43 results on '"García Peris, Pilar"'
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2. Protocolo de implantación de un cribado para la detección precoz del riesgo nutricional en un hospital universitario
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García-Peris, Pilar, Velasco Gimeno, Cristina, Frías Soriano, Laura, Higuera Pulgar, Isabel, Bretón Lesmes, Irene, Camblor Álvarez, Miguel, Motilla de la Cámara, Marta, and Cuerda Compés, Cristina
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- 2019
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3. Evolution of nutritional status and survival in patients with cancer on tyrosine kinase inhibitors treatment
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Higuera-Pulgar, Isabel, Ribed, Almudena, Carrascal-Fabian, M. Luisa, Romero-Jiménez, Rosa M., Velasco-Gimeno, Cristina, Bretón-Lesmes, Irene, Camblor-Álvarez, Miguel, Cuerda-Compes, Cristina, and García-Peris, Pilar
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- 2019
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4. Evolución nutricional y de la supervivencia en un grupo de pacientes oncológicos en tratamiento con inhibidores de tirosina quinasa
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Higuera-Pulgar, Isabel, Ribed, Almudena, Carrascal-Fabian, M. Luisa, Romero-Jiménez, Rosa M., Velasco-Gimeno, Cristina, Bretón-Lesmes, Irene, Camblor-Álvarez, Miguel, Cuerda-Compes, Cristina, and García-Peris, Pilar
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- 2019
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5. Impact of kitchen organization on oral intake of malnourished inpatients: A two-center study
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Calleja-Fernández, Alicia, Velasco-Gimeno, Cristina, Vidal-Casariego, Alfonso, Pintor-de-la-Maza, Begoña, Frías-Soriano, Laura, Villar-Taibo, Rocío, García-Peris, Pilar, Cano-Rodríguez, Isidoro, García-Fernández, Camino, and Ballesteros-Pomar, María D.
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- 2017
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6. Nutrition-related risk indexes and long-term mortality in noncritically ill inpatients who receive total parenteral nutrition (prospective multicenter study)
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Tapia, María José, Ocón, Julia, Cabrejas-Gómez, Carmen, Ballesteros-Pomar, María D., Vidal-Casariego, Alfonso, Arraiza-Irigoyen, Carmen, Olivares, Josefina, Conde-García, Mª Carmen, García-Manzanares, Álvaro, Botella-Romero, Francisco, Quílez-Toboso, Rosa P., Cabrerizo, Lucio, Rubio, Miguel A., Chicharro, Luisa, Burgos, Rosa, Pujante, Pedro, Ferrer, Mercedes, Zugasti, Ana, Petrina, Estrella, Manjón, Laura, Diéguez, Marta, Carrera, Mª José, Vila-Bundo, Anna, Urgelés, Juan Ramón, Aragón-Valera, Carmen, Sánchez-Vilar, Olga, Bretón, Irene, García-Peris, Pilar, Muñoz-Garach, Araceli, Márquez, Efren, Olmo, Dolores del, Pereira, José Luis, Tous, María C., and Olveira, Gabriel
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- 2015
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7. Hypoglycemia in noncritically ill patients receiving total parenteral nutrition: A multicenter study.: (Study group on the problem of hyperglycemia in parenteral nutrition; Nutrition area of the Spanish Society of Endocrinology and Nutrition)
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Olveira, Gabriel, Tapia, María José, Ocón, Julia, Cabrejas-Gómez, Carmen, Ballesteros-Pomar, María D., Vidal-Casariego, Alfonso, Arraiza-Irigoyen, Carmen, Olivares, Josefina, Conde-García, M<ce:sup loc='post">a</ce:sup> Carmen, García-Manzanares, Álvaro, Botella-Romero, Francisco, Quílez-Toboso, Rosa P., Matía, Pilar, Rubio, Miguel Ángel, Chicharro, Luisa, Burgos, Rosa, Pujante, Pedro, Ferrer, Mercedes, Zugasti, Ana, Petrina, Estrella, Manjón, Laura, Diéguez, Marta, Carrera, M<ce:sup loc='post">a</ce:sup> José, Vila-Bundo, Anna, Urgelés, Juan Ramón, Aragón-Valera, Carmen, Sánchez-Vilar, Olga, Bretón, Irene, García-Peris, Pilar, Muñoz-Garach, Araceli, Márquez, Efren, Olmo, Dolores del, Pereira, José Luis, and Tous, María C.
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- 2015
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8. The Subjective Global Assessment Predicts In-Hospital Mortality Better than Other Nutrition-Related Risk Indexes in Noncritically Ill Inpatients Who Receive Total Parenteral Nutrition in Spain (Prospective Multicenter Study)
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Olveira, Gabriel, Tapia, María José, Ocón, Julia, Cabrejas-Gómez, Carmen, Ballesteros-Pomar, María D., Vidal-Casariego, Alfonso, Arraiza-Irigoyen, Carmen, Olivares, Josefina, Conde-García, Mª Carmen, García-Manzanares, Álvaro, Botella-Romero, Francisco, Quílez-Toboso, Rosa P., Cabrerizo, Lucio, Rubio, Miguel A., Chicharro, Luisa, Burgos, Rosa, Pujante, Pedro, Ferrer, Mercedes, Zugasti, Ana, Manjón, Laura, Diéguez, Marta, Carrera, Mª José, Vila-Bundo, Anna, Urgelés, Juan Ramón, Aragón-Valera, Carmen, Rovira, Adela, Bretón, Irene, García-Peris, Pilar, Muñoz-Garach, Araceli, Márquez, Efren, Del Olmo, Dolores, Pereira, José Luis, and Tous, María C.
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- 2013
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9. Influence of resting energy expenditure on weight gain in adolescents taking second-generation antipsychotics
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Cuerda, Cristina, Merchan-Naranjo, Jessica, Velasco, Cristina, Gutierrez, Alberto, Leiva, Marta, de Castro, Maria J., Parellada, Mara, Giráldez, Marisa, Bretón, Irene, Camblor, Miguel, García-Peris, Pilar, Dulín, Elena, Sanz, Inmaculada, Desco, Manuel, and Arango, Celso
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- 2011
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10. Phytosterolemia in parenteral nutrition patients: Implications for liver disease development
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Llop, Josep M., Virgili, Núria, Moreno-Villares, José M., García-Peris, Pilar, Serrano, Teresa, Forga, Maria, Solanich, Joan, and Pita, Ana M.
