Perfil nutricional en pacientes con falla intestinal y larga estancia hospitalaria

Autores: García Pérez Noel, Vargas De la Llata Rubén Gabriel, Escobedo Soto José Francisco, Ávila Carrasco Lorena

Resumen

Objective. To assess the nutritional status of patients diagnosed with intestinal failure (IF) and long hospital stay (LHE), its relationship with the implemented nutritional therapy and its evolution after surgery.

Material and methods. This is an observational, analytical, prospective cross-sectional study in patients diagnosed with IF and LHE. Clinic and demographic variables were obtained. Nutritional status was assessed with the Nutritional Risk Score (CONUT). Post-surgical complications were grouped based on the Clavien Dindo (CD) scale.

Results. Thirty-eight patients were evaluated, of which 33 were included. The most common type of IF was type II 63.6 % (n 21). The CONUT score reported severe malnutrition in 69.7 % (n 23), moderate 27.3 % (n 9) and mild 3 % (n 1). The CD scale classified 27.27 % (n 9) in a grade V and 30.3 (n 10) in a grade III.

Conclusions. The impact of the nutritional aspect on the surgical patient is well documented, however there is still a high prevalence of hospital malnutrition due to the lack of identification and adherence to the regulations for the implementation of timely nutritional therapy, a factor that contributes to the increase morbi-mortality and prolonged hospital stays.

Palabras clave: Desnutrición falla intestinal larga estancia hospitalaria.

2020-10-23   |   212 visitas   |   Evalua este artículo 0 valoraciones

Vol. 9 Núm.2. Abril-Junio 2020 Pags. 59-64. Rev Mex Cirug Apar Diges 2020; 9(2)