PP054 - A NATIONAL SURVEY OF SUPPLEMENTAL PARENTERAL NUTRITION PRACTICES IN ADULT INTENSIVE CARE UNITS
PP054
A NATIONAL SURVEY OF SUPPLEMENTAL PARENTERAL NUTRITION PRACTICES IN ADULT INTENSIVE CARE UNITS
J. C. LOPEZ DELGADO1,2,*, J. Gallardo-Anciano3, E. Portugal-Rodriguez4, L. Bordeje-Laguna5, C. Lorencio-Cardenas6, M. Cerezo-Arias7, C. Vaquerizo-Alonso8, L. Servia-Goixart9, J. L. Flordelis-Lasierra10, J. C. Yebenes-Reyes11, S. Aldunate-Calvo12, L. Macaya-Redin13, L. Sanchez-Ales14, A. Garcia-Miguelez15, L. Mateu-Campos16, A. Martínez de la Gándara13, M. Gero-Escapa17, I. Martínez de Lagrán Zurbano11, C. Gonzalez-Iglesias18 on behalf of Critical Care WG of Spanish Society of Clinical Nutrition & Metabolism (SENPE)
1Medical ICU, Hospital Clínic de Barcelona, 2University of Barcelona, Barcelona, 3Pharmacy, Hospital San Pedro, Logroño, 4Intensive Care Medicine, Hospital Clínico de Valladolid, Valladolid, 5Intensive Care Medicine, Hospital Germans Trias i Pujol, Badalona, 6Intensive Care Medicine, Hospital Josep Trueta, Girona, 7Intensive Care Medicine, Hospital Universitario de Badajoz, Badajoz, 8Intensive Care Medicine, Hospital de Fuenlabrada, Fuenlabrada (Madrid), 9Intensive Care Medicine, Hospital Arnau de Vilanova, Lleida, 10Intensive Care Medicine, Hospital 12 de Octubre, Madrid, 11Intensive Care Medicine, Hospital de Mataro, Mataro, 12Intensive Care Medicine, Hospital Universitario de Navarra, Pamplona, 13Intensive Care Medicine, Hospital Infanta Leonor, Madrid, 14Intensive Care Medicine, Hospital de Terrassa, Terrassa, 15Intensive Care Medicine, Hospital Marqués de Valdecilla, Santander, 16Intensive Care Medicine, Hospital Universitario de Castellon, Castello de la Plana, 17Intensive Care Medicine, Hospital Universitario de Burgos, Burgos, 18Intensive Care Medicine, Hospital San Jorge, Huesca, Spain
Rationale: Supplemental parenteral nutrition(SPN) is a nutritional strategy aimed at preventing cumulative energy-protein deficits and optimizing nutritional therapy. This study aimed to describe current clinical practice regarding SPN in Spain.
Methods: We conducted a cross-sectional observational study based on an online survey. A 23-item questionnaire was developed: 6 questions on sociodemographic data and ICU characteristics, and 17 questions addressing knowledge, prescribing attitudes, and monitoring practices related to SPN. The survey was targeted for healthcare professionals involved in clinical nutrition of critically ill. It was disseminated between January and June 2024 through allied scientific societies. Statistical analysis was performed using SPSS 25.0.
Results: A total of 179 professionals from 16 Spanish regions answered, 72% of whom were intensivists. Although 89% reported being familiar with the concept of SPN, only 42% had a specific protocol available, and 49.7% considered themselves up to date on SPN-related issues. Enteral nutrition intolerance was identified as the main trigger for SPN initiation(86%), while the primary goal of SPN prescription was to meet energy-protein requirements and prevent malnutrition(94.4%). Intensivists were the main prescribers(87.2%); however, in units without a protocol, pharmacists participated more frequently in SPN prescribing (10.7%vs.34.6%;P=0.007). The presence of a protocol was associated with more appropriate timing of SPN initiation (58.7%vs.25%;P=0.005), greater use of indirect calorimetry (34.7%vs10.6%;P<0.001), and more frequent documentation of SPN use in discharge reports (25.3%vs.9.7%;P=0.01).
Conclusion: SPN management appears to have substantial room for improvement. The presence of a specific protocol may have positively influence prescribing practices, monitoring, and clinical documentation.
References: Berger MM,et al. Crit Care.2022;26(1):271.
Disclosure of Interest: None declared