Correia Maria Isabel, Hegazi Refaat A, Diaz-Pizarro Graf José Ignacio, Gomez-Morales Gabriel, Fuentes Gutiérrez Catalina, Goldin Maria Fernanda, Navas Angela, Pinzón Espitia Olga Lucia, Tavares Gilmária Millere
Universidade Federal, de Minas Gerais, Brazil
Abbott Nutrition Research and Development, Columbus, Ohio.
JPEN J Parenter Enteral Nutr. 2016 Mar;40(3):319-25. doi: 10.1177/0148607115581373. Epub 2015 Apr 16.
Alarmingly high rates of disease-related malnutrition have persisted in hospitals of both emerging and industrialized nations over the past 2 decades, despite marked advances in medical care over this same interval. In Latin American hospitals, the numbers are particularly striking; disease-related malnutrition has been reported in nearly 50% of adult patients in Argentina, Brazil, Chile, Costa Rica, Cuba, Dominican Republic, Ecuador, Mexico, Panama, Paraguay, Peru, Puerto Rico, Venezuela, and Uruguay. The tolls of disease-related malnutrition are high in both human and financial terms-increased infectious complications, higher incidence of pressure ulcers, longer hospital stays, more frequent readmissions, greater costs of care, and increased risk of death. In an effort to draw attention to malnutrition in Latin American healthcare, a feedM.E. Latin American Study Group was formed to extend the reach and support the educational efforts of the feedM.E. Global Study Group. In this article, the feedM.E. Latin American Study Group shows that malnutrition incurs excessive costs to the healthcare systems, and the study group also presents evidence of how appropriate nutrition care can improve patients' clinical outcomes and lower healthcare costs. To achieve the benefits of nutrition for health throughout Latin America, the article presents feedM.E.'s simple and effective Nutrition Care Pathway in English and Spanish as a way to facilitate its use.
在过去20年里，尽管新兴国家和工业化国家的医疗水平都有显著进步，但与疾病相关的营养不良发生率却一直高得惊人。在拉丁美洲的医院里，这些数字尤其惊人；据报道，在阿根廷、巴西、智利、哥斯达黎加、古巴、多米尼加共和国、厄瓜多尔、墨西哥、巴拿马、巴拉圭、秘鲁、波多黎各、委内瑞拉和乌拉圭，近50%的成年患者患有与疾病相关的营养不良。从人力和财力方面来看，与疾病相关的营养不良造成的损失都很大——感染并发症增加、压疮发生率更高、住院时间更长、再次入院更频繁、护理成本更高以及死亡风险增加。为了引起人们对拉丁美洲医疗保健中营养不良问题的关注，成立了拉丁美洲feedM.E.研究小组，以扩大feedM.E.全球研究小组的影响力并支持其教育工作。在本文中，拉丁美洲feedM.E.研究小组指出，营养不良给医疗系统带来了过高的成本，该研究小组还提供了证据，证明适当的营养护理如何能够改善患者的临床结局并降低医疗成本。为了在整个拉丁美洲实现营养促进健康的益处，本文以英语和西班牙语展示了feedM.E.简单有效的营养护理途径，以方便其使用。
