Abstract:
RATIONALE:The ELAN Ecuadorian Study of Hospital Malnutrition returned a malnutrition rate of 37.1% in public hospitals of Ecuador [Gallegos Espinosa S, Nicolalde Cifuentes M, Santana Porbén S; para el Grupo Ecuatoriano de Estudio de la Desnutrición Hospitalaria. State of malnutrition in hospitals of Ecuador. Nutr Hosp (España) 2014;30:425-35]. Hospital malnutrition could be the result of institutional cultural practices affecting the patient's nutritional status. OBJECTIVES:To present the current state of food and nutritional care provided to patients assisted in public hospitals of Ecuador. MATERIAL AND METHOD:The state of food and nutritional care provided to 5,355 patients assisted in 36 hospitals of 23 provinces of the country was documented by means of the Hospital Nutrition Survey (HNS), conducted as part of the ELAN Study. HNS recorded the completion of nutritional assessment exercises, the use of food-bymouth, fasting, use of oral nutritional supplements, and implementation and conduction of Artificial nutritional schemes (Enteral/Parenteral); respectively. RESULTS:Less than 0.1% of clinical charts had a diagnosis of malnutrition included in the list of the patient's health problems. Less than half of the patients had been measured and weighted on admission. Serum Albumin values and Total Lymphocytes Counts were annotated on admission in only 13.5% and 59.2% of the instances, respectively. Current weight value was registered in only 59.4% of the patients with length of stay ³ 15 days. An oral nutritional supplement was prescribed in just 3.5% of non-malnourished patients in which significant metabolic stress and/or reduced food intakes concurred. Although up to 10 different indications for use of Artificial nutrition were identified in the sample study, any of these techniques was administered to just 2.5% (median of observed percentages; range: 1.3 - 11.9%) of surveyed patients. CONCLUSIONS:Currently, nutritional status of hospitalized patient is not included within therapeutic goals, nutritional assessment exercises are incomplete, and Artificial nutrition is not considered a therapeutic option. From these findings it can only be concluded that the nutritionist still has no place within medical care teams. Adoption of required measures in order to introduce "Food and Nutrition Good Practices" into the medical care in public hospitals of Ecuador is urgently needed. :Justificación: El Estudio ELAN Ecuatoriano de Desnutrición Hospitalaria en los hospitales públicos del Ecuador devolvió una tasa de desnutrición del 37.1% [Gallegos Espinosa S, Nicolalde Cifuentes M, Santana Porbén S; para el Grupo Ecuatoriano de Estudio de la Desnutrición Hospitalaria. Estado de la desnutrición en los hospitales del Ecuador. Nutr Hosp (España) 2014;30:425-35]. La desnutrición hospitalaria podría ser la resultante de prácticas culturales institucionales que afectan el estado nutricional del enfermo. Objetivos: Presentar el estado corriente de los cuidados alimentarios y nutricionales que se le ofrecen al enfermo atendido en los hospitales públicos del Ecuador. Material y Método: El estado de los cuidados alimentarios y nutricionales provistos a 5,355 enfermos atendidos en 36 hospitales de 23 provincias del país se documentó mediante la Encuesta de Nutrición Hospitalaria (ENH), conducida dentro del Estudio ELAN. La ENH registró el completamiento de los ejercicios de evaluación nutricional, el estado del uso de la vía oral, el tiempo de ayuno, el uso de suplementos dietéticos orales, y la implementación y conducción de esquemas de Nutrición artificial (Enteral/ Parenteral); respectivamente. Resultados: Menos del 0.1% de las historias clínicas tenía un diagnóstico de desnutrición dentro de las listas de problemas de salud del paciente. Menos de la mitad de los pacientes había sido tallado y pesado al ingreso. La Albúmina sérica y los Conteos Totales de Linfocitos estaban registrados en el momento del ingreso en solo el 13.5% y el 59.2% de las instancias, respectivamente. El valor corriente del Peso solo se anotó en el 59.4% de los pacientes con una estadía³ 15 días. Se indicó algún tipo de suplemento dietético en solo el 3.5% de los pacientes no desnutridos en los que concurrían estrés metabólico significativo y/o ingresos dietéticos disminuidos. A pesar de que se identificaron hasta 10 indicaciones diferentes para el uso de Nutrición artificial en la muestra de estudio, se le administró alguna de estas técnicas a solo el 2.5% (me diana de los porcentajes observados; rango: 1.3 – 11.9%) de los pacientes encuestados. Conclusiones: En el momento actual, el estado nutricional del paciente hospitalizado no se incluye dentro de los objetivos terapéuticos, los ejercicios de evaluación nutricional son incompletos, y la Nutrición artificial no se considera una opción terapéutica. De estos hallazgos solo se puede concluir que el nutricionista no ha encontrado cabida dentro del equipo de atención médica. Urge la adopción de las medidas requeridas para insertar las “Buenas Prácticas de Alimentación y Nutrición” dentro de la atención médica en los hospitales públicos del Ecuador.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Gallegos Espinosa S,Nicolalde Cifuentes M,Santana Porbén Sdoi
