Clinical Nutrition in Portuguese Gastroenterology Departments: A Multicentric Study.

Autor:	Vara-Luiz F; GENE-Artificial Feeding Team, Gastroenterology Department, Hospital Garcia de Orta, 2805-267 Almada, Portugal.; Grupo de Patologia Médica, Nutrição e Exercício Clínico (PaMNEC), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), 2829-511 Almada, Portugal., Glória L; Gastroenterology Department, Hospital Beatriz Ângelo, 2674-514 Loures, Portugal., Mocanu I; GENE-Artificial Feeding Team, Gastroenterology Department, Hospital Garcia de Orta, 2805-267 Almada, Portugal., Curado A; Gastroenterology Department, Centro Hospitalar do Oeste, 2500-176 Caldas da Rainha, Portugal., Medeiros I; Gastroenterology Department, Hospital do Espírito Santo, 7000-811 Évora, Portugal., Duarte MA; Gastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada, 9500-370 Ponta Delgada, Portugal., Banhudo A; Gastroenterology Department, Hospital Amato Lusitano, 6000-085 Castelo Branco, Portugal., Ferreira S; Gastroenterology Department, Hospital do SAMS, 1849-017 Lisboa, Portugal., Vaz AM; Gastroenterology Department, Centro Hospitalar Universitário do Algarve, 8000-386 Faro, Portugal., Bastos I; Gastroenterology Department, Centro Hospitalar do Baixo Vouga, 3810-164 Aveiro, Portugal., Fonseca J; GENE-Artificial Feeding Team, Gastroenterology Department, Hospital Garcia de Orta, 2805-267 Almada, Portugal.; Grupo de Patologia Médica, Nutrição e Exercício Clínico (PaMNEC), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), 2829-511 Almada, Portugal.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Dec 06; Vol. 19 (23). Date of Electronic Publication: 2022 Dec 06.
DOI:	10.3390/ijerph192316333
Abstrakt:	Background: Hospital nutrition is a major public health problem, as up to 50% of hospitalized patients suffer from undernutrition. Adequate nutritional support (NS) decreases morbidity/mortality, shortens the length of stay, and reduces costs. We aimed to evaluate the engagement of Portuguese gastroenterology departments in NS, especially in artificial nutrition (AN). Methods: Cross-sectional multicentric study, using an online survey sent to 31 Portuguese gastroenterology departments. Results: Nine centers were involved, and all departments were engaged in NS activities. The most performed nutrition technique was endoscopic gastrostomy and not all departments had the expertise to perform all nutrition procedures, namely, endoscopic jejunostomy. Two departments had an AN outpatient clinic. Five centers were involved in hospital nutrition committees. Only four performed systematic nutritional evaluation of every patient on admission. Two departments developed research in the nutrition field. An increase staff and nutrition training were pointed out as suggestions to improve NS. Conclusions: This study outlines a broad picture of NS/AN in Portuguese gastroenterology departments. Medical nutritional training and increasing nutrition teams' staff may contribute to developing NS/AN. Multidisciplinary management of nutrition-related disorders is of utmost importance, and gastroenterologists are expected to be at the core of hospital nutrition.
Databáze:	MEDLINE
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