New study finds 74% of critically ill patients in Latin American hospitals to be moderately to severely malnourished, hospitals lack sufficient clinical nutrition support.
Findings support parenteral nutrition as key to targeted energy delivery for ICU patients
BAD HOMBURG, GERMANY – August 29, 2017 – Results from a multinational observational study1 investigating the state of clinical nutrition in Latin America reveal that intensive care unit (ICU) patients are not receiving sufficient nutrition support. The results were collected from 116 hospitals in eight countries across Latin America. The observational study in the format of a screening day, assessed 1,053 critically ill patients receiving enteral and/or parenteral nutrition on the screening day, and the day before. Results showed 74 percent of patients were moderately or severely malnourished.
Recently published in the well-renowned international medical journal Critical Care, entitled `Current Clinical Nutrition Practices in Critically Ill Patients in Latin America: A multinational observational study´, the results also reveal that 47.6 percent of ICU patients suffered from protein deficit, and 40.3 percent from caloric deficit, on the screening day.
Further analysis shows that those patients receiving a combination of enteral and parenteral nutrition were less likely to suffer from caloric and protein deficits. Only 28.3 percent of the patients receiving a combination of enteral and parenteral nutrition, and 36.4 percent of patients receiving only parenteral nutrition had a caloric deficit, compared to 42.4 percent of the patients receiving only enteral nutrition. Similarly, 50.3 percent of the patients receiving only enteral nutrition had a protein deficit compared to only 36.2 percent in the group receiving a combination of enteral and parenteral and 37.4 percent in the group receiving parenteral nutrition only.
Therefore, the most effective form of nutrition delivery was suggested to be supplemental parenteral nutrition, increasing the chance of patients meeting their daily energy targets by 64 percent, and the chance of meeting the combined energy and protein targets by 56 percent, when compared to enteral nutrition alone. Despite this, the integration of supplemental parenteral nutrition within the current nutrition management was low across the participating hospitals, at only 11 percent.
Unaddressed malnutrition in hospitals leads to increased risk of poor clinical outcomes2-6, higher rate of readmission, and increased risk of mortality7. Adequate dedication of resources to ensure patients are correctly screened and assessed for malnutrition is necessary to minimize this risk.
“Malnutrition is a serious problem in our daily clinical routine,” said Dr. Karin Papapietro Vallejo, Physician and Head of Clinical Nutrition Therapy at the Hospital Clínico de la Universidad de Chile, and one of the study authors. “Our most recent findings reveal the value of parenteral nutrition particularly in ICU patients. This information underlines the importance to implement a nutrition protocol according to guidelines and recommendations to improve energy and protein delivery in critically ill hospital patients.”
Screening Day Latin America is part of “United for clinical nutrition”, an initiative launched in 2015 by Fresenius Kabi, a global healthcare company that specializes in clinical nutrition. For this, 116 hospitals across eight Latin American countries (Argentina, Brazil, Chile, Columbia, Ecuador, Mexico, Panama, and Peru) took part in the study characterizing clinical nutrition practice in 1,053 ICU patients. Initial results and study reports can be found on the campaign website: http://www.unitedforclinicalnutrition.com/.
About ‘United for clinical nutrition’
Launched in May 2015 by Fresenius Kabi, ‘United for clinical nutrition’ seeks to support healthcare professionals across Latin America. This initiative offers practical, data-driven, online and offline therapy support tools to provide best practice for the clinical nutrition of critically ill patients. To learn more, visit www.unitedforclinicalnutrition.com.
About Fresenius Kabi
Fresenius Kabi is a global healthcare company specialized in lifesaving and health-supporting medicines and technologies for clinical nutrition, infusion, and transfusion. Our products and services are used to help care for critically and chronically ill patients. With our corporate philosophy of "caring for life", we are committed to putting essential medicines and technologies in the hands of people helping patients and to finding the best answers to the challenges they face.
More information: www.fresenius-kabi.com