Adequação nutricional de pacientes em unidade de terapia intensiva segundo indicadores de qualidade emterapia nutricional

EnglishIntroduction: Several conditions interfere with nutritional therapy in critically ill patients. Critically ill patients who do not receive adequate nutritional therapy are more susceptible to infectious complications and may have longer mechanical ventilation, longer intensive care unit stay, and higher mortality rates. Objective: To evaluate the adequacy of enteral nutritional therapy in the intensive care unit of a university hospital in Pernambuco. Methods: Prospective observational study conducted in adults and elderly patients, of both sexes, in the intensive care unit of a University Hospital of Pernambuco. The adequacy of the prescribed diet and the volume administered was estimated by the percentage ratio, which was regarded as ideal a higher percentage than 80%. In order to know the possible factors associated with nutritional inadequacy, the group of patients was compared to received They applied to the quality indicators. Results: The sample consisted of 71 patients, 57.7% men and 60.6% elderly. There was an association between nutritional adequacy and better clinical outcome (p = 0.004) and enteral nutrition early (p = 0.047). The nutritional inadequacy was associated with the use of vasoactive drugs (p = 0.027) and the presence of fasting> 24 hours (p frequency of the estimated nutritional needs, diarrhea, hypoglycemia and inadvertent output of nasogastric tube were within the established target. Conclusion: The offer less than 80% of nutritional requirements is associated with a poor clinical outcome and being influenced by the late enteral nutrition, use of vasoactive drugs and greater than 24 hours fasting. The application of quality indicators in nutritional therapy promotes better nutritional adequacy to intensive care unit patients. portuguesIntroducao: Diversas condicoes interferem na terapia nutricional em pacientes gravemente doentes. Pacientes em estado critico que nao recebem a terapia nutricional adequada sao mais suscetiveis a complicacoes infecciosas e podem apresentar maior tempo de ventilacao mecânica, maior permanencia na unidade de terapia intensiva e maiores taxas de mortalidade. Objetivo: Avaliar a adequacao da terapia nutricional enteral nas unidades de terapia intensiva de um hospital universitario de Pernambuco. Metodologia: Estudo prospectivo observacional realizado em pacientes adultos e idosos, de ambos os sexos, internados nas unidades de terpaia intensiva em um hospital universitario de Pernambuco. A adequacao nutricional foi estimada atraves da relacao percentual entre o volume de dieta prescrito e o administrado, onde foi considerado como ideal uma porcentagem maior que 80%. Com vistas a conhecer os possiveis fatores associados a inadequacao nutricional, foi comparado o grupo de pacientes que recebeu Resultados: A amostra foi composta por 71 pacientes, 57,7% homens e 60,6% idosos. Houve associacao entre a adequacao nutricional e melhor desfecho clinico (p=0,004) e nutricao enteral precoce (p=0,047). A inadequacao nutricional associou-se ao uso de droga vasoativa (p=0,027) e presenca de jejum > 24 horas (p Conclusao: A oferta inferior a 80% das necessidades nutricionais se associou a um pior desfecho clinico, sendo influenciada pela nutricao enteral tardia, uso de drogas vasoativas e jejum maior que 24 horas. A aplicacao dos indicadores de qualidade em terapia nutricional favoreceu uma melhor adequacao nutricional aos pacientes gravemente doentes.