PD129 - NUTRITIONAL STATUS AND CLINICAL OUTCOMES OF ADULT PATIENTS RECEIVING PARENTERAL NUTRITION AT A TERTIARY CARE CENTER IN PARAGUAY: A 2024 OBSERVATIONAL STUDY

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PD129

NUTRITIONAL STATUS AND CLINICAL OUTCOMES OF ADULT PATIENTS RECEIVING PARENTERAL NUTRITION AT A TERTIARY CARE CENTER IN PARAGUAY: A 2024 OBSERVATIONAL STUDY

M. GOIBURU1,*, G. BATAGLIA1, S. GOMEZ1, P. ORTIZ1, B. FIGUEREDO2

1NUTRICION PARENTERAL, 2CUIDADOS INTENSIVOS, HOSPITAL DE CLÍNICAS, ASUNCION, Paraguay

 

Rationale: Parenteral nutrition (PN) is essential when enteral feeding is not feasible; however, data from low- and middle-income countries remain limited. This study aimed to describe the nutritional status, clinical characteristics, and complications of adults receiving PN.

Methods: A retrospective, cross-sectional study was conducted at the Hospital de Clínicas, Universidad Nacional de Asunción. Adult patients (≥18 years) who received PN for > 48 hours during 2024 were included. Descriptive statistics were used.

Results: A total of 49 patients were included (mean age 60 ± 16.7 years; 73.5% male). Most had surgical diagnoses (81.6%) and were admitted to intensive care or surgical wards. Overall mortality was 16.3%. According to the Patient-Generated Subjective Global Assessment (PG-SGA), 93.9% were malnourished, with mean score 13.97 ± 5.85, indicating critical need for nutritional intervention.

The most common indications for PN were major surgery without enteral access (28.6%), peritonitis (18.4%), enterocutaneous fistula (14.3%), and bowel obstruction (14.3%). All PN was administered via central access. The mean time to PN initiation was 131 ± 123 hours, with mean duration 10.2 ± 6.0 days.

Hyperglycemia was the most frequent complication (77.6%), followed by hypertriglyceridemia (36.7%) and hepatic dysfunction (22.4%). Catheter-related infections were uncommon (4.8%). No cases of refeeding syndrome were observed.

Conclusion: In this critically ill and surgical older population, mortality was relatively low. Despite a tendency toward overweight, most patients were malnourished and at high nutritional risk. Hyperglycemia was the most frequent metabolic complication, whereas catheter-related infections were uncommon. These findings underscore the importance of early nutritional assessment and metabolic monitoring.

Disclosure of Interest: None declared