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 a minimally invasive procedure indicated for long-term administration of enteral nutrition in patients with limited ability for oral intake who have an intact, functional gastrointestinal tract. The aim of this study was to determine the profile of patients undergoing PEG in a tertiary hospital in southern Brazil. Methods: single-center retrospective study of all patients who underwent PEG from January 1st to December 31st, 2016, in a private tertiary hospital located in southern Brazil. Data were collected retrospectively from the patients' medical records, including nutritional status, indications, complications and outcomes. Results: one hundred and thirty-three patients underwent PEG at our institution and were eligible for inclusion in the study. Median patient age was 82 years, and 57.9% were females. The main indication for PEG was dementia syndrome, followed by stroke. As much as 68.4% were diagnosed as severely malnourished and 23.0% had procedure-related complications. Conclusions: PEG tubes are being increasingly used for enteral nutrition in patients with dysphagia or inability to maintain adequate nutritional intake. The findings of the present study highlight the importance of regular nutritional risk screening by a multidisciplinary team, paying special attention to the patient's nutritional status and conditions that may place the patient at risk of developing dysphagia, with the implementation of measures to minimize malnutrition in hospitalized patients. Introducción:Introducción: la desnutrición es común en pacientes hospitalizados y se está convirtiendo en causa o consecuencia de enfermedades graves, asociándose a morbilidad, mortalidad y costos aumentados. Múltiples factores contribuyen a un estado nutricional deficiente. La gastrostomía endoscópica percutánea (PEG) es un procedimiento mínimamente invasivo para la administración de nutrición enteral en pacientes con capacidad limitada de ingesta oral que tengan el tracto gastrointestinal intacto y funcional. El objetivo de este estudio fue determinar el perfil de pacientes sometidos a PEG en un hospital terciario del sur de Brasil. Métodos: estudio retrospectivo unicéntrico de todos los pacientes sometidos a PEG del 1 de enero al 31 de diciembre de 2016 en un hospital terciario privado del sur de Brasil. Se recolectaron los datos retrospectivamente en los registros médicos, incluyendo estado nutricional, indicaciones, complicaciones y evolución. Resultados: ciento treinta y tres pacientes se sometieron a PEG en nuestra institución y fueron elegibles para el estudio. La edad mediana fue de 82 años y el 57,9% eran mujeres. Las principales indicaciones para PEG fueron demencia y accidente cerebrovascular. El 68,4% fueron diagnosticados con desnutrición grave y el 23,0% presentaron complicaciones relacionadas al procedimiento. Conclusiones: se utilizan cada vez más tubos de PEG para nutrición enteral en pacientes disfágicos o incapaces de mantener una ingesta nutricional adecuada. Nuestros hallazgos señalan la importancia del cribado para riesgo nutricional por un equipo multidisciplinario, con atención especial al estado nutricional del paciente y a condiciones que pueden ponerlo en riesgo para disfagia y la implementación de medidas para minimizar la desnutrición.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Appel-da-Silva MC,Zuchinali P,de Oliveira RF,Boligon CS,Riella C,Salazar GSdoi
10.20960/nh.2348subject
Has Abstractpub_date
2019-07-01 00:00:00pages
499-503issue
3eissn
0212-1611issn
1699-5198journal_volume
36pub_type
杂志文章abstract:PURPOSE:This cross-sectional study explored the prevalence of eating disorders (EDs) and possible associated factors (depressive symptoms, anxiety and BMI, etc) on EDs in female medical students in China. METHODS:A total of 1,135 students in Wuhu, Anhui Province were sampled to participate in this survey. The survey c...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.4.8456
更新日期:2015-04-01 00:00:00
abstract:Introduction:Background: catheter-related infection is one of the complications of central parenteral nutrition treatment with the highest morbidity and mortality. Objectives: the primary endpoint of this study was to analyze the prevalence of bloodstream infection in patients with central parenteral nutrition. Seconda...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.03218
更新日期:2020-10-21 00:00:00
abstract:INTRODUCTION:Obesity is held as the 21(st) Century epidemics. Multidisciplinary medical management has been insufficient and surgical techniques are more frequently used. Gastric bypass is considered the gold standard in bariatric surgery; however, some patients report low rates of weight loss, which leads to thinking ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.3.6176
更新日期:2013-05-01 00:00:00
abstract:UNLABELLED:Hyperglycemia without previous history of diabetes mellitus (DM) is observed in a high percentage of patients in intensive care units (ICU). OBJECTIVE:To determine the behavior of glycemia in nondiabetic patients with hyperglycemia by administering two micronutrients. METHODS:A clinical trial was conducted...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.5.8526
更新日期:2015-05-01 00:00:00
abstract:INTRODUCTION:The regular practice of physical activity (PA) has been associated with better health. In addition, job characteristics may determine the PA behaviours of employees, including the work shift. However, relatively few studies have examined the PA behaviour among shift workers. OBJECTIVE:This study aimed to ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.5.8628
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVE:To assess enteral nutrition complications in a prospective cohort of patients admitted to the ICU. MATERIAL AND METHODS:Prospective, multicenter study of patients admitted to the ICU and that received enteral nutrition (EN). Demographical data, main diagnosis, and nutritional and severity indexes were includ...
