OBJECTIVE:To assess compliance in a Spanish intensive care unit (ICU) with 8 of the 13 quality indicators of the Spanish Society of Intensive Medicine and Coronary Units (Sociedad Española de Medicina Intensiva y Unidades Coronarias, SEMICyUC) related to nutrition and metabolism in critically ill patients. PATIENTS AND METHODS:The study included all patients over 18 years of age with an ICU stay of >48 hours between January and May 2019. The pharmacist was integrated into the daily activity of the multidisciplinary team of a 20-bed ICU to monitor and carry out the control of the quality indicators of the SEMICyUC. Studied indicators refer to: nutritional risk assessment and nutritional status (three indicators), glycaemic control,2 calculation of calorie-protein requirements,1 and use of early enteral nutrition or adequate parenteral nutrition.2 Compliance with each indicator was measured as the percentage of patients. RESULTS:110 patients were included and 73 (66.4%) were male. Compliance results were: blood glucose range (90.7%), severe hypoglycaemia (0%), identification of patients at nutritional risk (58.2%) or with possible refeeding syndrome (8.9%), assessment of nutritional status at admission (58.2%), calculation of calorie-protein requirements (77.8%), early enteral nutrition (96.4%), and adequate use of parenteral nutrition (37.8%) CONCLUSION: Compliance with indicators related to glycaemic control and artificial nutrition (enteral and parenteral nutrition) was higher than reference standards, but there is a need to improve compliance with indicators related to nutritional risk and status at ICU admission. The hospital pharmacist integrated into the ICU multidisciplinary team can add value to the nutrition monitoring and quality indicators of the nutritional process of the critical patient, providing safe and effective nutritional therapy to patients.

译文

目的:评估西班牙重症监护病房(ICU)与西班牙重症医学会和冠心病学会(SociedadEspañolade Medicina Intensiva y Uniidades Coronarias,SEMICyUC)的13项质量指标中的8项关键性营养和新陈代谢的依从性生病的病人。
患者和方法:该研究纳入了所有18岁以上且在2019年1月至5月之间的ICU停留时间超过48小时的患者。该药剂师已纳入20张床位ICU的多学科团队的日常活动中,以监控和携带无法控制SEMICyUC的质量指标。研究的指标是指:营养风险评估和营养状况(三个指标),血糖控制,2卡路里-蛋白质需求量的计算,1以及早期肠内营养或足够的肠胃外营养的使用2。耐心。
结果:共纳入110例患者,其中73例(66.4%)为男性。依从性结果为:血糖范围(90.7%),严重低血糖症(0%),确定有营养风险的患者(58.2%)或可能的进食综合症(8.9%),入院时营养状况的评估(58.2%),计算卡路里蛋白质需求量(77.8%),早期肠内营养(96.4%)和充分使用肠胃外营养(37.8%)结论:与血糖控制和人工营养(肠内和肠外营养)相关的指标合规性高于参考标准,但需要提高对与ICU入院时营养风险和状况有关的指标的依从性。整合到ICU多学科团队中的医院药剂师可以为重症患者的营养监测和营养过程的质量指标增加价值,从而为患者提供安全有效的营养治疗。

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