<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0212-1611</journal-id>
<journal-title><![CDATA[Nutrición Hospitalaria]]></journal-title>
<abbrev-journal-title><![CDATA[Nutr. Hosp.]]></abbrev-journal-title>
<issn>0212-1611</issn>
<publisher>
<publisher-name><![CDATA[Grupo Arán]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0212-16112018000100006</article-id>
<article-id pub-id-type="doi">10.20960/nh.1187</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Monitorización de la nutrición enteral como indicador clínico para la evaluación de la calidad en unidades de cuidados intensivos]]></article-title>
<article-title xml:lang="en"><![CDATA[Tube feeding monitoring as a clinical quality indicator at intensive care units]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bermejo-de-las-Heras]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de-la-Calle-de-la-Rosa]]></surname>
<given-names><![CDATA[Licia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arias-Díaz]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giner]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Blesa-Malpica]]></surname>
<given-names><![CDATA[Antonio-Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Complutense de Madrid Facultad de Medicina Departamento de Cirugía]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico San Carlos  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>6</fpage>
<lpage>10</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0212-16112018000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0212-16112018000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0212-16112018000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  la desnutrición es particularmente prevalente en unidades de cuidados intensivos (UCI), asociándose con malos resultados clínicos. La nutrición enteral (NE) presenta múltiples beneficios en pacientes críticos y su monitorización ha sido establecida por la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC) como indicador clínico de calidad (ICC; pacientes con NE correctamente monitorizados/todos los pacientes con NE, en %). Sin embargo, no se han publicado resultados sobre su monitorización reglada.  Objetivos:  evaluar el cumplimiento del ICC "monitorización de la NE", identificando dificultades y posibilidades para su utilización.  Metodología:  durante 18 meses, el ICC fue monitorizado en pacientes de UCI según criterios de SEMICYUC.  Resultados y conclusión:  el ICC, aunque se presenta como único, tiene múltiples componentes, originando múltiples resultados difíciles de compilar. El estándar establecido (100%) solo fue alcanzado en control de la sonda y verificación de vómitos, regurgitación y broncoaspiración. Proponemos elaborar un listado de verificación diaria, incluyendo todos los aspectos contemplados, para su puesta en común entre los estamentos médicos y de enfermería, para cada paciente con NE.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  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.  Objectives:  Assessing CQI's compliance, identifying difficulties and possibilities for its use.  Methods:  In a recent 18-month period, the CQI was assessed in ICU patients following SEMYCIUC criteria.  Results and conclusion:  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Soporte nutricional]]></kwd>
<kwd lng="es"><![CDATA[Nutrición enteral]]></kwd>
<kwd lng="es"><![CDATA[Calidad asistencial]]></kwd>
<kwd lng="es"><![CDATA[Indicadores clínicos]]></kwd>
<kwd lng="es"><![CDATA[Paciente crítico]]></kwd>
<kwd lng="es"><![CDATA[Unidad de cuidados intensivos]]></kwd>
<kwd lng="en"><![CDATA[Nutritional support]]></kwd>
<kwd lng="en"><![CDATA[Enteral nutrition]]></kwd>
<kwd lng="en"><![CDATA[Quality of care]]></kwd>
<kwd lng="en"><![CDATA[Clinical indicators]]></kwd>
<kwd lng="en"><![CDATA[Critically ill patient]]></kwd>
<kwd lng="en"><![CDATA[Intensive care unit]]></kwd>
<kwd lng="en"><![CDATA[Tube feeding]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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