journal_title:Nutricion hospitalaria
pub_type: 临床试验,杂志文章,多中心研究
doi:
更新日期:2005-07-01 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:INTRODUCTION:southern European, Middle Eastern, and North African countries bordering the Mediterranean share dietary habits characterized by moderation and a variety of foods, notably fruit and vegetables. These customs are becoming modified due to social and economic changes. An adequate intake of water and other dri...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.6.9892
更新日期:2015-12-01 00:00:00
abstract::At our hospital, there is an At-Home Enteral Nutrition programme (NED in its Spanish acronym) with participation of the Clinical Nutrition Unit and the Pharmacy Service. The products and all necessary material are dispensed directly to the patient's home and nutritional follow-up is carried out. As a lack of informati...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::Objetivo: analizar la concordancia de dos métodos de medición (Google MapsTM vs. Sistema de Información Geográfica) para la determinación de la distancia desde el domicilio familiar hasta el colegio.Métodos: un total de 542 escolares de entre 8-11 años de edad (media = 9,36 ± 0,6) del sur de España participaron en el ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.283
更新日期:2016-06-30 00:00:00
abstract::There are different parameters aimed at assessing nutritional status. These parameters may be of some help to assess nutritional status prior to patients' admission. However, their application in the critically ill patient is troublesome since results interpretation is interfered by changes originated by the acute dis...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2005-06-01 00:00:00
abstract:UNLABELLED:Introducción y objetivos: las enfermedades cardiovasculares (ECV) son la principal causa de muerte mundial, por ello el objetivo de este estudio es analizar los factores de riesgo de ECV en los trabajadores de la Universidad de Alicante.Material y métodos: estudio transversal descriptivo. Muestra aleatoria (...
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
abstract:OBJECTIVE:To examine inter-methods agreement between dual energy X-ray absorptiometry (DXA) and air displacement plethysmography (ADP) in male adolescent cyclists for assessing percentage of body fat (PBF). METHODS:PBF of 24 male adolescent cyclists was assessed by DXA and ADP. Agreement between ADP and DXA was determ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.4.6502
更新日期:2013-07-01 00:00:00
abstract:INTRODUCTION:The aim of the study was to estimate if B12 deficiency is associated with the use of metformin in the elderly diabetics. METHODS:Case-control study in diabetic OP. Cases (n = 137) were defined as elderly with B12 < 221 pmol/L and controls (n = 279) elderly with B12 > 221 pmol/L. Four categories of metform...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.29.6.7405
更新日期:2014-06-01 00:00:00
abstract:INTRODUCTION:Chile is a country that reaches the highest levels of overweight and obesity worldwide (66.7% of the Chilean population), with a group of college students tending to swell these numbers considered nutritionally vulnerable group. OBJECTIVE:To associate the consumption of fruits with nutritional status of C...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.5.8617
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND/AIMS:The Food Consumption Survey, conducted for over 20 years by the Spanish Ministry of Agriculture, Food and Environment (MAGRAMA), is the most reliable source of data to evaluate the food consumption and dietary patterns of Spain. The aim of the present article was to review the diet trends in Spain and i...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.sup5.6914
更新日期:2013-09-01 00:00:00
abstract::Objetivos: oligoelementos como zinc (Zn), hierro (Fe) y cobre (Cu) tienen una influencia significativa en el mantenimiento de la función inmune y del metabolismo normales; modulan la función immune e influyen en la susceptibilidad del organismo ante infecciones. Pero la relación entre trazas de estos elementos y la br...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.97
更新日期:2016-03-25 00:00:00
abstract:OBJECTIVE:To analyze the psychological status of morbidly obese patients suffering changes after surgical procedure for weight reduction. METHODS:We analyze the weight loss in 100 morbidly obese patients (85 female, 15 male) after bariatric surgery (vertical banded gastroplasty). We correlated the percentage of weight...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract:Introduction:Introduction: the increase on prevalence of obesity has been linked to a higher number of bariatric surgeries, being sleeve gastrectomy (SG) the most frequent bariatric procedures in the world. However, there are few studies that determine the impact of SG on health's determinants such as physical fitness ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02515
