Objective:

Hospital malnutrition increases the risk of complications, aggravated by the scarce training and sensitivity in clinical nutrition of health personnel. The objective is to evaluate the optimization capacity of parenteral nutrition prescription as a consequence of the creation of a multidisciplinary group.

Methods:

A multidisciplinary team was created to advise the medical-surgical services on nutrition, optimize the prescription of parenteral nutrition and inform and empower the patient.

The foundations were established for the functioning of a parenteral nutrition advisory group (GANP) that met daily to evaluate the center's parenteral nutrition prescriptions, conducting a clinical interview and an individualized nutritional assessment and decided on the most appropriate nutritional treatment in each patient.

Different degrees of performance were established (poor 0-20%, adequate 21-50%, good 51-80% or excellent >80%) depending on the percentage of assumed central PNs and the degree of patient satisfaction.

Voluntary satisfaction surveys were provided to patients, and they were rated on a scale of 0 to 10.

Results:

97 patients with PN were evaluated for one year. 100% of the central NPs were assumed by the GANP (68.3% of the total NPs). 92.7% of the total nutritionals were indicated correctly and in 74.8% the prescription was adequate. The average degree of satisfaction was 9.5/10.0.

The program obtained an excellent performance grade.

Conclusions:

The creation of a multidisciplinary working group contributes to the optimization of nutritional therapy.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )