LB050 - NUTRITION CARE PRACTICES AND SHORT-TERM OUTCOMES IN CRITICALLY ILL PATIENTS FROM FOUR ECUADORIAN INTENSIVE CARE UNITS: A NUTRITIONDAY 2025 MULTICENTER ANALYSIS

Linked sessions

LB050

NUTRITION CARE PRACTICES AND SHORT-TERM OUTCOMES IN CRITICALLY ILL PATIENTS FROM FOUR ECUADORIAN INTENSIVE CARE UNITS: A NUTRITIONDAY 2025 MULTICENTER ANALYSIS

C. García Cruz 1, I. S. Alvarado Aguilera2,*, J. Vivar 3, M. Chung Sang4, M. Cabadiana5, C. Arteaga-Pazmiño6, E. Frias-Toral 7 on behalf of on behalf of nDay Ecuador working group, R. Zambrano-Villacres8, S. Tarantino 9, M. Hiesmayr 9, D. Uchuari10

1Jefe departamento de Medicina Crítica , Hospital Solca , Guayaquil, 2Escuela de Medicina , Universidad Espiritu Santo, Samborondon, 3Jefe Unidad de Cuidados Intermedios , Hospital Solca , 4Cuidados Intensivos, Clinica Panamericana, 5Area Técnica de Nutrición, Hospital de especialidades Dr Teodoro Maldonado Carbo, 6Carrera de Nutrición y Dietética, Universidad de Guayaquil, Guayaquil, 7Escuela de Medicina, Universidad Espíritu Santo, 8Facultad de Ciencias de la Salud y Desarrollo Humano, Universidad ECOTEC, Samborondon, Ecuador, 9Center for Medical Data Science, Medical University of Vienna, Vienna, Austria, 10Servicio de Cuidados Intensivos, Hospital SOLCA, Guayaquil, Ecuador

 

Rationale: To describe nutrition care structures, nutritional support practices, and clinical outcomes among critically ill patients included in nutritionDay (nDay) 2025  across four Ecuadorian ICUs.

Methods: A multicenter descriptive analysis with aggregated data from 4 Ecuadorian ICU nDay 2025 unit reports. Unit structures, patient characteristics, route of nutritional support on nDay, planned caloric prescription, 60-day outcomes were summarized using counts, percentages, and reported medians or means.

Results: A total of 65 ICU patients from four units were included. Most were male (63.1%), with a median age of 51–70 years and a mean BMI of 24.5–27.0 kg/m². Surgical procedures were common, including 11 elective and 23 emergency surgeries, while 25 patients had no surgery. Bedridden status varied across units (5.0%–64.7%). Nutritional support included oral feeding (52.3%), enteral nutrition (33.8%), parenteral nutrition (18.5%), and no nutritional support (10.8%). Prescribed energy intake ranged from 303 to 1,240 kcal/day. At 60-day follow-up, 41 patients had been discharged home and 8 deaths were reported.

Conclusion: This Ecuadorian multicenter nDay ICU analysis shows marked heterogeneity in patient profiles, nutritional support routes, and caloric prescription practices. Oral and enteral nutrition were the most common approaches, but a relevant proportion of patients received parenteral nutrition or no nutrition on nDay. These findings support the need to strengthen ICU nutrition protocols, improve documentation of nutrition delivery and outcomes, and continue national benchmarking through nDay participation.

Disclosure of Interest: None declared