Análise da utilização de procedimentos de terapia nutricional e a relação com indicadores de permanência e óbito de pacientes internados

Abstract

Objective: Describe the level of enteral and parenteral nutrition adoption and their correlation with the average number of HIA (Hospital Intern Authorization) length of stay and the average number of deaths in the HIAs of selected Brazilian hospitals. Method: DATASUS data were analyzed, considering monthly data from the period of 2011 to 2016, referring to details of hospitalization and nutritional procedures (enteral and parenteral) of 71 Brazilian hospitals. The variables considered were: (1) total monthly number of HIAs; (2) total length of stay (in days) of the HIAs; (3) Total number of monthly deaths; (4) total monthly amount of ICU per day in AIHs; (5) total monthly amount of enteral procedures; and (6) total monthly amount of parenteral procedures. Results: The results show statistically significant and negative correlations between the average number of ICU days and the use of enteral and parenteral nutrition estimated by the equations [ln [y] = -0.251 [x] - 0.057; R2 = 0.183; p <0.0001] and [ln [y] = -0.821 [x] - 0.150, R2 = 0.093, p <0.0001] respectively. Regarding the use of parenteral nutrition correlated with the average number of hospitalization stays and average death rate, the results found were [ln [y] = -3.642 [x] - 1.839; R2 = 0.081; p <0.0001] and [ln [y] = -7.393 [x] = 2.982; R2 = 0.077; p <0.0001], respectively, with negative correlation. Conclusions: The results suggest that the average number of ICU diaries can be reduced by the use of enteral and parenteral nutrition. The higher use of parenteral nutrition is also associated with a reduction in the average number of hospitalizations per day and a lower rate of hospital admissions.