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- 2008
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11. Clinical and economic impact of the taurolidine lock on home parenteral nutrition
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Arnoriaga Rodríguez, María, Pérez de Ciriza Cordeu, Maite, Camblor Álvarez, Miguel, Bretón Lesmes, Irene, Motilla de la Cámara, Marta, Velasco Gimeno, Cristina, Arhip, Loredana, García Peris, Pilar, and Cuerda Compés, Cristina
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Taurolidine ,Infecciones asociadas al catéter (IAC) ,Catheter-related bloodstream infection (CRBSI) ,Home parenteral nutrition (HPN) ,Taurolidina ,Nutrición parenteral domiciliaria (NPD) ,Costes ,Catéter venoso central (CVC) ,Central venous catheter (CVC) ,Costs - Abstract
Introduction: catheter-related bloodstream infections (CRBSI) are one of the most serious concerns in patients on home parenteral nutrition (HPN) which involve high morbidity and cost for the healthcare system. In the last years, taurolidine lock has proven to be beneficial in the prevention of CRBSI; however, the evidence of its efficiency is limited. Objective: to determine if taurolidine lock is a cost-effective intervention in patients on HPN. Materials and methods: retrospective study in patients on HPN with taurolidine lock. We compared the CRBSI rate and cost of its complications before and during taurolidine lock. Results: thirteen patients, six (46%) males and seven (54%) females, with a mean age of 61.08 (SD = 14.18) years received taurolidine lock. The total days of catheterization pre and per-taurolidine were 12,186 and 5,293, respectively. The underlying disease was benign in five patients (38.5%) and malignant in eight (61.5%). The CRBSI rate pre vs per-taurolidine was 3.12 vs 0.76 episodes per 1,000 catheter days (p = 0.0058). When the indication was a high CRBSI rate, this was 9.72 vs 0.39 (p < 0.001) in pre and per-taurolidine period respectively. No differences have been observed in the occlusion rates. None of the patients reported any adverse effects. The total cost of CRBSI in the pre-taurolidine period was 151,264.14 euros vs 24,331.19 euros in the per-taurolidine period. Conclusions: our study shows that taurolidine lock is a cost-effective intervention in patients on HPN with high risk of CRBSI. Resumen Introducción: las infecciones asociadas al catéter (IAC) son una de las complicaciones más serias en pacientes con nutrición parenteral domiciliara (NPD), generando una alta morbilidad y costes sanitarios. En los últimos años, el sellado con taurolidina ha demostrado ser eficaz en su prevención, si bien la evidencia en cuanto a su eficiencia es escasa. Objetivo: determinar si el sellado del catéter con taurolidina es una intervención coste-efectiva en pacientes con NPD. Materiales y métodos: estudio retrospectivo de pacientes con NPD que recibieron sellados con taurolidina. Comparamos la incidencia de IAC antes y durante el tratamiento y los costes asociados. Resultados: el estudio incluyó trece pacientes, seis (46%) varones y siete (54%) mujeres, con edad media de 61,08 (± 14,18) años y un seguimiento de 12.186 y 5.293 días antes y durante el uso de taurolidina. La enfermedad de base era benigna en cinco pacientes (38,5%) y maligna en ocho (61,5%). La tasa de IAC antes y durante el sellado con taurolidina fue de 3,12 vs. 0,76 episodios por 1.000/días de catéter (p = 0,0058). Cuando la indicación fue por alta tasa de IAC, esta fue de 9,72 vs. 0,39 (p < 0,001) episodios por 1.000/días de catéter antes y durante el tratamiento. No hubo diferencias en la tasa de oclusión del catéter en ambos periodos. No se reportaron efectos adversos. El coste total de las IAC antes y durante el uso de taurolidina fue de 151.264,14 euros vs. 24.331,19 euros. Conclusiones: nuestro estudio muestra que los sellados con taurolidina son coste-efectivos en pacientes con NPD con alta tasa de infección.
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- 2019
12. Diagnóstico y tratamiento de la disfagia orofaríngea funcional. Aspectos de interés para el cirujano digestivo
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Clavé, Pere, Arreola, Viridiana, Velasco, Mercedes, Quer, Miquel, Maria Castellví, Josep, Almirall, Jordi, García Peris, Pilar, and Carrau, Ricardo
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- 2007
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13. 12th “Jesús Culebras” Lesson. Feeding and nutrition in patients with head and neck cancer — a permanent challenge
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García Peris, Pilar, primary
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- 2021
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14. Parenteral Nutrition–Associated Hyperglycemia in Non–Critically Ill Inpatients Increases the Risk of In-Hospital Mortality (Multicenter Study)
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Olveira, Gabriel, Tapia, María José, Ocón, Julia, Cabrejas-Gómez, Carmen, Ballesteros-Pomar, María D., Vidal-Casariego, Alfonso, Arraiza-Irigoyen, Carmen, Olivares, Josefina, Conde-García, Maria del Carmen, García-Manzanares, Álvaro, Botella-Romero, Francisco, Quílez-Toboso, Rosa P., Cabrerizo, Lucio, Matia, Pilar, Chicharro, Luisa, Burgos, Rosa, Pujante, Pedro, Ferrer, Mercedes, Zugasti, Ana, Prieto, Javier, Diéguez, Marta, Carrera, María José, Vila-Bundo, Anna, Urgelés, Juan Ramón, Aragón-Valera, Carmen, Rovira, Adela, Bretón, Irene, García-Peris, Pilar, Muñoz-Garach, Araceli, Márquez, Efren, del Olmo, Dolores, Pereira, José Luis, and Tous, María C.
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- 2013
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15. Prospective study of resting energy expenditure changes in head and neck cancer patients treated with chemoradiotherapy measured by indirect calorimetry
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García-Peris, Pilar, Lozano, Miguel Angel, Velasco, Cristina, de La Cuerda, Cristina, Iriondo, Teresa, Bretón, Irene, Camblor, Miguel, and Navarro, Carlos
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- 2005
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16. 12.ª Lección Jesús Culebras. La alimentación y la nutrición en los enfermos con cáncer de cabeza y cuello: un reto permanente.
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García Peris, Pilar
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HEAD tumors , *DEGLUTITION , *ENTERAL feeding , *DIETETICS , *NECK tumors , *NUTRITIONAL status - Abstract
Introduction: Head and neck cancer patients are a population at permanent nutritional risk. In addition to the presence of the tumour, the reason for this is the tumour's location, which affects all structures involved in the swallowing process. The side effects of the oncological treatments they must receive during the course of their illness-surgery, chemo-radiotherapy, etc.-only further burden an already precarious nutritional status. For all these reasons, it is essential that, from the diagnosis of their disease, a multidisciplinary team including specialists in dietetics and nutrition supervises them. [ABSTRACT FROM AUTHOR]- Published
- 2022
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17. Increased Metabolic Risk in Adolescents Patients Treated with Atypical Antipsychotic Drugs: Preliminary Results: 002
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Cuerda, Cristina, Velasco, Cristina, de Castro, María, Paron, Leandra, Ruíz, Ana, Bretón, Irene, Camblor, Miguel, and García-Peris, Pilar
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- 2007
18. Clinical and economic impact of the taurolidine lock on home parenteral nutrition
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Arnoriaga Rodríguez, María, primary, Pérez de Ciriza Cordeu, Maite, additional, Camblor Álvarez, Miguel, additional, Bretón Lesmes, Irene, additional, Motilla de la Cámara, Marta, additional, Velasco Gimeno, Cristina, additional, Arhip, Loredana, additional, García-Peris, Pilar, additional, and Cuerda Compés, Cristina, additional
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- 2018
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19. Ingesta dietética de pacientes adultos con esofagitis eosinofílica que siguen una dieta de exclusión de seis grupos de alimentos
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Higuera-Pulgar, Isabel, Bretón-Lesmes, Irene, Carrascal-Fabián, M.ª Luisa, Prieto-García, Alicia, Menchén-Viso, Luis, Nogales-Rincón, Óscar, Covadonga Iglesias-Hernández, Natalia, Isasa-Rodríguez, Leire, and García-Peris, Pilar
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Dietary treatment ,Esofagitis eosinofílica ,Eosinophilic esophagitis ,Dietary intake ,Ingesta oral ,Tratamiento dietético - Abstract
Introducción: la esofagitis eosinofílica (EEo) es una enfermedad inmunoalérgica crónica emergente en adultos. Surge como respuesta disfuncional frente a los antígenos de los alimentos y se caracteriza por síntomas recurrentes de disfunción esofágica e inflamación. El tratamiento farmacológico y dietético se basa en su patogénesis y debe ser individualizado. Uno de los posibles abordajes dietéticos se basa en la eliminación empírica de alimentos que con mayor frecuencia causan EEo. Objetivo: evaluar la ingesta dietética de los pacientes con EEo que siguen la dieta de exclusión de los seis grupos de alimentos (DESGA) y conocer sus posibles carencias nutricionales. Métodos: estudio transversal descriptivo en un grupo de pacientes con EEo que inició tratamiento con DESGA durante el periodo de marzo del 2013 hasta marzo del 2015. Se evaluó la ingesta mediante registro de 72 h. Se compararon los resultados con las referencias para población adulta sana española Moreiras, 2013. Para el análisis estadístico se usaron los test de Mann-Whitney, Krhuskall-Wallis y chi cuadrado. Significación p < 0,05. Resultados: se incluyeron en el estudio 14 pacientes. En algunos de ellos, la ingesta dietética siguiendo DESGA fue deficitaria en energía, proteínas y fibra. Tampoco consiguieron cubrir las ingestas de micronutrientes de calcio, zinc, magnesio, ácido fólico, niacina y vitaminas B2 y D, teniendo en cuenta edad y sexo, el 60% de la muestra. Conclusiones: el abordaje terapéutico mediante DESGA, teniendo en cuenta las características de la dieta, debe acompañarse de una evaluación periódica del estado nutricional, que incluya micronutrientes y una pauta de suplementación específica. Introduction: Eosinophilic esophagitis (EoE) is an emerging chronic immune/antigen mediated inflammatory disease in adults. It develops as a dysfunctional response to food antigens and is characterized by recurrent symptoms of esophageal dysfunction and inflammation. Drug and dietary treatment are based on its pathogenesis and should be individualized. One of the possible dietary approaches is based on empirical elimination of foods which most commonly cause EoE. Objective: To evaluate dietary intake of patients who follow the diet consisting of the exclusion of six food groups (DESGA) and to know its potential nutritional deficiencies. Methods: Cross-sectional study of patients who started treatment with DESGA diet between March 2013 and March 2015. A 72 h dietary record was completed. The results were compared with the references for the Spanish healthy adult population Moreiras, 2013. Statistical analysis included Mann-Whitney, Kruskal-Wallis and Chi-square tests. Significance was set at p < 0.05. Results: The study included 14 patients. For some of them, the DESGA diet was deficient inenergy, protein and fiber. Taking into account age and sex, sixty percent of the sample did not get adequate amount of calcium, zinc, magnesium, folic acid, niacin, vitamin B2 and vitamin D. Conclusions: Considering the characteristics of the DESGA diet, this therapeutic approach must be accompanied by a periodic assessment of nutritional status, including micronutrients and a pattern of specific supplementation.
