Más Nutridos

Artículos destacados

February

ESPEN practical guideline: Home enteral nutrition.

Bischoff SC, Austin P, Boeykens K, Chourdakis M, Cuerda C, Jonkers-Schuitema C, et al. Clinical Nutrition 2022 FEB;41(2):468-488.

Esta guía informa a los profesionales implicados sobre los múltiples aspectos de interés relacionados con la nutrición enteral domiciliaria. Incluye 61 recomendaciones con sus correspondientes grados de evidencia y comentarios.

Abstract: This ESPEN practical guideline will inform physicians, nurses, dieticians, pharmacists, caregivers and other home enteral nutrition (HEN) providers in a concise way about the indications and contraindications for HEN, as well as its implementation and monitoring. This guideline will also inform interested patients requiring HEN. Home parenteral nutrition is not included but will be addressed in a separate ESPEN guideline. The guideline is based on the ESPEN scientific guideline published before, which consists of 61 recommendations that have been reproduced and renumbered, along with the associated commentaries that have been shorted compared to the scientific guideline. Evidence grades and consensus levels are indicated. The guideline was commissioned and financially supported by ESPEN and the members of the guideline group were selected by ESPEN.

Key approaches to diagnosing malnutrition in adults

Malone A, Mogensen KM. Nutrition in Clinical Practice 2021 -12-22;37(1):23.

En esta revisión se repasan diversas estrategias de diagnóstico nutricional y sus características más importantes. 

Abstract: Nutrition assessment is used to describe nutrition status-related nutrition problems and their causes, one of which includes malnutrition. Four malnutrition diagnostic tools are currently in use today in adults: Subjective Global Assessment, the Mini Nutritional Assessment, the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition malnutrition consensus characteristics, and the Global Leadership Initiative on Malnutrition criteria. The aim of this article is to provide sufficient background of these methodologies to assist clinicians in choosing their approach in diagnosing malnutrition. There is substantial overlap between the criteria included in these malnutrition diagnostic approaches. A desired goal is to identify a core data set in order to evaluate malnutrition prevalence globally and to assess the impact of nutrition interventions on nutrition and clinical outcomes.

Malnutrition screening and diagnosis tools: Implications for practice.

House M, Gwaltney C. Nutrition in clinical practice  2022 Feb;37(1):12-22.

En esta revisión se repasan diversas herramientas de cribado nutricional y sus características más importantes. 

Abstract: Despite the prevalence of protein-calorie malnutrition (PCM) in acute-care hospitals and long-term care centers, a national and global consensus on nutrition screening and malnutrition diagnosis is lacking. PCM is associated with various acute and chronic complications, such as impaired wound healing, increased risk for infection, debility, and increased risk for rehospitalization. The consequences of PCM are also incredibly costly to both the patient and the healthcare facility. The purpose of this paper is to identify nutrition screening tools and malnutrition diagnosis tools currently being utilized in acute-care healthcare centers across the United States.

Outcomes of dietary management approaches in active ulcerative colitis: A systematic review.

Marsh A, Rindfleish S, Bennett K, Croft A, Chachay V. Clinical Nutrition 2022 FEB;41(2):298-306.

Revisión sistemática en la que se valoran los resultados de 10 estudios que exploran diversos métodos de intervención nutricional (nutrición enteral, nutrición parenteral, dietas de eliminación y dieta estándar oral) en pacientes con colitis ulcerosa. No se encuentran diferencias en términos de actividad de la enfermedad entre la dieta estándar y las demás intervenciones. Algunos (4) estudios de eliminación, de baja calidad, sugieren un beneficio de las dietas de eliminación. 

Efficacy of Teduglutide for Parenteral Support Reduction in Patients with Short Bowel Syndrome: A Systematic Review and Meta-Analysis.

Bioletto F, D'Eusebio C, Merlo FD, Aimasso U, Ossola M, Pellegrini M, et al. Nutrients 2022 FEB;14(4):796.

Meta-análisis evaluando el efecto de teduglutide en la reducción de la dependencia de la nutrición parenteral en pacientes con síndrome de intestino corto. La tasa de respuesta aumenta de 64% a los 6 meses, a 77% a los 12 meses y 82% a los 24 o más meses, mientras que la tasa de destete de nutrición parenteral fue de 11%, 17% y 21% en los mismos periodos. La presencia de colon se relacionó con una reducción de la tasa de respuesta pero una mejoría en la tasa de destete. La etiología del síndrome de intestino corto no afectó a los resultados, salvo una tendencia no significativa a ser mejores en pacientes con enfermedad de Crohn.