Quality control of enteral nutrition therapy in cancer patients at nutritional risk

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorLEE, Ariana
dc.contributor.authorOLIVEIRA FILHO, Ronald Sousa
dc.contributor.authorCARDENAS, Thais de Campos
dc.contributor.authorOZORIO, Gislaine Aparecida
dc.contributor.authorGROPP, Juliana Pereira Lima
dc.contributor.authorWAITZBERG, Dan Linetzky
dc.date.accessioned2017-06-09T15:33:22Z
dc.date.available2017-06-09T15:33:22Z
dc.date.issued2017
dc.description.abstractIntroduction: Quality indicators in nutritional therapy (QINTs) allow for the practical assessment of quality in the management of enteral nutrition therapy (ENT) among hospitalized patients. Objective: To control ENT quality in cancer patients at nutritional risk. Methods: A prospective, observational study was performed with cancer patients over 19 years of age who had undergone exclusive ENT for at least 72 h. Nutritional Risk Screening was used to assess nutritional risk; in the presence of nutritional risk, the Subjective Global Assessment (SGA) was used. Six QINTs were applied. Results: Our study included 211 patients (mean age: 59 +/- 10 years, 67.3% men). Most common cancer diagnoses were head and neck (68.2%) and gastrointestinal (18%). Nutritional risk was identified in 93.3% (n = 197) of patients; SGA identified malnutrition in 84.2% of patients (n = 166). ENT was used for 9.7 +/- 7 days, presenting a daily deficit of-243.1 +/- 141 ml of dietary volume,-363.3 +/- 214.1 kcal, and-14.2 +/- 8.41 g of protein. Three of the six QINTs were in accordance with the proposed goal: frequency of SGA application, calculations of nutritional needs, and frequency of diarrhea. Three of the six QINTs were in disagreement with the proposed goal: ENT infused volume exceeding 70% of prescribed volume, frequency of digestive fasting exceeding 24 h, and frequency of constipation. Prescriptions for anticholinergic drugs (p = 0.023) and diuretics (p = 0.007) were associated with diarrhea. Conclusion: Nutritional risk and malnutrition are frequent among ENT cancer patients. Quality control in ENT was moderately impaired by episodes of fasting and intestinal motility disorders.
dc.description.indexMEDLINE
dc.identifier.citationNUTRICION HOSPITALARIA, v.34, n.2, p.264-270, 2017
dc.identifier.doi10.20960/nh.721
dc.identifier.eissn1699-5198
dc.identifier.issn0212-1611
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/20037
dc.language.isoeng
dc.publisherAULA MEDICA EDICIONES
dc.relation.ispartofNutricion Hospitalaria
dc.rightsopenAccess
dc.rights.holderCopyright AULA MEDICA EDICIONES
dc.subjectCancer
dc.subjectQuality indicators
dc.subjectEnteral nutrition
dc.subjectMalnutrition
dc.subjectDiarrhea
dc.subjectConstipation
dc.subject.otherneck-cancer
dc.subject.otherhospitalized-patients
dc.subject.otherguidelines
dc.subject.otherhead
dc.subject.otherprescription
dc.subject.otherradiotherapy
dc.subject.othermulticenter
dc.subject.otherindicators
dc.subject.otherdiarrhea
dc.subject.otherimpact
dc.subject.wosNutrition & Dietetics
dc.titleQuality control of enteral nutrition therapy in cancer patients at nutritional risk
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalCARDENAS, Thais de Campos:Inst Brasileiro Controle Canc, Dept Nutr, Sao Paulo, Brazil
hcfmusp.author.externalGROPP, Juliana Pereira Lima:Clin Alira, Dept Nutr, Sao Paulo, Brazil
hcfmusp.citation.scopus11
hcfmusp.contributor.author-fmusphcARIANA LEE
hcfmusp.contributor.author-fmusphcRONALDO SOUSA OLIVEIRA FILHO
hcfmusp.contributor.author-fmusphcGISLAINE APARECIDA OZORIO
hcfmusp.contributor.author-fmusphcDAN LINETZKY WAITZBERG
hcfmusp.description.beginpage264
hcfmusp.description.endpage270
hcfmusp.description.issue2
hcfmusp.description.volume34
hcfmusp.origemWOS
hcfmusp.origem.pubmed28421777
hcfmusp.origem.scieloSCIELO:S0212-16112017000200264
hcfmusp.origem.scopus2-s2.0-85018818163
hcfmusp.origem.wosWOS:000401302900004
hcfmusp.publisher.cityMADRID
hcfmusp.publisher.countrySPAIN
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