10.3305/nh.2015.31.1.8178subject
Has Abstractpub_date
2014-10-03 00:00:00pages
443-8issue
1eissn
0212-1611issn
1699-5198journal_volume
31pub_type
杂志文章abstract::We present two patients who underwent successful bariatric surgery and developed peroneal nerve palsy six months after the procedure. This is an unusual complication which determines a significant functional limitation, mainly because of foot drop, and its presence may be a hallmark of excessive and rapid weight loss....
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.4.6495
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abstract:BACKGROUND:Small-bowel dysfunction exerts a relevant prognostic impact in the critically ill patients. Citrullinemia has been used in the evaluation of the intestinal function and it is considered an objective parameter of the functional enterocyte mass. Present study proposes to determine the intestinal dysfunction pr...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.788
更新日期:2017-03-30 00:00:00
abstract::We have made a study of the energy requirements of liver transplant patients in the immediate post-operative phase, by comparing different methods. A study of energy use was made with indirect Calorimetry (IC), of calculation of Resting Energy Expenditure (REE) according to Fick's formula modified by Liggett, and of t...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract:OBJECTIVE:Recently, it has been reported that food choices of relatives of eating disorder (ED) patients are not adequate having in mind a healthy model of eating habits. The aim of this study was to analyse how work conditions relate to parents' food choice coping strategies in both families with a member suffering fr...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nutr hosp.v28in06.6840
更新日期:2013-11-01 00:00:00
abstract:INTRODUCTION:Taurine has probed to be involved in a wide range of biological processes and to provide several different important health benefits. Its effects have been revealed to be exerted mainly through its antioxidant and anti-inflammatory effects, among other mechanisms. OBJECTIVES AND METHODS:The present review...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2010-11-01 00:00:00
abstract::The principles of a good diet and proper nutrition are the same for people practising sports and for non-athletes. The main difference lies in the amount of energy that sportsmen and women need to carry out a more intense physical activity and to keep an appropriate weight to allow greater performance. The relationshi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVE:the aim was to establish reference standards for waist/hip ratio among Colombia children and adolescent aged 9 to 17.9 years who participated in "The FUPRECOL Study". METHODS:cross-sectional study. A sample of 3 005 children and 2 916 adolescents healthy Colombian youth (boys n = 2 542 and girls n = 3 384) p...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.5.9633
更新日期:2015-11-01 00:00:00
abstract::Dual-energy X ray absorptiometry (DEXA) is primarily used in the assessment of bone mineral. However, the transmissions of the two different energy beams in nonbone areas can be processed to calculate the amount of fat and free-fat mass of the soft tissues. We have compared the estimation of body fat mass (FM) by DEXA...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract:Introduction:Introduction: parenteral nutrition (PN) is commonly used as a nutritional support option. It may cause complications, partly due to a central venous access. Chylothorax is an accumulation of lymphatic fluid in the pleural space. Case report: a 57-year-old man was admitted for cholecystectomy. A complicated...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.03205
更新日期:2020-12-16 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.2.6183
更新日期:2013-03-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.3.6395
更新日期:2013-05-01 00:00:00
abstract:Introduction:Background: malnutrition is a common problem in hospitalized patients, being associated with increased morbidity, mortality and costs. Multiple factors contribute to a deficient nutritional status, making malnutrition the cause or consequence of severe diseases. Percutaneous endoscopic gastrostomy (PEG) is...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.2348
更新日期:2019-07-01 00:00:00
abstract::The Recommendations for Specialized Nutritional Support in Critically-Ill patients were drafted by the Metabolism and Nutrition Working Group of the Spanish Society of Intensive Care Medicine and Coronary Units (SEMICYUC) in 2005. Given the time elapsed since then, these recommendations have been reviewed and updated ...
