Skip to main content Skip to main navigation menu Skip to site footer
Articles
Published: 02-05-2022

EMTN em hospitais dos Municípios do Alto do Tietê

Universidade de Mogi das Cruzes / Funzionali
Médico pela Universidade de Mogi das Cruzes
Médico pela Universidade de Mogi das Cruzes
Funzionali / PROATA – Programa de Atenção aos Transtornos Alimentares da UNIFESP
Funzionali, Médica de Evidências
Public Health Nutrition malnutrition nutritional assessment nutrition therapy

Abstract

Malnutrition can be defined as a metabolic imbalance caused by increased caloric and protein needs, inadequate nutrient intake and changes in body composition and physiological function. In the hospital setting, malnutrition, since its identification in the ‘70s, concerned health professionals, as they affect immune function by interfering with susceptibility to infections, wound healing and inflammatory response, which can cause an increase in the length of hospitalization. Thus, the earlier the detection of malnourished patients, or at risk of malnutrition, is made, the greater the benefit of Nutritional Therapy. Study design: This is a prospective, open-label study with multiple-choice questions and descriptive aimed at evaluating the status of TN and EMTNs in public and nonpublic hospitals in the municipalities of Alto Tietê region belonging to Greater São Paulo. Nine hospitals that fulfilled the inclusion criteria participated in the study. One institution handled the parenteral nutrition (PN). Of the remainder, half gets the NP industry and the other half outsources this service. They all make use of the infusion apparatus for administration of NP. Despite being required by ANVISA, the percentage of hospitals that have active EMTN is very small.

Metrics

Metrics Loading ...

