Nephrol. 2014;29(10):1987-95. doi: 10.1007/s00467-014-2812-9
Rees L, Shaw V, Qizalbash L, Anderson C, Desloovere A, Greenbaum L, et al. Delivery of a nutritional prescription by enteral tube feeding in children with chronic kidney disease stages 2-5 and on dialysis-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce. Pediatr Nephrol. 2021;36(1):187-204. doi: 10.1007/s00467-020-04623-2
Krause I, Shamir R, Davidovits M, Frishman S, Cleper R, Gamzo Z, et al. Intradialytic parenteral nutrition in malnourished children treated with hemodialysis. J Ren Nutr. 2002;12(1):55-59. doi: 10.1053/jren.2002.29601
Pupim LB, Flakoll PJ, Brouillette JR, Levenhagen DK, Hakim RM, Ikizler TA. Intradialytic parenteral nutrition improves protein and energy homeostasis in chronic hemodialysis patients. J Clin Invest. 2002;110(4):483-492. doi: 10.1172/JCI15449
Pederson, A. Book Review: The A.S.P.E.N Pediatric Nutrition Support Core Curriculum. Nutrition in Clinical Practice. 2011;26(3):358. doi: 10.1177/0884533611405539
Goldstein SL, Baronette S, Gambrell TV, Currier H, Brewer ED. nPCR assessment and IDPN treatment of malnutrition in pediatric hemodialysis patients. Pediatr Nephrol. 2002;17(7):531-4. doi: 10.1007/s00467-002-0925-z
Cano NJ, Fouque D, Roth H, Aparicio M, Azar R, Canaud B, et al. Intradialytic parenteral nutrition does not improve survival in malnourished hemodialysis patients: a 2-year multicenter, prospective, randomized study. J Am Soc Nephrol. 2007;18(9):2583-2591. doi: 10.1681/ASN.2007020184
Cano NJ. Leçons de l’étude NPPD. Nephrol Ther. 2008;4(3):149-52. doi: 10.1016/j.nephro.2007.12.004
Orellana P, Juarez-Congelosi M, Goldstein SL. Intradialytic parenteral nutrition treatment and biochemical marker assessment for malnutrition in adolescent maintenance hemodialysis patients. J Ren Nutr. 2005;15(3):312-317. doi: 10.1016/j.jrn.2004.10.007
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2023 pilar Navarro, Romina Philippi, Valeria Battistella, María Florencia Salcedo, Romina Sosa, Jimena Torres Rivas, Mariela Fischberg, Antonella Gugliotti
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
