Clinical conditions and complications associated with parenteral nutrition use in critically ill patients admitted to an intensive care unit of a general hospital.

Nutrición hospitalaria
Renata Ferreira SilvaDirce Bellezi Guilhem

Abstract

Objective: the aim of this study was to evaluate the clinical conditions, the existing complications, and the drug prescription profile of patients who received parenteral nutrition in the intensive care unit. Material and methods: this retrospective, analytical cohort study was carried out among individuals admitted to a public general hospital ICU. For data collection, the electronic medical records for the entire period of inpatient treatment were analyzed. Results: in total, 213 individuals who had received parenteral nutrition for a period greater than 48 hours were included in the study. Most participants were male and mean age was < 60 years; death occurred in 75 % of patients, and abdominal surgery was the main indication for parenteral nutrition. Hyperglycemia was the most common complication. The Mann-Whitney test showed that the individuals who died were using a higher number of medications. The increased use of medications correlated with use of PN and led to an increase in hospital length of stay and death rate (p-value < 0.001). There was a higher proportion of deaths among patients using standard parenteral nutrition solutions (76.9 %) as compared to the period when patients started receiving custom-made parenter...Continue Reading

References

Jun 10, 2009·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Pierre Singer ESPEN
Jan 20, 2011·European Journal of Clinical Pharmacology·Adriano Max Moreira Reis, Silvia Helena De Bortoli Cassiani
Feb 8, 2013·Journal of Clinical Medicine Research·Ann O'ConnorDeborah A McNamara
Dec 9, 2015·Hospital Pediatrics·Amrita Singh, Daniel Rauch
Feb 23, 2017·World Journal of Critical Care Medicine·Paolo Cotogni

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