Enteral nutrition in cancer patients: differences between wh | 76308


Enteral nutrition in cancer patients: differences between what is prescribed and administered

Author(s): De Souza, Iury Antônio1; Bortoletto, Michelle Martins1; Dias, Anna Marcella Neves1; De Almeida, Nilva Maria2; Ribeiro, Luiz Cláudio3; Mendonça, Elisa Grossi1

Introduction: Enteral nutritional therapy is an essential therapy for recovery and/or maintenance of nutritional status. This can be interrupted by numerous factors that compromise your infusion.

Objective: To analyze the adequacy of enteral nutritional therapy by comparing volume, calories and proteins prescribed and infused up to the seventh day of therapy and correlate with gastrointestinal complications and reported complications.

Methods: Retrospective clinical study with review of electronic medical records of patients admitted from September 2016 to April 2017 at a public and private oncology hospital in the city of Juiz de Fora - MG. Statistical analysis was performed using the software SPSS Statistics 17.

Results: 68.75% of the patients were male, 54.16% were elderly, 65.2% were treated early, 95.8% received a normocaloric diet 70.8% presented nasoenteric catheter access and 100% of the patients did not reach the volume, calories and proteins prescribed in seven days of enteral nutritional therapy, presenting a significant difference between prescribed and infused values. Among the gastrointestinal complications and intercurrences, nausea and obstruction of the catheter were the most frequent, 29.2% and 11.5%. The mean time of use of enteral nutritional therapy was 34.66 ± 22 days and 42.7% of the patients died.

Discussion: The higher prevalence of cancer in men and the elderly is also reported by other studies, as well as the inadequacy of prescribed and administered enteral diet, which may negatively interfere with the nutritional status and evolution of the patient, and death is frequently reported.

Conclusion: Most of the patients did not receive the prescribed volumes, calories and proteins, supposedly due to the influence of the interruptions of the therapy and the occurrence of gastrointestinal complications and intercurrences

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Citations : 2439

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Journal Highlights
  • Blood Glucose
  • Dietary Supplements
  • Cholesterol, Dehydration
  • Digestion
  • Electrolytes
  • Clinical Nutrition Studies
  • energy balance
  • Diet quality
  • Clinical Nutrition and Hospital Dietetics