Perfil de uso de los diferentes tipos de nutrición artificial en un hospital de agudos y de crónicos
2012
Objective: To evaluate the use of parenteral, enteral, and mixed nutrition in one acute and
one chronic hospital.
Design: Retrospective, non-randomised, observational study.
Study sites: South Seville Health Area: Acute Hospital (H1) and Chronic Hospital (H2) with
447 and 84 beds, respectively.
We analysed all episodes of artificial nutrition administered in a 6-month period. Exclusion
criteria included: age <18 years, oral supplements, and peripheral nutrition.
Results: Artificial nutrition was used in a total of 568 episodes: 406 were enteral nutrition, 162
were parenteral nutrition, constituting 4.95%, 3.54% and 1,41% of all hospitalisations, respectively.
Enteral nutrition was more common at H2 hospital (n = 219, 15.5/100 hospitalisations)
and parenteral nutrition was more commonly used at H1 (n = 155, 6.96/100 hospitalisations),
with the ICU providing the majority of treatments (43.8%).
Mixed nutritional support was used in 68 patients (0.59% of all cases), and was most commonly
used in the surgery department (n = 32, P<.001). The most commonly used enteral formula
was the special diabetes diet; 41.2% at H1 and 46.6% at H2. Patient mortality with enteral
nutrition was 37% at H1, 63% at H2, and was correlated with age (OR = 1.025, 95% CI: 1.006-
1.046, P<.05), male sex (OR = 1.612, 95% CI: 1.023-2.540, P<.05), and time in ICU (OR = 49.379,
95% CI: 11.971-203.675, P<.01).
Conclusions: Enteral nutrition was more frequently used in both the acute and chronic hospitals.
Parenteral nutrition and mixed nutritional support were used almost exclusively at the acute
hospital.
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