Desfecho intra-hospitalar de pacientes críticos com alto risco nutricional relacionado a adequação calórico-proteica

Abstract

Introduction: Nutritional therapy in intensive care involves the careful assessment of nutritional risk based on variables that influence the clinical outcome of critically ill patients, with daily monitoring being a parameter used to assess the quality of care. The aim of the study was to evaluate whether calorie and protein targets would be met at the end of hospitalization in addition to nutritional risk factors and the severity of patients relative to length of hospitalization. Methods: The evaluation was performed at the intensive care unit (ICU) of a private hospital and 79 patients receiving enteral and/or parenteral nutritional therapy (NT) with follow-up of up to 30 days after the onset of NT were assessed. Data were collected retrospectively using forms, medical records and databases. The outcomes were categorized using the ROC curve and logistic regression was performed. Results: The targets were more easily achieved in the most severe group (92.9%; p=0.003), suggesting that the assessment of nutritional risk prompts greater attention and commitment from the multidisciplinary team. Shorter hospital stays were observed among patients at high nutritional risk who met only the calorie target during hospitalization (73.2% vs. 4.2%; p<0.001). Conclusions: The NUTRIC score showed a better performance associated with other patient outcome scores, with the SAPS 3 having a better result with which to correlate the achievement of the calorie-protein target.