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Título : Risk of refeeding syndrome. Case report Otros títulos : Riesgo de síndrome de realimentación. Reporte de caso Tipo de documento : documento electrónico Autores : Adriana Giraldo Villa, Fecha de publicación : 2018 Títulos uniformes : Case Reports Idioma : Inglés (eng) Palabras clave : Hypophosphatemia Malnutrition Enteral Nutrition Refeeding Syndrome Resumen : Introduction: Refeeding syndrome is an acute metabolic disorder that occurs during nutritional repletion. Although it has been known for years, the early detection of risk factors for its onset and the implementation of measures to prevent it are not common in nutritional care. Case presentation: 48-year-old male patient, in critical care for 6 days, with suspected Wernicke-Korsakoff encephalopathy and high risk of refeeding syndrome according to criteria of the National Institute of Health and Clinical Excellence. The subject received enteral nutrition with 14 kcal/kg for the first 3 days, with subsequent increases aiming to achieve a nutritional goal of 25 kcal/kg on day 5. He also received daily supplementation of thiamine 600mg, folic acid 5mg and pyridoxine 50mg. Blood phosphorus decreased from 3 mg/dL to 2 mg/dL the day after initiating the nutritional plan and normalized by day 3. Discussion: The patient did not present severe hypophosphatemia or clinical manifestations of refeeding syndrome. Hypophosphatemia was resolved by maintaining a stable caloric restriction during the first days. Some professionals consider this restriction as very conservative, and others think that it may lead to achieve significant improvements in mortality reduction. Conclusions: The strategy for assessing the risk of refeeding syndrome, nutritional management and implemented follow-up were successful in preventing the patient from developing a refeeding syndrome. Mención de responsabilidad : Adriana Giraldo Villa DOI (Digital Object Identifier) : 10.15446/cr.v5n1.71140 Derechos de uso : CC BY En línea : https://revistas.unal.edu.co/index.php/care/article/view/71140 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4731 Risk of refeeding syndrome. Case report = Riesgo de síndrome de realimentación. Reporte de caso [documento electrónico] / Adriana Giraldo Villa, . - 2018.
Obra : Case Reports
Idioma : Inglés (eng)
Palabras clave : Hypophosphatemia Malnutrition Enteral Nutrition Refeeding Syndrome Resumen : Introduction: Refeeding syndrome is an acute metabolic disorder that occurs during nutritional repletion. Although it has been known for years, the early detection of risk factors for its onset and the implementation of measures to prevent it are not common in nutritional care. Case presentation: 48-year-old male patient, in critical care for 6 days, with suspected Wernicke-Korsakoff encephalopathy and high risk of refeeding syndrome according to criteria of the National Institute of Health and Clinical Excellence. The subject received enteral nutrition with 14 kcal/kg for the first 3 days, with subsequent increases aiming to achieve a nutritional goal of 25 kcal/kg on day 5. He also received daily supplementation of thiamine 600mg, folic acid 5mg and pyridoxine 50mg. Blood phosphorus decreased from 3 mg/dL to 2 mg/dL the day after initiating the nutritional plan and normalized by day 3. Discussion: The patient did not present severe hypophosphatemia or clinical manifestations of refeeding syndrome. Hypophosphatemia was resolved by maintaining a stable caloric restriction during the first days. Some professionals consider this restriction as very conservative, and others think that it may lead to achieve significant improvements in mortality reduction. Conclusions: The strategy for assessing the risk of refeeding syndrome, nutritional management and implemented follow-up were successful in preventing the patient from developing a refeeding syndrome. Mención de responsabilidad : Adriana Giraldo Villa DOI (Digital Object Identifier) : 10.15446/cr.v5n1.71140 Derechos de uso : CC BY En línea : https://revistas.unal.edu.co/index.php/care/article/view/71140 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4731 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001205 AC-2018-149 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2018-149.pdfAdobe Acrobat PDF Cost-effectiveness of early nutritional therapy in malnourished adult patients in a high complexity hospital / Paula Andrea Roldán Cano