更新日期:2019-08-26 00:00:00
abstract:INTRODUCTION:In 2012, the Mexican National Health Survey showed a moderate prevalence rate of vitamin D deficiency, around 16%, in a national representative sample of children. A decreasing prevalence of anemia during the last 15 years has been observed in Mexico. The aim of this study was to determine the levels of vi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.372
更新日期:2016-07-19 00:00:00
abstract:BACKGROUND:The consumption of sugary, energy and alcoholic drinks among college students might be a health risk factor. OBJECTIVE:To assess the consumption of sugary, energy and alcoholic drinks and to determine their associations with body mass index (BMI) status among college students. METHODS:Second and third year...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.1.8094
更新日期:2014-09-28 00:00:00
abstract:UNLABELLED:Obesity is associated with increased inflammation. C-reactive protein (CRP) is a proinflammatory molecule, and alpha1-antitrypsin is an inflammation-sensitive plasma protein. Proinflammatory process may be influenced by postprandial hyperglycemia. OBJECTIVE:The aim of the present study was to evaluate the r...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2008-07-01 00:00:00
abstract::During the last half of the 20th century, Nutrition has evolved in a quick way based on the knowledge of both basic sciences as Biochemistry and Physiology and applied sciences as Epidemiology and Public Health. In that period the nutritional requirements for different population groups grouped by sex, age and physiol...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.20960/nh.2123
更新日期:2018-06-12 00:00:00
abstract:Introducción:el propósito de este estudio fue investigar la eficacia del entrenamiento diario de una repetición máxima (1RM) de la sentadilla en fuerza máxima. Material y método:tres levantadores de peso de competición realizaron la sentadilla durante 37 días consecutivos y se reportan como casos individuales. Partici...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.129
更新日期:2016-03-25 00:00:00
abstract::When a patient needs parenteral or enteral nutrition, be it in a transitory way or as a permanent form, and hospitalization is not strictly required, this treatment should take place in the home of the patient whenever possible. The support with artificial nutrition can be equally efficient, improving the life expecta...
journal_title:Nutricion hospitalaria
pub_type: 指南,杂志文章,实务指引
doi:
更新日期:1995-09-01 00:00:00
abstract::The use of selenized yeast as enriched selenium supplements in human nutrition has become a topic of increasing interest over the last decade. The present study was designed with the aim to achieve a balance between selenium (Se) incorporation and optimal growth of yeast cells along with effect of Se enrichment on ant...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2006-11-01 00:00:00
abstract:Introduction:Introduction: promoting healthy lifestyles already from the pediatric age for prevention of diseases at a short, mid and long-term is compulsory worldwide. Objectives: to know eating patterns and dietary habits, physical activity and sedentary behaviours in urban Spanish children aged one to nine years old...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.03348
更新日期:2021-01-13 00:00:00
abstract::Conclusions of the III SENPE-Abbott Debate Forum on several ethical issues of specialized nutritional support in hospitalized patients and outpatients. An insight in the principle of equity is given depending on geographical location, in its indications both as a primary therapy and palliative care, and in informed co...
journal_title:Nutricion hospitalaria
pub_type:
doi:
更新日期:2006-05-01 00:00:00
abstract:INTRODUCTION:the evaluation of the body fat distribution by anthropometry can serve to identify excess visceral fat. This diagnosis will enable implementation of specific measures to both prevent and treat excess visceral fat in postmenopausal women. OBJECTIVE:the aim of this study was to analyze different anthropomet...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.6.9813
更新日期:2015-12-01 00:00:00
abstract::Fiber is an essential nutrient in a healthy diet, contributing to health maintenance and preventing the occurrence of different disease. The classification of fiber according to its degree of fermentation within the large bowel categorizes it into two different types, completely fermentable fiber and partially ferment...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2007-05-01 00:00:00