Background: Nutrition therapy is an integral part of the care provided to patients: it can improve clinical outcomes, but also be a potential risk factor for infectious diseases and a critical issue in the patient recovery. Aim of this study was to investigate the nutrition therapy management in acute care facilities of Friuli Venezia Giulia-FVG (Italy), in order to explore its relation with body mass index (BMI) and healthcare associated infections (HAIs). Methods: In October 2017, 58 trained healthcare professionals performed a survey about HAIs prevalence using the ECDC PPS protocol in all the 18 FVG acute care facilities. In addition to the ECDC form data, they collected info about nutrition: height, weight and presence of artificial nutrition (parenteral-PN and/or enteral-EN). Inpatients were aggregated according to care areas (medical/surgical/intensive care) and hub/spoke hospital; we investigated the relation between presence of PN and the onset of bloodstream infection and between EN and pneumonia. Results: We collected data about 2553 patients with a median age of 71(±16) years, 50% male; 63% of patients were hospitalized in a hub hospital and 60% in medical unit. BMI was available for 77% of patients, it was more likely for patients admitted to hubs (OR 2.7, CI 2.2-3.3). 4% of patients were receiving PN and 2.8% EN. Clinical nutrition types were differently represented between settings and hospital types (p < 0.001). PN resulted to be associated with bloodstream infection-BSI (OR 10.2, IC 4.6-22.7) and EN with pneumonia (OR 5.5, IC 2.2-13.6). Conclusions: The result of our survey underlined that there was a relevant portion of inpatients that were not screened about their nutritional status and that the compliance to this evaluation seems to be related both to hospital type and care area. The presence of PN and EN seems to be a risk factor for the onset of BSI and pneumonia respectively. This suggested causality should be better explored with further studies.
2017 regional survey on clinical nutrition management in acute care settings
L Brunelli;D Celotto;C Battistella;L Lesa;L Arnoldo;S Brusaferro
2018-01-01
Abstract
Background: Nutrition therapy is an integral part of the care provided to patients: it can improve clinical outcomes, but also be a potential risk factor for infectious diseases and a critical issue in the patient recovery. Aim of this study was to investigate the nutrition therapy management in acute care facilities of Friuli Venezia Giulia-FVG (Italy), in order to explore its relation with body mass index (BMI) and healthcare associated infections (HAIs). Methods: In October 2017, 58 trained healthcare professionals performed a survey about HAIs prevalence using the ECDC PPS protocol in all the 18 FVG acute care facilities. In addition to the ECDC form data, they collected info about nutrition: height, weight and presence of artificial nutrition (parenteral-PN and/or enteral-EN). Inpatients were aggregated according to care areas (medical/surgical/intensive care) and hub/spoke hospital; we investigated the relation between presence of PN and the onset of bloodstream infection and between EN and pneumonia. Results: We collected data about 2553 patients with a median age of 71(±16) years, 50% male; 63% of patients were hospitalized in a hub hospital and 60% in medical unit. BMI was available for 77% of patients, it was more likely for patients admitted to hubs (OR 2.7, CI 2.2-3.3). 4% of patients were receiving PN and 2.8% EN. Clinical nutrition types were differently represented between settings and hospital types (p < 0.001). PN resulted to be associated with bloodstream infection-BSI (OR 10.2, IC 4.6-22.7) and EN with pneumonia (OR 5.5, IC 2.2-13.6). Conclusions: The result of our survey underlined that there was a relevant portion of inpatients that were not screened about their nutritional status and that the compliance to this evaluation seems to be related both to hospital type and care area. The presence of PN and EN seems to be a risk factor for the onset of BSI and pneumonia respectively. This suggested causality should be better explored with further studies.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