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- 2016
20. Ingesta dietética y estado nutricional de pacientes oncológicos que inician tratamiento con inhibidores tirosina quinasa
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Higuera-Pulgar, Isabel, Ribed, Almudena, Carrascal-Fabian, M.ª Luisa, Bretón-Lesmes, Irene, Romero-Jiménez, Rosa M.ª, Cuerda-Compes, Cristina, Velasco-Gimeno, Cristina, Camblor-Álvarez, Miguel, and García-Peris, Pilar
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Ingesta dietética ,Antineoplastic agent ,Nutrition status ,Estado nutricional ,Dietary intake ,Patrones dietéticos ,Dietary patterns ,Antineoplásico oral - Abstract
Introduccion: la investigacion sobre nuevos antineoplasicos orales sigue avanzando en los ultimos anos mientras que su repercusion sobre la ingesta dietetica y el estado nutricional (EN) no progresa de la misma forma. Objetivos: evaluar la ingesta dietetica y EN de pacientes que inician tratamiento con inhibidores tirosina quinasa (ITK) y valorar el impacto que tienen sobre ellos. Metodos: estudio observacional y prospectivo de seis meses en el que se incluyeron pacientes que iniciaban tratamiento con ITK. La ingesta se evaluo con: recuerdo 24 h y cuestionario de frecuencia de consumo. El EN se valoro con: medidas antropometricas y cuestionario de valoracion subjetiva global generada por el paciente (VSGGP); los resultados se compararon con las referencias SENC-semFYC, 2007 y Moreiras O., 2013. Para el analisis estadistico se utilizaron: Test de Friedman, χ2, Wilcoxon, Kruskall-Wallis y Mann-Whitney. Significacion p
- Published
- 2015
21. Implantación de un sistema de gestión de calidad en una unidad de nutrición según la norma UNE-EN-ISO 9001:2008
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Velasco Gimeno, Cristina, Cuerda Compés, Cristina, Alonso Puerta, Alba, Frías Soriano, Laura, Camblor Álvarez, Miguel, Bretón Lesmes, Irene, Plá Mestre, Rosa, Izquierdo Membrilla, Isabel, and García-Peris, Pilar
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Quality management system ,Clinical nutrition ,2008 [ISO 9001] ,Nutrición clínica ,Sistema de gestión de calidad - Abstract
Introducción: la implantación de sistemas de gestión de calidad (SGC) en el sector sanitario ha presentado un gran avance en los últimos años, siendo una herramienta clave para la gestión y la mejora de los servicios ofrecidos a los pacientes. Objetivo: describir el proceso de implantación de un SGC según la Norma ISO 9001:2008 en una unidad de nutrición. Material y métodos: el proceso comenzó en octubre de 2012. Se contó con la asesoría del servicio de medicina preventiva y gestión de calidad (MPGC) del hospital. Al inicio se realizaron sesiones formativas sobre SGC y normas ISO para el personal. Se instauró un comité de calidad (CC) con representación del personal facultativo y de enfermería. Semanalmente, se reunían los miembros del CC y del servicio de MPGC para definir los procesos, los procedimientos y los indicadores de calidad. Antes de validarlos se probaron durante dos meses. Resultados: se identificaron y documentaron un total de 4 procesos (Valoración del estado nutricional, Indicación de tratamiento nutricional, Seguimiento del tratamiento nutricional y Planificación y control de la alimentación oral) y 13 procedimientos operativos donde quedó recogida toda la actividad de la unidad. Las interacciones entre ellos quedaron definidas en el mapa de procesos. En cada uno de los procesos se identificaron indicadores de calidad para medir el estado del SGC y detectar oportunidades de mejora. Se desarrollaron todos los documentos asociados a requerimientos de la Norma ISO 9001:2008: política de calidad, objetivos de calidad, manual de calidad, procedimiento de control de la documentación y registros, de auditoría interna, de no conformidad y de acciones correctivas y preventivas. La unidad obtuvo la certificación de AENOR en abril de 2013. Conclusiones: la implantación de un SGC supone hacer una reflexión sobre las actividades que realiza la unidad con el objetivo de satisfacer las expectativas de los usuarios que demandan nuestros servicios. Documentar dichas actividades asegura un mejor entendimiento de la organización, define las responsabilidades de todo el personal y provoca una mejor gestión del tiempo y los recursos. También mejora la comunicación interna y supone un elemento motivador. Explorar la satisfacción y expectativas de los pacientes permite incluir su punto de vista en el diseño de los procesos asistenciales. Introduction: the implementation of quality management systems (QMS) in the health sector has made great progress in recent years, remains a key tool for the management and improvement of services provides to patients. Aim: to describe the process of implementing a quality management system (QMS) according to the standard ISO 9001:2008 in a Nutrition Unit. Methods: the implementation began in October 2012. Nutrition Unit was supported by Hospital Preventive Medicine and Quality Management Service (PMQM). Initially training sessions on QMS and ISO standards for staff were held. Quality Committee (QC) was established with representation of the medical and nursing staff. Every week, meeting took place among members of the QC and PMQM to define processes, procedures and quality indicators. We carry on a 2 months follow-up of these documents after their validation. Results: a total of 4 processes were identified and documented (Nutritional status assessment, Nutritional treatment, Monitoring of nutritional treatment and Planning and control of oral feeding) and 13 operating procedures in which all the activity of the Unit were described. The interactions among them were defined in the processes map. Each process has associated specific quality indicators for measuring the state of the QMS, and identifying opportunities for improvement. All the documents associated with requirements of ISO 9001:2008 were developed: quality policy, quality objectives, quality manual, documents and records control, internal audit, nonconformities and corrective and preventive actions. The unit was certified by AENOR in April 2013. Conclusion: the implementation of a QMS causes a reorganization of the activities of the Unit in order to meet customer's expectations. Documenting these activities ensures a better understanding of the organization, defines the responsibilities of all staff and brings a better management of time and resources. QMS also improves the internal communication and is a motivational element. Explore the satisfaction and expectations of patients can include their view in the design of care processes.
- Published
- 2015
22. Seguimiento del estado nutricional y calidad de vida de pacientes que inician tratamiento con inhibidores tirosin kinasa
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Ribed, Almudena, Romero-Jiménez, Rosa M.ª, Cuerda-Compes, Cristina, Higuera-Pulgar, Isabel, Carrascal-Fabian, M.ª Luisa, Escudero-Vilaplana, Vicente, Arranz-Arija, Jose Angel, García-Peris, Pilar, and Sanjurjo-Sáez, María
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Paciente oncológico ,Quality of life ,Oncology ,Antineoplastic agent ,Nutrition status ,Estado nutricional ,Antineoplasico oral ,Calidad de vida ,outpatient - Abstract
Introducción y objetivo: El consumo de antineoplásicos orales y concretamente de inhibidores tirosin kinasa (ITK) se ha incrementado en los últimos años. Son terapias mejor toleradas y, sin embargo, las alteraciones nutricionales relativas a su uso clínico diario y crónico están aún en estudio. El presente estudio valora la repercusión de los ITK sobre la ingesta, estado nutricional y micronutrientes y valora la calidad de vida de estos pacientes. Métodos: Se realizó un estudio prospectivo y longitudinal en el que se incluyeron aquellos pacientes adultos que iniciaron tratamiento con algún ITK de julio 2012 a junio 2013 con un periodo de seguimiento de 6 meses. Se recogieron variables demográficas, farmacoterapéuticas, nutricionales, bioquímicas y el cuestionario EORTC-QLQ30 al inicio, primer, tercer y sexto mes de tratamiento. Resultados: Se incluyeron 31 pacientes. El porcentaje de pérdida de peso al inicio del tratamiento se relacionó estadísticamente con la clasificación de la Valoración Subjetiva Global-generada por el paciente. Tras un mes de tratamiento descendió el apetito, las calorías consumidas y un 62,1% de los pacientes perdió peso, 55,5% al tercer mes y 70,6% al sexto mes. Entre un 6-17% de los pacientes sufría algún grado de desnutrición durante el seguimiento y se detectó una disminución de los niveles plasmáticos de calcio, fosfato y magnesio. En el EORTC QLQ-30, la escala emocional fue la peor puntuada y los síntomas más comunes al inicio de tratamiento fueron la fatiga y pérdida de apetito, aumentando progresivamente las náuseas, vómitos y la diarrea. Discusión: Los pacientes tratados con ITK no presentaron una desnutrición importante. A la vista de los resultados es importante valorar la pérdida de peso al inicio de tratamiento, monitorizar los niveles de calcio y el fosfato durante el tratamiento, aconsejar y prevenir al paciente sobre los efectos gastrointestinales (náuseas, vómitos y diarrea) y reforzar emocionalmente al paciente. Background and Objective: The consumption of oral antineoplastics -and more particularly of tyrosinekinase inhibitors (TKI)- has increased in recent years. These therapies show a better tolerance but still, the nutritional alterations related to their daily and chronic clinical use are under investigation. This study assesses the effects of TKI on the intake, nutritional status and micronutrients as well as the patients quality of life. Methods: A prospective longitudinal study was conducted including adult patients having started some TKI treatment from July 2012 to June 2013, and a 6 month follow-up period was established. Demographic pharmacotherapeutic, nutritional and biochemical variables were collected and also a EORTC-QLQ30 questionnaire at baseline, first, third and sixth month of treatment. Results: 31 patients were included in the study. The percentage of weight loss at treatment baseline was statistically matched to the results on the patient-generated Global Subjective Assessment. Appetite decreased after one month of treatment, and so did the calorie consumption; 62.1% of the patients lost weight, 55.5% on the third month and 70.6% on the sixth month. 6-17% of the patients suffered from malnutrition to some degree during the follow-up period and a decrease of calcium, phosphate and magnesium plasma levels was detected. The emotional scale was the one with a lowest score in EORTC QLQ-30, and fatigue and lack of appetite were the most common symptoms at treatment baseline, progressively increasing those of nausea, vomits and diarrhea. Discussion: Patients treated with TKI did not show a relevant malnutrition. Considering the results, it is important to take into account weight loss at treatment baseline; it is also important to control calcium and phosphate levels during treatment, to advise and counsel the patient on the GI effects (nausea, vomits and diarrhea) and emotionally reinforce the patient.
- Published
- 2014
23. Impact of kitchen organization on oral intake of malnourished inpatients: A two-center study
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Calleja-Fernández, Alicia, Velasco-Gimeno, Cristina, Vidal-Casariego, Alfonso, Pintor-de-la-Maza, Begoña, Frías-Soriano, Laura, Villar-Taibo, Rocío, García-Peris, Pilar, Cano-Rodríguez, Isidoro, García-Fernández, Camino, and Ballesteros-Pomar, María D.
- Abstract
To determine the impact of the type of hospital kitchen on the dietary intake of patients.
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- 2024
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- View/download PDF
24. Outcomes of a general hospital-based Home Parenteral Nutrition (HPN) program: report of our experience from a 26-year period
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Higuera, Isabel, García-Peris, Pilar, Camblor, Miguel, Bretón, Irene, Velasco, Cristina, Romero, Rosa, Frias, Laura, and Cuerda, Cristina
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Home parenteral nutrition ,Complications ,Survival ,Complicaciones y supervivencia ,Nutrición Parenteral Domiciliaria - Abstract
Background: Home parenteral nutrition (HPN) was introduced in Spain in the late 1980s. Our hospital was a pioneering medical centre in this field. Aim: Analyze outcomes of our HPN program. Methods: Retrospective study of patients receiving HPN between 1986-2012. Study variables are expressed as frequency, mean ± SD (range), median [interquartile range]. Parametrics, non-parametrics test and survival analysis (p < 0.05) were applied. Results: 91 patients (55 females and 36 males, mean age: 50.6 ± 5 yrs.) who received HPN for an accrual period of 55,470 days (median: 211 days [range: 63-573]) were included. The most prevalent underlying condition was cancer (49.5%), with the commonest HPN indication being short bowel syndrome (41.1%). The most frequently used catheter type was the tunneled catheter (70.7%). The complication rate was 3.58/1,000 HPN days (2.68, infection; 0.07, occlusion; 0.07 thrombosis; and 0.59, metabolic complications). Complications were consistently associated with both the underlying condition and HPN length. Infections were most frequent within the first 1,000 days of HPN. Liver disease incidence was related to HPN duration. HPN could be discontinued in 42.3% of patients. Ten-year survival rate was 42%, and varied across the underlying conditions. Conclusions: In the present series, the commonest reason for HPN was cancer. Our complication rate is in keeping with that reported in the literature. The overall survival rate was 42%, and varied across the underlying conditions. Introducción: La nutrición parenteral domiciliaria (NPD) se introdujo en España a finales de 1980. Nuestro hospital fue pionero en este campo. Objetivo: Analizar los resultados de nuestro programa de NPD. Métodos: Estudio retrospectivo de los pacientes que recibieron NPD entre 1986-2012. Las variables se expresan como frecuencias, media ± DE (rango), mediana [intervalo intercuartílico]. Se aplicaron pruebas paramétricas, no paramétricas y análisis de la supervivencia (p < 0,05). Resultados: 91 pacientes (55 mujeres, edad media: 50,6 ± 5 años). La duración total del tratamiento con NPD fue de 55.470 días (mediana: 211 días [rango: 63-573]). El diagnóstico principal y la indicación de NPD más frecuentes fueron el cáncer (49,5%) y el síndrome del intestino corto (41,1%). El tipo de catéter más utilizado fue el tunelizado (70,7%). La tasa de complicaciones totales fue de 3,58/1.000 días HPN (2,68 para infecciones; 0,07, oclusiones; 0,07 trombosis, y 0,59, complicaciones metabólicas) y se asoció al diagnóstico principal y la duración de la NPD. Las infecciones fueron más frecuentes en los primeros 1.000 días de NPD. La incidencia de hepatopatía se relacionó con la duración de este tratamiento. En el 42,3% de los pacientes se pudo suspender la NPD. La tasa de supervivencia global a los diez años fue del 42% con diferencias entre los diagnósticos principales. Conclusiones: En nuestra serie, la razón más común para la NPD fue el cáncer. Nuestra tasa de complicaciones esta acorde con la literatura. La tasa de supervivencia global fue del 42%.
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- 2014
25. Nutrición Parenteral Domiciliaria: satisfacción de los pacientes y sus cuidadores con la Unidad de Nutrición Clínica y el Servicio de Farmacia
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Arrabal Duran, Paula, Romero Jiménez, Rosa María, Cuerda Compes, Cristina, Camblor Álvarez, Miguel, Bretón Lesmes, Irene, Lorenzo Pinto, Ana de, Buendía Bravo, Silvia, Frías Soriano, Laura, García Peris, Pilar, and Sanjurjo Sáez, María
- Subjects
Encuesta ,Atención domiciliaria ,Patient's satisfaction ,Home-based Parenteral Nutrition ,Home assistance ,Satisfacción del paciente ,Survey ,Nutrición Parenteral Domiciliaria - Abstract
Introducción: La Nutrición Parenteral Domiciliaria (NPD) es una práctica en continuo crecimiento por las importantes ventajas que presenta para el paciente y el sistema sanitario. En la investigación de los resultados en salud resulta hoy en día fundamental evaluar el punto de vista del paciente. Dentro de las medidas centradas en el paciente con NPD se han realizado varios estudios sobre la calidad de vida, pero no se ha evaluado el grado de satisfacción con esta modalidad de tratamiento. Objetivos: Evaluar el grado de satisfacción de los pacientes que reciben NPD y sus cuidadores con los médicos, farmacéuticos y enfermeros de hospital. Métodos: Se repartió una encuesta anónima y que constaba de 48 preguntas cerradas a los pacientes que recibían NPD y a sus cuidadores, los cuales contestaron de forma voluntaria. Con las respuestas recogidas se creó una base de datos en el programa SPSS con las siguientes variables: datos personales, socioculturales, clínicos y relacionados con la NPD y valoración del personal sanitario implicado (área de nutrición del Servicio de Farmacia y Unidades Médica y de Enfermería de Nutrición) y de las instalaciones del hospital relacionadas con la NPD. También se incluyó un apartado de sugerencias con respuesta abierta. Resultados: Se repartieron 24 encuestas, 12 a pacientes y 12 a cuidadores. La tasa de respuesta fue un 91,7% en el caso de los pacientes y un 58,3% en los cuidadores. El 63,6% de los pacientes y el 42,9% de los cuidadores eran mujeres. La media de edad fue, respectivamente, 46,1 años (DE: 13,7) y 47,0 años (DE: 3,6). La mayoría de los pacientes (54,5%) y de los cuidadores (42,9%) tenían estudios secundarios y eran pensionistas (72,7% y 71,4%, respectivamente). Las enfermedades de base de los pacientes fueron: enteritis rádica (27,3%), obstrucción intestinal (18,2%), carcinomatosis intestinal (45,5%) y enfermedad de Crohn (9,1%). Con respecto a los ítems que evaluaban la satisfacción con médicos, enfermeros y farmacéuticos, en general tanto pacientes como cuidadores estuvieron satisfechos. Las sugerencias recogidas fueron: mayor amplitud del horario de entrega de la NPD e inclusión de información audiovisual. Conclusiones: El grado de satisfacción de los pacientes que reciben NPD y sus cuidadores con el servicio dado por médicos, enfermeros y farmacéuticos es adecuado, aunque se pueden introducir mejoras para optimizar la calidad de todo el proceso. Introduction: Home Parenteral Nutrition (HPN) is a practice in continually growing by the significant advantages involved for the patient and the healthcare system. Today, in the investigation of health outcomes is essential to assess the patient s opinion. Among the measures focused on patients with HPN, several studies about quality of life have been done, but the degree of satisfaction with this treatment modality has not been evaluated. Objective: To evaluate the degree of satisfacion of patients and their caregivers receiving HPN with doctors, pharmacists and nurses in a hospital. Material and methods: An anonymous survey was distributed, which consisted of 48 closed questions to patients and their caregivers receiving HPN who voluntarily answered. With survey responses a database in SPSS with the following variables was created: personal, sociocultural, clinical and related to HPN data and valoration of health personnel involved (nutrition area of the Pharmacy Service and Nursing and Medical Nutrition Units) and hospital facilities related to HPN. Also a section of open response suggestions was included. Results: 24 surveys were distributed, 12 to patients and 12 to caregivers. Response rate was 91.7% in the case of patients and 58.3% in the caregivers. 63.6% of patients and 42.9% of caregivers were women. Mean age was, respectively, 46.1 years (SD: 13.7) and 47.0 years (SD: 3.6). Most of patients (55.6%) and caregivers (60.0%) had secondary studies and were pensoniers (72.7% and 71.4%, respectively). Underlying diseases of patients were: radiation enteritis (27.3%), intestinal obstruction (18.2%), intestinal carcinomatosis (45.5%) and Chron s disease (9.1%). With respect to items assessing satisfaction with physicians, nurses and pharmacists, in general both patients and caregivers were satisfied. Suggestions made were: greater amplitude of delivery schedule of HPN and inclusion of audiovisual information. Conclusions: The degree of satisfaction of patients receiving HPN and their caregivers with the care given by doctors, pharmacists and nurses is appropriate, but it s possible to make improvements to optimize the quality of the whole process.
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- 2014
26. Tecnología de alimentos y evolución en los alimentos de textura modificada: del triturado o el deshidratado a los productos actuales
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Velasco, Cristina and García-Peris, Pilar
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Seguridad alimentaria ,Texture modified diet ,Tecnología de alimentos ,Dieta textura modificada ,Dieta puré ,Pureed diet ,Food technology ,Food safety - Abstract
Las dietas trituradas son unas de las dietas más utilizadas en hospitales y residencias de ancianos. Estas dietas elaboradas de manera tradicional pueden tener un bajo valor nutricional, especialmente suelen tener bajo contenido en energía y proteínas. Su uso continuado puede provocar déficits nutricionales y comprometer el estado nutricional del paciente. Durante las últimas décadas hemos visto cómo la tecnología ha evolucionado y ahora es posible encontrar en el mercado productos industriales con un completo valor nutricional y una textura adecuada para la deglución del paciente. Estos productos son fáciles de preparar y servir, por lo que su inclusión en las cocinas hospitalarias aporta grandes ventajas. Texture modified diets are among the most used in hospitals and nursing homes. These traditionally prepared diets may have a low nutritional value and particularly tend to have low energy and protein content. The continued use of these diets can lead to nutritional deficiencies and compromise the patient´s nutritional status. Over the last decades, we have witnessed the evolution of technology and evolved and nowadays it is possible to find on the market industrial products with a complete nutritional value and a suitable texture for deglutition among inpatients. These products are easy to prepare and serve, so that their inclusion in the hospital kitchens provides great advantages.
- Published
- 2014
27. Diagnosis and Management of Oropharyngeal Dysphagia and Its Nutritional and Respiratory Complications in the Elderly
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Rofes, Laia, Arreola, Viridiana, Almirall, Jordi, Cabré, Mateu, Campins, Lluís, García-Peris, Pilar, Speyer, Renée, and Clavé, Pere
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Article Subject ,otorhinolaryngologic diseases - Abstract
Oropharyngeal dysphagia is a major complaint among older people. Dysphagia may cause two types of complications in these patients: (a) a decrease in the efficacy of deglutition leading to malnutrition and dehydration, (b) a decrease in deglutition safety, leading to tracheobronchial aspiration which results in aspiration pneumonia and can lead to death. Clinical screening methods should be used to identify older people with oropharyngeal dysphagia and to identify those patients who are at risk of aspiration. Videofluoroscopy (VFS) is the gold standard to study the oral and pharyngeal mechanisms of dysphagia in older patients. Up to 30% of older patients with dysphagia present aspiration—half of them without cough, and 45%, oropharyngeal residue; and 55% older patients with dysphagia are at risk of malnutrition. Treatment with dietetic changes in bolus volume and viscosity, as well as rehabilitation procedures can improve deglutition and prevent nutritional and respiratory complications in older patients. Diagnosis and management of oropharyngeal dysphagia need a multidisciplinary approach.
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- 2011
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28. Prevalence of Diabetes, Prediabetes, and Stress Hyperglycemia: Insulin Therapy and Metabolic Control in Patients on Total Parenteral Nutrition (Prospective Multicenter Study)
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Olveira, Gabriel, primary, Tapia, María J., additional, Ocón, Julia, additional, Cabrejas-Gómez, Carmen, additional, Ballesteros-Pomar, María D., additional, Vidal-Casariego, Alfonso, additional, Arraiza-Irigoyen, Carmen, additional, Olivares, Josefina, additional, Conde-García, María C., additional, García-Manzanares, Álvaro, additional, Botella-Romero, Francisco, additional, Quílez-Toboso, Rosa P., additional, Cabrerizo, Lucio, additional, Matía, Pilar, additional, Chicharro, Luisa, additional, Burgos, Rosa, additional, Pujante, Pedro, additional, Ferrer, Mercedes, additional, Zugasti, Ana, additional, Petrina, Estrella, additional, Manjón, Laura, additional, Diéguez, Marta, additional, Carrera, María J., additional, Vila-Bundo, Anna, additional, Urgelés, Juan R., additional, Aragón-Valera, Carmen, additional, Sánchez-Vilar, Olga, additional, Bretón, Irene, additional, García-Peris, Pilar, additional, Muñoz-Garach, Araceli, additional, Márquez, Efren, additional, del Olmo, Dolores, additional, Pereira, José Luis, additional, and Tous, María C., additional
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- 2015
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29. N-3 fatty acids, cancer and cachexia: a systematic review of the literature
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Colomer, Ramón, Moreno-Nogueira, José M, García-Luna, Pedro P, García-Peris, Pilar, García-de-Lorenzo, Abelardo, Zarazaga, Antonio, Quecedo, Luis, Llano, Juan del, Usán, Luis, Casimiro, César, [Colomer,R] Medical Oncology Service, Catalan Institute of Oncology, Girona, Spain. [Moreno-Nogueira,JM] Medical Oncology Service, Hospital Universitario Virgen del Rocío, Sevilla, Spain. [García-Luna,PP] Clinical Nutrition Service, Hospital Universitario Virgen del Rocío, Sevilla, Spain. [García-Peris,P] Clinical Nutrition Service, Hospital Universitario Gregorio Marañón, Madrid, Spain. [García-de-Lorenzo,A] Intensive Medicine Service, Hospital Universitario La Paz, Madrid, Spain. [Zarazaga,A] Surgery Service, Hospital Universitario La Paz, Madrid, Spain. [Quecedo,L, Llano,J del] Fundación Gaspar Casal, Madrid, Spain. [Usán,L, and Casimiro,C] Medical Department, Abbott Laboratories, Madrid, Spain.
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Cachexia ,Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Body Weight::Body Weight Changes::Weight Loss::Emaciation::Cachexia [Medical Subject Headings] ,Phenomena and Processes::Physical Phenomena::Time::Time Factors [Medical Subject Headings] ,Suplementos Dietéticos ,Caquexia ,EPA ,n-3 fatty acids ,Chemicals and Drugs::Lipids::Fats::Dietary Fats::Dietary Fats, Unsaturated::Fatty Acids, Omega-3::Eicosapentaenoic Acid [Medical Subject Headings] ,Health Care::Health Services Administration::Quality of Health Care::Quality Assurance, Health Care::Guidelines as Topic::Practice Guidelines as Topic [Medical Subject Headings] ,DHA ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,Technology, Industry, Agriculture::Food and Beverages::Food::Dietary Supplements [Medical Subject Headings] ,Chemicals and Drugs::Lipids::Fats::Dietary Fats::Dietary Fats, Unsaturated::Fatty Acids, Omega-3 [Medical Subject Headings] ,Guías de práctica clínica como asunto ,Cancer ,Nutrition ,Diseases::Neoplasms::Neoplasms by Site::Digestive System Neoplasms [Medical Subject Headings] ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Prognosis::Treatment Outcome [Medical Subject Headings] - Abstract
Journal Article; Research Support, Non-U.S. Gov't; Review; Use of n-3 fatty acids (FA) has been reported to be beneficial for cancer patients. We performed a systematic review of the literature in order to issue recommendations on the clinical use of n-3 FA in the cancer setting. A systematic search was performed in MEDLINE, EMBASE, Cochrane and Healthstar databases. We selected clinical trials or prospective observational studies including patients with cancer and life expectancy >2 months, in which enteral supplements with n-3 FA were administered. Parameters evaluated individually were clinical (nutritional status, tolerance, survival and hospital stays), biochemical (inflammatory mediators), and functional (functional status, appetite and quality of life (QoL)). Seventeen studies met the inclusion criteria; eight were of high quality. The panel of experts established the following evidence: (1) oral supplements with n-3 FA benefit patients with advanced cancer and weight loss, and are indicated in tumours of the upper digestive tract and pancreas; (2) the advantages observed were: increased weight and appetite, improved QoL, and reduced post-surgical morbidity; (3) there is no defined pattern for combining different n-3 FA, and it is recommended to administer > 1.5 g/day; and (4) better tolerance is obtained administering low-fat formulas for a period of at least 8 weeks. All the evidences were grade B but for 'length of treatment' and 'advantage of survival' it was grade C. Our findings suggest that administration of n-3 FA (EPA and DHA) in doses of at least 1.5 g/day for a prolonged period of time to patients with advanced cancer is associated with an improvement in clinical, biological and QoL parameters. Yes
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- 2007
30. n-3 Fatty acids, cancer and cachexia: a systematic review of the literature
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Colomer, Ramón, primary, Moreno-Nogueira, José M., additional, García-Luna, Pedro P., additional, García-Peris, Pilar, additional, García-de-Lorenzo, Abelardo, additional, Zarazaga, Antonio, additional, Quecedo, Luis, additional, del Llano, Juan, additional, Usán, Luis, additional, and Casimiro, César, additional
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- 2007
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31. Papel del equipo nutricional en el abordaje de la disfagia.
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García-Peris, Pilar, Velasco, Cristina, and Frías Soriano, Laura
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- *
DEGLUTITION disorders , *PATIENT nutrition , *PREVENTION of malnutrition , *ASPIRATION pneumonia , *ENTERAL feeding , *ARTIFICIAL feeding , *PATIENTS - Abstract
Dysphagia is a highly prevalent symptom, which may be due to multiple disease processes, both structural and functional, and located at the oropharyngeal or esophageal level. Oropharyngeal dysphagia can cause malnutrition even in 1/3 of patients as a result of alterations in the efficiency of swallowing and cause changes in the security of swallowing (penetration and aspiration) in up to 2/3 of the patients who present it, with high risk of aspiration pneumonia and respiratory infections. In neurological, elderly or institutionalized patients its prevalence may range from 30 to 60%, with different degrees of severity that may become necessary artificial nutrition. It is also related to greater disability, prolonged hospital stays and increased mortality. Therefore, early diagnosis is critical and the establishment of an effective treatment that includes postural exercises, nutritional support and rehabilitation. All this wouldn't be possible without a nutritional team that takes part of the multidisciplinary team patients with dysphagia required. It is the only way to ensure a long-term care to these patients in order to decrease the morbidity and mortality. [ABSTRACT FROM AUTHOR]
- Published
- 2014
32. Texture-modified foods; from grounding or dehydration to current products].
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Velasco, Cristina and García-Peris, Pilar
- Abstract
Texture modified diets are among the most used in hospitals and nursing homes. These traditionally prepared diets may have a low nutritional value and particularly tend to have low energy and protein content. The continued use of these diets can lead to nutritional deficiencies and compromise the patient's nutritional status Over the last decades, we have witnessed the evolution of technology and evolved and nowadays it is possible to find on the market industrial products with a complete nutritional value and a suitable texture for deglutition among inpatients. These products are easy to prepare and serve, so that their inclusion in the hospital kitchens provides great advantages. [ABSTRACT FROM AUTHOR]
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- 2014
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- View/download PDF
33. Chronic radiation enteritis after ovarian cancer: From home parenteral nutrition to oral diet.
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Vidal, Alfonso, de la Cuerda, Cristina, Luis Escat, José, Bretón, Irene, Camblor, Miguel, and García-Peris, Pilar
- Abstract
Summary: Introduction: External beam radiation of abdominal and pelvic cavities is a current therapy for gynaecological cancer that often produces radiation-induced bowel injury and malnutrition. Case report: A 72-year old patient underwent surgery and external beam radiation therapy for an ovarian carcinoma. Two years later she was found to have intestinal pseudoobstruction related to chronic radiation enteritis and protein-energy malnutrition. Home parenteral nutrition was prescribed due to poor oral intake, but it was discontinued after 6 catheter-related sepsis and upper cava vein thrombosis. Parenteral nutrition could be reintroduced after an angioplasty of that vein, and the patient was operated on with the finding of an incarcerated ileum eventration. Nowadays she maintains a normal nutritional status with oral diet. Discussion: Radiation enteritis can lead to perforation, fistulae or strictures of the bowel. Malnutrition is common and parenteral nutrition may be necessary. Surgery can solve these complications, achieves good survival rates and can allow stopping parenteral nutrition. [Copyright &y& Elsevier]
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- 2006
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34. Glycemic and lipid control in hospitalized type 2 diabetic patients: evaluation of 2 enteral nutrition formulas (low carbohydrate-high monounsaturated fat vs high carbohydrate).
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León-Sanz M, García-Luna PP, Planas M, Sanz-París A, Gómez-Candela C, Casimiro C, Abbott SPAI-97-004 Cooperative Group, León-Sanz, Miguel, García-Luna, Pedro P, Sanz-París, Alejandro, Gómez-Candela, Carmen, Casimiro, César, Chamorro, José, Pereira-Cunill, José L, Martin-Palmero, Angeles, Trallero, Roser, Martínez, José, Ordóñez, Francisco Javier, García-Peris, Pilar, and Camarero, Emma
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- 2005
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35. Enteral nutrition in patients with tumours of the head and neck
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Navarro Vila, Carlos, de la Mano, Janvier Soler, Garcia Peris, Pilar, Sanz, Julio Acero, Barrios Robredo, Jose Maria, and Martin, Juan Jose Verdaguer
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- 1989
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36. Ingesta dietética de pacientes adultos con esofagitis eosinofílica que siguen una dieta de exclusión de seis grupos de alimentos.
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Carrascal Fabián, María Luisa, Iglesias Hernández, Natalia Covadonga, Issasa Rodríguez, Leire, Higuera-Pulgar, Isabel, Bretón-Lesmes, Irene, Carrascal-Fabián, Maria Luisa, García-Peris, Pilar, Prieto-García, Alicia, Menchén-Viso, Luis, Nogales-Rincón, Óscar, Covadonga Iglesias-Hernández, Natalia, and Isasa-Rodríguez, Leire
- Abstract
Introducción: la esofagitis eosinofílica (EEo) es una enfermedad inmunoalérgica crónica emergente en adultos. Surge como respuesta disfuncional frente a los antígenos de los alimentos y se caracteriza por síntomas recurrentes de disfunción esofágica e inflamación. El tratamiento farmacológico y dietético se basa en su patogénesis y debe ser individualizado. Uno de los posibles abordajes dietéticos se basa en la eliminación empírica de alimentos que con mayor frecuencia causan EEo.Objetivo: evaluar la ingesta dietética de los pacientes con EEo que siguen la dieta de exclusión de los seis grupos de alimentos (DESGA) y conocer sus posibles carencias nutricionales.Métodos: estudio transversal descriptivo en un grupo de pacientes con EEo que inició tratamiento con DESGA durante el periodo de marzo de 2013 hasta marzo de 2015. Se evaluó la ingesta mediante registro de 72 horas. Se compararon los resultados con las referencias para población adulta sana española (23). Para el análisis estadístico se usaron los test de Mann-Whitney, Krhuskall-Wallis y Chi-cuadrado. Significación p < 0,05.Resultados: se incluyeron en el estudio 14 pacientes. En algunos de ellos, la ingesta dietética siguiendo DESGA fue deficitaria en energía, proteínas y fibra. Tampoco consiguieron cubrir las ingestas de micronutrientes de calcio, zinc, magnesio, ácido fólico, niacina y vitaminas B2 y D, teniendo en cuenta edad y sexo, el 60% de la muestra.Conclusiones: el abordaje terapéutico mediante DESGA, teniendo en cuenta las características de la dieta, debe acompañarse de una evaluación periódica del estado nutricional, que incluya micronutrientes y una pauta de suplementación específica. [ABSTRACT FROM AUTHOR]
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- 2016
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37. [Not Available].
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Higuera Pulgar I, Bretón Lesmes I, Carrascal Fabián ML, Prieto García A, Menchén Viso L, Nogales Rincón Ó, Iglesias Hernández NC, Issasa Rodríguez L, and García Peris P
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- Adult, Cross-Sectional Studies, Diet, Eating, Energy Intake, Female, Humans, Male, Middle Aged, Reference Standards, Eosinophilic Esophagitis diet therapy
- Abstract
Introducción: la esofagitis eosinofílica (EEo) es una enfermedad inmunoalérgica crónica emergente en adultos. Surge como respuesta disfuncional frente a los antígenos de los alimentos y se caracteriza por síntomas recurrentes de disfunción esofágica e inflamación. El tratamiento farmacológico y dietético se basa en su patogénesis y debe ser individualizado. Uno de los posibles abordajes dietéticos se basa en la eliminación empírica de alimentos que con mayor frecuencia causan EEo.Objetivo: evaluar la ingesta dietética de los pacientes con EEo que siguen la dieta de exclusión de los seis grupos de alimentos (DESGA) y conocer sus posibles carencias nutricionales.Métodos: estudio transversal descriptivo en un grupo de pacientes con EEo que inició tratamiento con DESGA durante el periodo de marzo de 2013 hasta marzo de 2015. Se evaluó la ingesta mediante registro de 72 horas. Se compararon los resultados con las referencias para población adulta sana española (23). Para el análisis estadístico se usaron los test de Mann-Whitney, Krhuskall-Wallis y Chi-cuadrado. Significación p < 0,05.Resultados: se incluyeron en el estudio 14 pacientes. En algunos de ellos, la ingesta dietética siguiendo DESGA fue deficitaria en energía, proteínas y fibra. Tampoco consiguieron cubrir las ingestas de micronutrientes de calcio, zinc, magnesio, ácido fólico, niacina y vitaminas B2 y D, teniendo en cuenta edad y sexo, el 60% de la muestra.Conclusiones: el abordaje terapéutico mediante DESGA, teniendo en cuenta las características de la dieta, debe acompañarse de una evaluación periódica del estado nutricional, que incluya micronutrientes y una pauta de suplementación específica.
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- 2016
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38. [DIETARY INTAKE AND NUTRITIONAL STATUS IN ONCOLOGY PATIENTS WHO START TREATMENT WITH TYROSINE KINASE INHIBITORS].
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Higuera-Pulgar I, Ribed A, Carrascal-Fabian ML, Bretón-Lesmes I, Romero-Jiménez RM, Cuerda-Compes C, Velasco-Gimeno C, Camblor-Álvarez M, and García-Peris P
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- Body Weights and Measures, Diet Records, Feeding Behavior, Female, Humans, Male, Nutrition Assessment, Nutritional Requirements, Antineoplastic Agents therapeutic use, Diet, Energy Intake, Neoplasms drug therapy, Nutritional Status, Protein Kinase Inhibitors therapeutic use
- Abstract
Background: in recent years, researching about new oral antineoplastics has progressed while its impact on dietary intake and nutritional status (NS) hasn't developed enough yet., Objectives: dietary intake and NS assessment in patients who start treatment with tyrosine kinase inhibitors (TKI) and evaluate its impact on them., Methods: an observational, prospective-six-months study, in which were included patients starting treatment with TKI. The intake was evaluated by a 24 h dietary record and a food frequency questionnaire. The NS was evaluated by anthropometric measurements and the patient-generated Global Subjective Assessment (PG-GSA); the results were compared with the Spanish references (SENC-semFYC, 2007 and O. Moreiras, 2013). Friedman test, χ2, Wilcoxon, Kruskal-Wallis and Mann-Whitney were used in the statistical analysis. Significance p < 0.05., Results: 22 patients (54.5% male) were included. At baseline, NS was adequate in 73.9% of patients according PG-GSA. Weight loss was no significant, although a high percentage of the energy and protein requirements hadn't been reached. The caloric intake was positively related with the number of meals. Dietary habits did not change during treatment., Conclusion: dietary intake did not reach nutritional requirements at baseline. The TKI don't seem to affect the patient's intake and nutritional status. The research about these parameters before starting treatment could prevent future complications and it would guide the dietary advice., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
- Published
- 2015
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39. [IMPLEMENTATION OF A QUALITY MANAGEMENT SYSTEM IN A NUTRITION UNIT ACCORDING TO ISO 9001:2008].
