Prevalência de hipofosfatemia e risco de síndrome de realimentação em idosos internados em uma unidade de terapia intensiva

Introduction: The presence of hypophosphatemia is strongly related to the occurrence of refeeding syndrome in critically ill patients, in which one of the main risk groups is the elderly population. Objectives: To assess the prevalence of hypophosphatemia and the risk of refeeding syndrome in elderl...

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Autores principales:	Alexandra Rodrigues Bezerra, Paloma Arquimedes Alves dos Santos, Leidiane Silva Santos, Marina de Moraes Vasconcelos Petribú
Formato:	article
Lenguaje:	EN ES PT
Publicado:	Josely Correa Koury 2021
Materias:	síndrome de realimentação. hipofosfatemia. unidades de terapia intensiva. idosos. terapia nutricional. Agriculture (General) S1-972 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/dc31b44909ad4243bc1ad7abc13fdcde
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spelling	oai:doaj.org-article:dc31b44909ad4243bc1ad7abc13fdcde2021-12-05T16:04:17ZPrevalência de hipofosfatemia e risco de síndrome de realimentação em idosos internados em uma unidade de terapia intensiva2238-913X10.12957/demetra.2021.53791https://doaj.org/article/dc31b44909ad4243bc1ad7abc13fdcde2021-10-01T00:00:00Zhttps://www.e-publicacoes.uerj.br/index.php/demetra/article/view/53791https://doaj.org/toc/2238-913XIntroduction: The presence of hypophosphatemia is strongly related to the occurrence of refeeding syndrome in critically ill patients, in which one of the main risk groups is the elderly population. Objectives: To assess the prevalence of hypophosphatemia and the risk of refeeding syndrome in elderly patients admitted to an intensive care unit. Methods: Prospective observational study carried out in an intensive care unit with elderly patients of both genders using enteral nutritional therapy. Demographic, clinical and biochemical data were collected, and nutritional screening and assessment were performed. The energy and nutrient requirements were calculated and a cutoff point of 90% was adopted to establish the adequacy of the caloric supply. To assess the risk and occurrence of refeeding syndrome, the criteria proposed by the NICE group were used. Statistical analyses were performed using the SPSS 13.0 program, with a 95% confidence interval (CI). Results: 44 patients were studied, of which 34.1% were malnourished; 86.4% of patients started enteral nutritional therapy within 48 hours, with 43.2% of caloric adequacy within 72 hours. Hypophosphatemia was found in 9.1% of patients on admission and in 29.5% after starting the diet. Thus, 88.6% of patients had some risk of developing the refeeding syndrome and 40.9% of them manifested the syndrome. Conclusion: A high prevalence of hypophosphatemia was identified after starting nutritional therapy. In addition, the risk of developing refeeding syndrome was high and its manifestation is similar to data found in the literature.Alexandra Rodrigues BezerraPaloma Arquimedes Alves dos SantosLeidiane Silva SantosMarina de Moraes Vasconcelos PetribúJosely Correa Kouryarticlesíndrome de realimentação. hipofosfatemia. unidades de terapia intensiva. idosos. terapia nutricional.Agriculture (General)S1-972Public aspects of medicineRA1-1270ENESPTDemetra, Vol 16, Iss 0, Pp e53791-e53791 (2021)
institution	DOAJ
collection	DOAJ
language	EN ES PT
topic	síndrome de realimentação. hipofosfatemia. unidades de terapia intensiva. idosos. terapia nutricional. Agriculture (General) S1-972 Public aspects of medicine RA1-1270
spellingShingle	síndrome de realimentação. hipofosfatemia. unidades de terapia intensiva. idosos. terapia nutricional. Agriculture (General) S1-972 Public aspects of medicine RA1-1270 Alexandra Rodrigues Bezerra Paloma Arquimedes Alves dos Santos Leidiane Silva Santos Marina de Moraes Vasconcelos Petribú Prevalência de hipofosfatemia e risco de síndrome de realimentação em idosos internados em uma unidade de terapia intensiva
description	Introduction: The presence of hypophosphatemia is strongly related to the occurrence of refeeding syndrome in critically ill patients, in which one of the main risk groups is the elderly population. Objectives: To assess the prevalence of hypophosphatemia and the risk of refeeding syndrome in elderly patients admitted to an intensive care unit. Methods: Prospective observational study carried out in an intensive care unit with elderly patients of both genders using enteral nutritional therapy. Demographic, clinical and biochemical data were collected, and nutritional screening and assessment were performed. The energy and nutrient requirements were calculated and a cutoff point of 90% was adopted to establish the adequacy of the caloric supply. To assess the risk and occurrence of refeeding syndrome, the criteria proposed by the NICE group were used. Statistical analyses were performed using the SPSS 13.0 program, with a 95% confidence interval (CI). Results: 44 patients were studied, of which 34.1% were malnourished; 86.4% of patients started enteral nutritional therapy within 48 hours, with 43.2% of caloric adequacy within 72 hours. Hypophosphatemia was found in 9.1% of patients on admission and in 29.5% after starting the diet. Thus, 88.6% of patients had some risk of developing the refeeding syndrome and 40.9% of them manifested the syndrome. Conclusion: A high prevalence of hypophosphatemia was identified after starting nutritional therapy. In addition, the risk of developing refeeding syndrome was high and its manifestation is similar to data found in the literature.
format	article
author	Alexandra Rodrigues Bezerra Paloma Arquimedes Alves dos Santos Leidiane Silva Santos Marina de Moraes Vasconcelos Petribú
author_facet	Alexandra Rodrigues Bezerra Paloma Arquimedes Alves dos Santos Leidiane Silva Santos Marina de Moraes Vasconcelos Petribú
author_sort	Alexandra Rodrigues Bezerra
title	Prevalência de hipofosfatemia e risco de síndrome de realimentação em idosos internados em uma unidade de terapia intensiva
title_short	Prevalência de hipofosfatemia e risco de síndrome de realimentação em idosos internados em uma unidade de terapia intensiva
title_full	Prevalência de hipofosfatemia e risco de síndrome de realimentação em idosos internados em uma unidade de terapia intensiva
title_fullStr	Prevalência de hipofosfatemia e risco de síndrome de realimentação em idosos internados em uma unidade de terapia intensiva
title_full_unstemmed	Prevalência de hipofosfatemia e risco de síndrome de realimentação em idosos internados em uma unidade de terapia intensiva
title_sort	prevalência de hipofosfatemia e risco de síndrome de realimentação em idosos internados em uma unidade de terapia intensiva
publisher	Josely Correa Koury
publishDate	2021
url	https://doaj.org/article/dc31b44909ad4243bc1ad7abc13fdcde
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Prevalência de hipofosfatemia e risco de síndrome de realimentação em idosos internados em uma unidade de terapia intensiva

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