Bermejo de Las Heras Sara, De la Calle de la Rosa Licia, Arias Díaz Javier, Giner Manuel, Blesa Malpica Antonio Luis
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Nutr Hosp. 2018 Jan 10;35(1):6-10. doi: 10.20960/nh.1187.
Malnutrition is particularly prevalent among intensive care unit (ICU) patients, being associated with poor clinical results. Enteral nutrition (EN) offers multiple benefits on critically ill patients and its monitoring was established by the Spanish Society of Critical Care (SEMICYUC) as a clinical quality indicator (CQI; EN patients correctly monitorized / all EN patients, as %). However, no results have been published on its regulated monitoring.
Assessing CQI's compliance, identifying difficulties and possibilities for its use.
In a recent 18-month period, the CQI was assessed in ICU patients following SEMYCIUC criteria.
This CQI, although offered as a unique indicator, has different components, giving rise to multiple results. The settled standard (100%) was only reached by some of these components, i.e.: feeding tube position control plus verification of vomiting, regurgitation and aspiration. We propose to elaborate a daily checklist, including the different components that integrate this CQI, for its joint completion by nurses and physicians for all patients receiving EN.
营养不良在重症监护病房（ICU）患者中尤为普遍，与不良临床结果相关。肠内营养（EN）对重症患者有诸多益处，西班牙重症监护学会（SEMICYUC）将其监测确立为一项临床质量指标（CQI；正确监测的EN患者数/所有EN患者数，以百分比表示）。然而，关于其规范监测的结果尚未发表。
评估CQI的依从性，确定其使用中的困难和可能性。
在最近的18个月期间，按照SEMYCIUC标准对ICU患者的CQI进行评估。
该CQI虽作为单一指标呈现，但具有不同组成部分，会产生多种结果。其中一些组成部分仅达到既定标准（100%），即：喂养管位置控制以及对呕吐、反流和误吸的核查。我们建议制定一份每日检查表，纳入构成该CQI的不同组成部分，供护士和医生共同为所有接受EN的患者填写。
