ABSTRACT
No disponible
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Humans , Nutrition Assessment , Nutritional Status , Nutrition Disorders/diagnosis , Mass Screening/methods , Malnutrition/epidemiology , Reference Standards , Clinical Protocols , Process Assessment, Health Care/standardsABSTRACT
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Humans , Nutrition Assessment , Nutritional Status , Malnutrition/diagnosis , Mass Screening/methods , Nutrition SurveysABSTRACT
No disponible
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Humans , Nutritional Support/methods , Nutrition Therapy/methods , Nutrition Disorders/diet therapy , Malnutrition/diet therapy , Patient Care Planning/organization & administration , Nutritional RequirementsABSTRACT
No disponible
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Humans , Pharmaceutical Solutions/pharmacology , Drug Compounding/methods , Food, Formulated/standards , Parenteral Nutrition Solutions/pharmacology , Reference Standards , Food Labeling/standardsABSTRACT
No disponible
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Humans , Drug Dispensaries , Pharmaceutical Services , Pharmaceutical Services/standards , Good Dispensing Practices , Reference StandardsABSTRACT
No disponible
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Humans , Pharmacy Service, Hospital/organization & administration , Nutritional Support/methods , Medication Therapy Management/organization & administration , Patient Safety , /organization & administration , Reference Standards , Catheter-Related Infections/prevention & control , Parenteral Nutrition/standardsABSTRACT
No disponible
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Humans , Monitoring, Physiologic/standards , Nutrition Therapy/standards , Medication Therapy Management/standards , Parenteral Nutrition/standards , Nutritional Support/standards , Pharmaceutical ServicesABSTRACT
No disponible
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Humans , Nutritional Support/statistics & numerical data , Pharmaceutical Services , Process Assessment, Health Care , Reference StandardsABSTRACT
No disponible
Subject(s)
Humans , Pharmaceutical Services , Medication Therapy Management/standards , Nutritional Support/standards , Reference StandardsABSTRACT
No disponible
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Humans , Nutritional Support/ethics , Pharmacy Service, Hospital/ethics , Decision Making/ethics , Risk Management/ethicsABSTRACT
No disponible
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Humans , Biomedical Research/trends , Pharmacy Service, Hospital/trends , Access to Information , Health Services ResearchABSTRACT
No disponible
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Humans , Education, Pharmacy, Continuing/organization & administration , Pharmacy Service, Hospital , Professional Training , Professional CompetenceABSTRACT
Purpose, setting and subjects: We conducted a prospective, descriptive study of postoperative patients under total parenteral nutrition controlled by a Multidisciplinary Nutritional Support Team in a tertiary care hospital. Between January 2002 and November 2003. Data of nutritional status, nutritional support, hypophosphatemia, electrolyte and metabolic complications were reviewed. Results: 215 postoperative patients (63.3% male, 68 ± 13.9 years old, 47.4% neoplasia). were included. Nutritional support according nutritional needs was made during fasting 14.2 ± 18.4 days. Mild-moderate initial malnutrition was present in 58% of patients. 18.1% developed postoperative hypophosphatemia 96 hours after starting total parenteral nutrition containing phosphate. 37.7% patients showed moderated and 6.5% severe hypophosphatemia. Nutritional intervention corrected hypophosphatemia (p < 0.001). Factors related to hypophosphatemia were hypokalemia, hypomagnesemia, hypercalcemia, female sex, neoplasia, 96-hour postoperative period and duration of nutrition. Conclusions: Prevalence of hypophosphatemia in postoperative patients with total parenteral nutrition is high and needs timely monitoring. The intervention of Multidisciplinary Nutritional Support Team is effective detecting and correcting postoperative hypophosphatemia (AU)
Propósito, contexto y sujetos: Realizamos un estudio descriptivo, prospectivo, en pacientes con nutrición parenteral total controlados por un Equipo Multidisciplinar de Soporte Nutricional de un hospital terciario, entre enero de 2002 y noviembre de 2003. Se revisaron los datos de estado nutritivo, soporte nutricional, hipofosfatemia, y de complicaciones electrolíticas y metabólicas. Resultados: Se incluyó a 215 pacientes postoperados (63,3% varones, edad 68 ± 13,9 años, 47,4% de neoplasias). Se realizó un soporte nutricional de acuerdo con las necesidades nutritivas durante un periodo de ayuno de 14,2 ± 18,4 días. Había malnutrición de base en un 58% de los pacientes. El 18,1% de los pacientes desarrolló hipofosfatemia postoperatoria 96 horas después de iniciar la nutrición parenteral total que contenía fosfato. El 37,7% de los pacientes tuvo hipofosfatemia moderada y 6,5% grave. La intervención nutricional corrigió la hipofosfatemia (p < 0,001). Los factores relacionados con la hipofosfatemia fueron hipopotasemia, hipomagnesemia, hipercalcemia, sexo femenino, neoplasia, periodo post-operatorio de 96 horas y duración de la nutrición. Conclusiones: La prevalencia de hipofosfatemia en pacientes posoperados con nutrición parenteral total es alta y requiere una vigilancia estrecha. La intervención del Equipo Multidisciplinar de Soporte Nutricional es eficaz para la detección y corrección de la hipofosfatemia postoperatoria (AU)
