Parenteral nutritional therapy in UTI: application of quality indexes

DOI: 10.15343/0104-7809.20094480487

Abstract

The objective of this research was to evaluate the Parenteral Nutrition Therapy (PNT) of patients interned in adult Intensive Care
Units (ICU) with the application of quality indexes. This is a retrospective study approved by the Committee of Ethics in Research of HU-USP. We
collected data on nutritional care registries, and applied quality indexes according to ILSI (2008) proposal. Data were described by simple and
medium frequency of distribution and standard deviation processed by Excel® program. The studied sample (N=25) comprised 64% male patients,
with average age of 64,4 years, being 96% surgical and 4% clinical patients. The average time of permanence in ICU was 21.8 days (±9.8), with
an average permanence in PNT of 16.6 days (±13.11). The average estimate of nutritional necessities was 24,41kcal/kg (± 2.87) for energy and
0.96 g/kg (± 0.14) for proteins. The adequacy of the parenteral formula considering the relationship prescribed/administered was 96.87% for
energy and 97.01% for proteins. Apport-inadequate parenteral nutrition administration frequency was 11% for calories and 11% for proteins
for goals proposals of <11% and <20% respectively. With regard to the analysis of biochemical exams, 74% of the patients presented all exams
before beginning PNT. From the total of patients, 44% evolved to oral feeding (goal >30%). One concluded that the application of quality indexes
allowed the evaluation of PNT from the perspective of elaborating strategies for better adequacy of PNT in clinical practice.