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2011, Number 2

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Rev Cub Med Int Emerg 2011; 10 (2)

Caloric proteic addition in the evolution of patients with invasive mechanical ventilation

Hernández PW, Pérez AJL, Parellada BJ, González GI

Language: Spanish
References: 53
Page: 2090-2110
PDF size: 277.56 Kb.


ABSTRACT

Introduction: The optimization of the nutritional support in patients with invasive mechanical ventilation requires still of the research effort.
Objectives: To identify the caloric proteic addition, mortality and morbidity according to the diagnostic profile at admission.
Methods: A prospective, longitudinal and observational study was conducted in a group of patients admitted in the Intensive Care Unit (ICU) of the “Dr. Luis Díaz Soto” Central Military Hospital from March, 2001 and March, 2007 with invasive mechanical ventilation for more than 3 days. Authors estimated daily the addition of: total calories, non-proteic calories and proteins depending on the body weight. The dependent variables included: mortality and morbidity. Authors applied statistic techniques of mean comparison for independent groups using Student-t test and in assessment of the association among qualitative variables Chi2 was applied considering a statistical significance of p ‹ 0,05.
Results: The addition underwent 25 total Kcal/kg, underwent 20 non-proteic Kcal/kg or underwent 1,2 g/kg of proteins in the Trauma category, was associated with the greatest mortality and morbidity.
Conclusions: The addition underwent the 20 non-proteic Kcal/kg in the surgical profile was associated with a high mortality. The behavior of caloric proteic addition in patients underwent invasive mechanical ventilation was related to the course of these patients with own categories characterized it according the diagnostic categories.


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