Adequação calórica e proteica em terapia nutricional de pacientes internados em uma unidade de terapia intensiva

Abstract

The prevalence of malnutrition in hospitalized patients in Intensive Care Units (ICU) is worrisome , since they present a longer hospitalization time, and with this, high risks of morbidity and mortality. Nutrition therapy plays a key role, preventing injuries and accelerating recovery. Objective: to evaluate the adequacy of the caloric and protein nutritional support of patients in the ICU of the Júlio Muller Hospital in Cuiabá - MT. Methodology: descriptive study performed in patients admitted to the ICU. To assess the adequacy of the diet, it was used as a parameter, calórico- protein recommendations DITEN second (2011) and ASPEN (201 6), and records the information regarding the prescribed diet on the 1st, 3rd and 7th day of hospitalization. Results: Of the 19 patients, 63.2% were female and 36.8% were male, with a mean age of 56.63 years. Only 33.3% of patients reached caloric needs, and 66.6% had protein requirements. Conclusion: The present study demonstrated the high prevalence of caloric inadequacy among the patients, accompanied by the high rate of malnutrition. Considering that NER was predominantly used, it was expected that the adequacy would be higher , considering that in case, the diets can be easily modulated according to the need of the patient. Therefore, it is imperative that greater attention is paid to the critical patient, since TN is the main determinant variable in the recovery of the individual's health, reducing hospitalization time, morbidity and mortality risks , and service costs.