journal_title:Nutricion hospitalaria
pub_type:
doi:10.1590/S0212-16112011000800001
更新日期:2011-11-01 00:00:00
abstract::Objective: The aim of the present study was to describe the intake of sugar-sweetened beverages and to examine of associated factors among schoolchildren from Bogotá, Colombia. Methods: From a total of 8,136 schoolchildren and adolescents (age 9-17.9 years) taking part in the FUPRECOL Study. Sugar-sweetened beverages...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.250
更新日期:2017-03-30 00:00:00
abstract::A great interest has been developed last decades on the role of phytoestrogens as an alternative to hormone replacement therapy. In fact, numerous studies have shown the effects of soy isoflavones on climacteric symptomatology by significantly reducing the frequency and intensity of hot flashes, as well on cardiovascu...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.20960/nh.1569
更新日期:2017-10-15 00:00:00
abstract:BACKGROUND:Vitamin D and calcium play an important role in peak bone mass acquisition. Recent studies have suggested that vitamin D deficiency in children is widespread, mainly during infancy and adolescent years. However, the vitamin D status at others ages is unsufficiently investigated. OBJECTIVES:To determine the ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2012.27.6.6065
更新日期:2012-11-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
abstract::The authors present a prospective double blind test aimed at objectively determining the acceptance of flavoured orally administered enteric diets specific to patients with glucose metabolism alterations (Glucerna and Precitene Diabet), in the light of the taste disorders described in such patients. Sixty-two patients...
journal_title:Nutricion hospitalaria
pub_type: 临床试验,杂志文章
doi:
更新日期:1993-12-01 00:00:00
abstract::Neurocritical patients have a metabolic condition that makes them particularly sensitive to protein-caloric malnutrition in a short period of time. Due to this, it is essential nutritional support treatment. But the neurocritical patient has physiological connotations that makes it difficult to be able to establish an...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2014-01-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.4.8281
更新日期:2015-04-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2014.30.5.8088
更新日期:2014-09-17 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.1590/S0212-16112011000400003
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Weight is one of the most important parameters in assessing nutritional status. However, weight can be difficult to measure in elderly people who are unable to stand. Chumlea et al. created two equations to estimate weight in non-ambulatory patients using readily available body measurements. OBJECTIVE:The a...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.2.6320
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:bariatric surgery is widely employed nowadays. Nutritional complications following malabsorptive bariatric surgery are common. OBJECTIVES:to compare protein malnutrition incidence, the amount of protein intake and the influence of various risk factors in patients undergoing Roux-en-Y gastric bypass (RYGB) a...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.1.8963
更新日期:2015-07-01 00:00:00
abstract:AIMS:To assess the degree of satisfaction of caregivers of children with gastrostomy tube (GT) feeding through the structured questionnaire SAGA-8. Secondly, to evaluate if the parental satisfaction degree was related to several independent variables. METHODS:A cross-sectional observational study was performed in 92 c...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.4.6555
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVE:To assess the validity of a food frequency questionnaire (FFQ) by applying it to children and adolescents living in Salvador, Bahia. METHODS:The validity of this FFQ with 98 food items was investigated among 108 children and adolescents who were selected from a sample of 1445 that had been planned for a stud...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2012.27.4.5883
更新日期:2012-07-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.273
更新日期:2016-06-30 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.20960/nh.1301
更新日期:2017-11-14 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2004-11-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2015.32.3.9362
更新日期:2015-09-01 00:00:00