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Inicio Medicina Clínica (English Edition) Benefits of early specialized nutritional support in malnourished patients
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Vol. 148. Issue 7.
Pages 303-307 (April 2017)
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Vol. 148. Issue 7.
Pages 303-307 (April 2017)
Brief report
DOI: 10.1016/j.medcle.2016.10.057
Benefits of early specialized nutritional support in malnourished patients
Beneficios del soporte nutricional especializado precoz en pacientes con criterios de desnutrición
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Jesús Manuel Morán Lópeza,
Corresponding author
jesusmoranlopez@yahoo.es

Corresponding author.
, Belén Beneítez Moralejoa, María Piedra Leónb, Fidel Jesús Enciso Izquierdoa, Luis Miguel Luengo Pérezc, José Antonio Amado Señarisb
a Unidad de Endocrinología y Nutrición, Complejo Hospitalario de Cáceres, Cáceres, Spain
b Sección de Endocrinología y Nutrición, Hospital Valdecilla, Santander, Spain
c Servicio de Endocrinología y Nutrición, Hospital Infanta Cristina, Badajoz, Spain
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Tables (6)
Table 1. Characteristics of the study population.
Table 2. Characteristics of the study population.
Table 3. Comparison of the study groups according to their general and anthropometric characteristics.
Table 4. Type of nutritional support administered.
Table 5. Classification of patients according to the predominant disease and specialized nutritional support onset.
Table 6. Comparison of existing complications according to specialized nutritional support onset.
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Abstract
Introduction and objective

Disease related malnutrition (DRM) is highly prevalent in Spain, affecting 23% of in-hospital patients, and is associated with clinical complications. Specialized nutritional support (SNS) can reduce these complications.

Material and methods

Prospective study carried out in standard clinical practice conditions to test if SNS during the first 5 days of hospitalization, or subsequently, was associated to a lower length of stay or reduced complications in patients with a NRS-2002 score3 points.

Results

In the group of patients who initiated early SNS, the length of stay was 8.83 days shorter than in the group with a later introduction (95% CI 3.55–14.10); nevertheless, the higher prevalence of male and oncological patients in this group could have impacted the results. A tendency towards a statistically significant lower mortality rate and a reduced amount of total complications was described.

Conclusion

The early introduction of SNS (within the first 5 days of hospitalization) in patients with DRM was associated with a 32.4% reduction in the length of stay.

Keywords:
Malnutrition
Specialized nutritional support
Length of stay
Complications
Resumen
Introducción y objetivo

La desnutrición relacionada con la enfermedad (DRE) presenta una prevalencia del 23% en el medio hospitalario español y se asocia a complicaciones clínicas. El soporte nutricional especializado (SNE) puede reducir estas complicaciones.

Material y métodos

Estudio prospectivo en condiciones de práctica clínica habitual que compara la reducción de la estancia y las complicaciones en pacientes con NRS-20023 puntos que recibieron SNE durante los 5 primeros días de ingreso (precoz) o posteriormente.

Resultados

El grupo con SNE precoz presentó una estancia media 8,83 días inferior al grupo con introducción tardía (IC 95% 3,55-14,10), si bien este grupo mostró un predominio de pacientes varones y con enfermedad oncológica que pudo influir en los resultados. Se describió una tendencia no estadísticamente significativa a la reducción de la mortalidad y las complicaciones totales.

Conclusión

La introducción precoz (primeros 5 días) del SNE en DRE se asoció a una reducción del 32,4% de la estancia.

Palabras clave:
Desnutrición
Soporte nutricional especializado
Estancia media
Complicaciones

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