Artículo
Standards for the use of enteral nutrition in patients with diabetes or stress hyperglycaemia: expert consensus
Autor/es | Rebollo-Pérez, María I.
Florencio Ojeda, Luna García Luna, Pedro Pablo Irles Rocamora, José Antonio Olveira, Gabriel Lacalle Remigio, Juan Ramón Arraiza Irigoyen, Carmen Pereira Cunill, José Luis Rabat Restrepo, Juana María |
Departamento | Universidad de Sevilla. Departamento de Medicina Universidad de Sevilla. Departamento de Medicina Preventiva y Salud Pública |
Fecha de publicación | 2023 |
Fecha de depósito | 2024-02-22 |
Publicado en |
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Resumen | Background: Hyperglycaemia that occurs during enteral nutrition (EN) should be
prevented and treated appropriately since it can have important consequences for morbidity and
mortality. However, there are few quality ... Background: Hyperglycaemia that occurs during enteral nutrition (EN) should be prevented and treated appropriately since it can have important consequences for morbidity and mortality. However, there are few quality studies in the literature regarding the management of EN in this situation. The objective of this project was to attempt to respond, through a panel of experts, to those clinical problems regarding EN in patients with diabetes or stress hyperglycaemia (hereinafter referred to only as hyperglycaemia) for which we do not have conclusive scientific evidence; (2) Methods: The RAND/UCLA Appropriateness Method, a modified Delphi panel method, was applied. A panel of experts made up of 10 clinical nutrition specialists was formed, and they scored on the appropriateness of EN in hyperglycaemia, doing so in two rounds. A total of 2992 clinical scenarios were examined, which were stratified into five chapters: type of formula used, method of administration, infusion site, treatment of diabetes, and gastrointestinal complications. (3) Results: consensus was detected in 36.4% of the clinical scenarios presented, of which 23.7% were deemed appropriate scenarios, while 12.7% were deemed inappropriate. The remaining 63.6% of the scenarios were classified as uncertain; (4) Conclusions: The recommendations extracted will be useful for improving the clinical management of these patients. However, there are still many uncertain scenarios reflecting that the criteria for the management of EN in hyperglycaemia are not completely standardised. More studies are required to provide quality recommendations in this area. |
Cita | Rebollo-Pérez, M.I., Florencio Ojeda, L., García Luna, P.P., Irles Rocamora, J.A., Olveira, G., Lacalle Remigio, J.R.,...,Rabat Restrepo, J.M. (2023). Standards for the use of enteral nutrition in patients with diabetes or stress hyperglycaemia: expert consensus. Nutrients, 15 (23), 4976. https://doi.org/10.3390/nu15234976. |
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