References

  1. Pirlich M, Schütz T, Norman K, Gastell S, Lübke HJ, Bischoff SC, et al. The German hospital malnutrition study. Clin Nutr. 2006;25(4):563-72.
  2. Bistrian BR, Blackburn GL, Vitale J, Cochran D, Naylor J. Prevalence of malnutrition in general medical patients. JAMA. 1976;235(15):1567-70.
  3. Tanphaichitr V, Kulapongse S, Komindr S. Assessment of nutritional status in adult hospitalized patients. Nutr Metab. 1980;24(1):23-31.
  4. Maicá AO, Scweigert ID. Avaliação nutricional em pacientes graves. Revista Brasileira de Terapia Intensiva 2008. p. 286-95.
  5. Waitzberg DL. Efficacy of nutritional support: evidence-based nutrition and cost-effectiveness. Nestle Nutr Workshop Ser Clin Perform Programme. 2002;7:257-71; discussion 71-6.
  6. Detsky AS, Smalley PS, Chang J. The rational clinical examination. Is this patient malnourished? JAMA. 1994;271(1):54-8.
  7. Thomas DR, Zdrowski CD, Wilson MM, Conright KC, Lewis C, Tariq S, et al. Malnutrition in subacute care. Am J Clin Nutr. 2002;75(2):308-13.
  8. Löser C. Malnutrition in hospital: the clinical and economic implications. Dtsch Arztebl Int. 2010;107(51-52):911-7.
  9. Weinsier RL, Hunker EM, Krumdieck CL, Butterworth CE. Hospital malnutrition. A prospective evaluation of general medical patients during the course of hospitalization. Am J Clin Nutr. 1979;32(2):418-26.
  10. Tan YS, Nambiar R, Yo SL. Prevalence of protein calorie malnutrition in general surgical patients. Ann Acad Med Singapore. 1992;21(3):334-8.
  11. Andersson I, Grönberg A, Slinde F, Bosaeus I, Larsson S. Vitamin and mineral status in elderly patients with chronic obstructive pulmonary disease. Clin Respir J. 2007;1(1):23-9.
  12. Youssef DA, El Abbassi AM, Cutchins DC, Chhabra S, Peiris AN. Vitamin D deficiency: implications for acute care in the elderly and in patients with chronic illness. Geriatr Gerontol Int. 2011;11(4):395-407.
  13. Detsky AS, McLaughlin JR, Baker JP, Johnston N, Whittaker S, Mendelson RA, et al. What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr. 1987;11(1):8-13.
  14. Acosta Escribano J, Gómez-Tello V, Ruiz Santana S. [Nutritional assessment of the severely ill patient]. Nutr Hosp. 2005;20 Suppl 2:5-8.
  15. Krondrup J, Rasmussen HH, Hamberg O, Stanga Z, Group. HEW. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlledc linical trials. . Clin Nutr, vol.; 2003. p. 321-36.
  16. Newens K, Filteau S, Tomkins A. Plasma 25-hydroxyvitamin D does not vary over the course of a malarial infection. Trans R Soc Trop Med Hyg. 2006;100(1):41-4.
  17. Mata-Granados JM, Vargas-Vasserot J, Ferreiro-Vera C, Luque de Castro MD, Pavón RG, Quesada Gómez JM. Evaluation of vitamin D endocrine system (VDES) status and response to treatment of patients in intensive care units (ICUs) using an on-line SPE-LC-MS/MS method. J Steroid Biochem Mol Biol. 2010;121(1-2):452-5.
  18. Russell CA. The impact of malnutrition on healthcare costs and economic considerations for the use of oral nutritional supplements. . Clin Nutr 2007. p. 25-32.
  19. Löser C. [Malnutrition in the hospital--prevalence, clinical consequences, economic relevance]. Dtsch Med Wochenschr. 2001;126(24):729-34.
  20. (NICE) NIfHaCE, editor Council of Europe, Committee of Ministers: Resolution ResAP on food and nutritional care in hospitals; ResAP 12 November 2003. National Institute for Health and Clinical Excellence (NICE); 2006; London.
  21. Bottoni A, Silva APB, Guidetti BC, Dias CA, Bottoni A, Rodrigues RC, et al. Nutrição Paraenteral. In: Guimarães HP, Tallo FS, Truffa AAM, Lopes RD, Lopes AC, editors. Manual do Bolso de UTI. São Paulo: UNIFESPAtheneu 2011. p. 382.
  22. Bottoni A, Nacarato A, Lima BC, Hassan DZ, Bottoni A, Rodrigues RC. Nutrição Enteral. In: Guimarães HP, Tallo FS, Truffa AAM, Lopes RD, Lopes AC, editors. Manual do Bolso de UTI. São Paulo: UNIFESpAtheneu 2011. p. 382.
  23. Define Unidades de Assistência de Alta Complexidade em Terapia Nutricional e Centros de Referência de Alta Complexidade em Terapia Nutricional e suas aptidões e qualidades. (2005).
  24. Institui, no âmbito do SUS, mecanismos para implantação da assistência de Alta Complexidade em Terapia Nutricional. (2005).
  25. Altera a Tabela de Serviço/Classificação dos Sistemas. (2005).
  26. Altera normas de classificação/ estabelecem centros de referência. (2009).
  27. ANVISA, Sanitária. ANdV. Aprova o Regulamento Técnico para fixar os requisitos mínimos exigidos para a Terapia de Nutrição Parenteral,. In: Saúde Md, editor. Portaria no 272, de 08 de abril de 1998. Brasil.: Portaria. D.O.U. - Diário Oficial da União;Poder Executivo; 1998.
  28. ANVISA, Sanitária ANdV. Aprova o Regulamento Técnico para fixar os requisitos mínimos exigidos para a Terapia de Nutrição Parenteral. In: Saúde Md, editor. Portaria no 337, de 14 de abril de 1999. Brasil: Diário Oficial da União;Poder Executivo; 1999.
  29. ANVISA, Sanitária ANdV. Aprova o Regulamento Técnico para fixar os requisitos mínimos exigidos para a Terapia de Nutrição Enteral. . In: Saúde. Md, editor. RDC no 63, de 06 de julho de 2000. Brasil.: D.O.U. - Diário Oficial da União, Poder Executivo; 2000.
  30. Hamaoui E. Assessing the Nutrition Support Team. JPEN J Parenter Enteral Nutr. 1987;11(4):412-21.
  31. Planas M, Camilo ME. Artificial nutrition: dilemmas in decision-making. Clin Nutr. 2002;21(4):355-61.
  32. Faubion WC, Wesley JR, Khalidi N, Silva J. Total parenteral nutrition catheter sepsis: impact of the team approach. JPEN J Parenter Enteral Nutr. 1986;10(6):642-5.
  33. Bottoni A, Cassulino AP, Biet F, Sigulem DM, Oliveira GP, Marco D, et al. Impact of nutrition support teams on hospitals’ nutritional support in the largest South American city and its metropolitan area. Nutrition. 2008;24(3):224-32.
  34. Waitzberg DL, Caiaffa WT, MITD. C. Inquérito Brasileiro de Avaliação Nutricional Hospitalar (Ibranutri). Revista Brasileira Nutrição Clinica; 1999. p. 124-34.

How to Cite

Bottoni, A., Hassan, D. Z., Nacarato, A., Garnes, S. dos A., & Bottoni, A. (2022). EMTN em hospitais dos Municípios do Alto do Tietê. International Journal of Nutrology, 7(2), 12–17. https://doi.org/10.1055/s-0040-1704017