Título : Cost-effectiveness of early nutritional therapy in malnourished adult patients in a high complexity hospital Tipo de documento : documento electrónico Autores : Paula Andrea Roldán Cano, Fecha de publicación : 2015 Títulos uniformes : Nutrición Hospitalaria Idioma : Inglés (eng) Palabras clave : Cost-effectiveness malnutrition nutritional therapy complications length of stay Resumen : Introduction: hospital malnutrition is a frequent worldwide problem and its potential issues related include increased complications, length of stay, mortality, and healthcare costs. Objectives: the aim of this study was to establish the cost-effectiveness of early nutritional therapy for malnourished patients in a high complexity hospital. Materials and methods: this analytical study with economic assessment included 227 adult hospitalised and malnourished according to the Subjective Global Assessment. The cohort prospective received Early Nutrition Therapy (ENT), whereas the cohort retrospective received Delayed Nutrition Therapy (DNT). The measures of cost-effectiveness included costs by: length of stay, complications and discharge condition. Results: the cohorts were similar in demographic and clinical characteristics, except that the median age, for the ENT was 61 years (interquartile range [IQR]: 48-71) and for the DNT was 55 years (IQR: 44-67) (p = 0.024). The median length of stay was lower in the ENT (11 days, IQR: 7-17) than in the DNT (18 days, IQR: 10-28) (p Mención de responsabilidad : Nubia Amparo Giraldo Giraldo, Johanna Vásquez Velásquez, Paula Andrea Roldán Cano, Carolina Ospina Astudillo, Yuliet Paulina Sosa Cardona Referencia : Nutr Hosp. 2015 Dec 1;32(6):2938-47. DOI (Digital Object Identifier) : 10.3305/nh.2015.32.6.9859 PMID : 26667756 Derechos de uso : CC BY-NC-ND En línea : http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-1611201500120007 [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3931 Cost-effectiveness of early nutritional therapy in malnourished adult patients in a high complexity hospital [documento electrónico] / Paula Andrea Roldán Cano, . - 2015.
Obra : Nutrición Hospitalaria
Idioma : Inglés (eng)
Palabras clave : Cost-effectiveness malnutrition nutritional therapy complications length of stay Resumen : Introduction: hospital malnutrition is a frequent worldwide problem and its potential issues related include increased complications, length of stay, mortality, and healthcare costs. Objectives: the aim of this study was to establish the cost-effectiveness of early nutritional therapy for malnourished patients in a high complexity hospital. Materials and methods: this analytical study with economic assessment included 227 adult hospitalised and malnourished according to the Subjective Global Assessment. The cohort prospective received Early Nutrition Therapy (ENT), whereas the cohort retrospective received Delayed Nutrition Therapy (DNT). The measures of cost-effectiveness included costs by: length of stay, complications and discharge condition. Results: the cohorts were similar in demographic and clinical characteristics, except that the median age, for the ENT was 61 years (interquartile range [IQR]: 48-71) and for the DNT was 55 years (IQR: 44-67) (p = 0.024). The median length of stay was lower in the ENT (11 days, IQR: 7-17) than in the DNT (18 days, IQR: 10-28) (p Mención de responsabilidad : Nubia Amparo Giraldo Giraldo, Johanna Vásquez Velásquez, Paula Andrea Roldán Cano, Carolina Ospina Astudillo, Yuliet Paulina Sosa Cardona Referencia : Nutr Hosp. 2015 Dec 1;32(6):2938-47. DOI (Digital Object Identifier) : 10.3305/nh.2015.32.6.9859 PMID : 26667756 Derechos de uso : CC BY-NC-ND En línea : http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-1611201500120007 [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3931 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000515 AC-2015-068 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2015-068.pdfAdobe Acrobat PDF