- Author
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Velasco Gimeno C, Cuerda Compés C, Alonso Puerta A, Frías Soriano L, Camblor Álvarez M, Bretón Lesmes I, Plá Mestre R, Izquierdo Membrilla I, and García-Peris P
- Subjects
- Hospital Departments, Humans, Nutrition Therapy standards, Quality Assurance, Health Care methods, Quality Assurance, Health Care organization & administration
- Abstract
Introduction: the implementation of quality management systems (QMS) in the health sector has made great progress in recent years, remains a key tool for the management and improvement of services provides to patients., Aim: to describe the process of implementing a quality management system (QMS) according to the standard ISO 9001:2008 in a Nutrition Unit., Methods: the implementation began in October 2012. Nutrition Unit was supported by Hospital Preventive Medicine and Quality Management Service (PMQM). Initially training sessions on QMS and ISO standards for staff were held. Quality Committee (QC) was established with representation of the medical and nursing staff. Every week, meeting took place among members of the QC and PMQM to define processes, procedures and quality indicators. We carry on a 2 months follow-up of these documents after their validation., Results: a total of 4 processes were identified and documented (Nutritional status assessment, Nutritional treatment, Monitoring of nutritional treatment and Planning and control of oral feeding) and 13 operating procedures in which all the activity of the Unit were described. The interactions among them were defined in the processes map. Each process has associated specific quality indicators for measuring the state of the QMS, and identifying opportunities for improvement. All the documents associated with requirements of ISO 9001:2008 were developed: quality policy, quality objectives, quality manual, documents and records control, internal audit, nonconformities and corrective and preventive actions. The unit was certified by AENOR in April 2013., Conclusion: the implementation of a QMS causes a reorganization of the activities of the Unit in order to meet customer's expectations. Documenting these activities ensures a better understanding of the organization, defines the responsibilities of all staff and brings a better management of time and resources. QMS also improves the internal communication and is a motivational element. Explore the satisfaction and expectations of patients can include their view in the design of care processes., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF
40. Prevalence of diabetes, prediabetes, and stress hyperglycemia: insulin therapy and metabolic control in patients on total parenteral nutrition (prospective multicenter study).
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Study Group Of Hyperglycemia In Parenteral Nutrition Nutrition Area Of The Spanish Society Of Endocrinology And Nutrition Seen, Olveira G, Tapia MJ, Ocón J, Cabrejas-Gómez C, Ballesteros-Pomar MD, Vidal-Casariego A, Arraiza-Irigoyen C, Olivares J, Conde-García MC, García-Manzanares Á, Botella-Romero F, Quílez-Toboso RP, Cabrerizo L, Matía P, Chicharro L, Burgos R, Pujante P, Ferrer M, Zugasti A, Petrina E, Manjón L, Diéguez M, Carrera MJ, Vila-Bundo A, Urgelés JR, Aragón-Valera C, Sánchez-Vilar O, Bretón I, García-Peris P, Muñoz-Garach A, Márquez E, del Olmo D, Pereira JL, and Tous MC
- Subjects
- Adult, Aged, Blood Glucose analysis, Diabetes Mellitus metabolism, Female, Humans, Hyperglycemia metabolism, Male, Middle Aged, Prediabetic State metabolism, Prevalence, Prospective Studies, Diabetes Mellitus epidemiology, Hyperglycemia epidemiology, Insulin therapeutic use, Parenteral Nutrition, Total adverse effects, Prediabetic State epidemiology
- Abstract
Objective: The prevalence of carbohydrate metabolism disorders in patients who receive total parenteral nutrition (TPN) is not well known. These disorders can affect the treatment, metabolic control, and prognosis of affected patients. The aims of this study were to determine the prevalence in noncritically ill patients on TPN of diabetes, prediabetes, and stress hyperglycemia; the factors affecting hyperglycemia during TPN; and the insulin therapy provided and the metabolic control achieved., Methods: We undertook a prospective multicenter study involving 19 Spanish hospitals. Noncritically ill patients who were prescribed TPN were included, and data were collected on demographic, clinical, and laboratory variables (glycated hemoglobin, C-reactive protein [CRP], capillary blood glucose) as well as insulin treatment., Results: The study included 605 patients. Before initiation of TPN, the prevalence of known diabetes was 17.4%, unknown diabetes 4.3%, stress hyperglycemia 7.1%, and prediabetes 27.8%. During TPN therapy, 50.9% of patients had at least one capillary blood glucose of >180 mg/dL. Predisposing factors were age, levels of CRP and glycated hemoglobin, the presence of diabetes, infectious complications, the number of grams of carbohydrates infused, and the administration of glucose-elevating drugs. Most (71.6%) patients were treated with insulin. The mean capillary blood glucose levels during TPN were: known diabetes (178.6 ± 46.5 mg/dL), unknown diabetes (173.9 ± 51.9), prediabetes (136.0 ± 25.4), stress hyperglycemia (146.0 ± 29.3), and normal (123.2 ± 19.9) (P<.001)., Conclusion: The prevalence of carbohydrate metabolism disorders is very high in noncritically ill patients on TPN. These disorders affect insulin treatment and the degree of metabolic control achieved.
- Published
- 2015
- Full Text
- View/download PDF
41. [Nutritional assessment and quality of life of oncology outpatients initiating treatment with tyrosine‑kinase inhibitors].
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Ribed Sánchez A, Romero-Jiménez RM, Cuerda-Compes C, Higuera-Pulgar I, Carrascal-Fabian ML, Escudero-Vilaplana V, Arranz-Arija JA, García-Peris P, and Sanjurjo-Sáez M
- Subjects
- Adult, Antineoplastic Agents adverse effects, Humans, Longitudinal Studies, Outpatients, Prospective Studies, Protein Kinase Inhibitors adverse effects, Surveys and Questionnaires, Weight Loss drug effects, Antineoplastic Agents therapeutic use, Neoplasms drug therapy, Neoplasms psychology, Nutrition Assessment, Protein Kinase Inhibitors therapeutic use, Quality of Life
- Abstract
Background and Objective: The consumption of oral antineoplastics -and more particularly of tyrosine-kinase inhibitors (TKI)- has increased in recent years. These therapies show a better tolerance but still, the nutritional alterations related to their daily and chronic clinical use are under investigation. This study assesses the effects of TKI on the intake, nutritional status and micronutrients as well as the patients quality of life., Methods: A prospective longitudinal study was conducted including adult patients having started some TKI treatment from July 2012 to June 2013, and a 6 month follow-up period was established. Demographic pharmacotherapeutic, nutritional and biochemical variables were collected and also a EORTC-QLQ30 questionnaire at baseline, first, third and sixth month of treatment., Results: 31 patients were included in the study. The percentage of weight loss at treatment baseline was statistically matched to the results on the patient-generated Global Subjective Assessment. Appetite decreased after one month of treatment, and so did the calorie consumption; 62.1% of the patients lost weight, 55.5% on the third month and 70.6% on the sixth month. 6-17% of the patients suffered from malnutrition to some degree during the follow-up period and a decrease of calcium, phosphate and magnesium plasma levels was detected. The emotional scale was the one with a lowest score in EORTC QLQ-30, and fatigue and lack of appetite were the most common symptoms at treatment baseline, progressively increasing those of nausea, vomits and diarrhea., Discussion: Patients treated with TKI did not show a relevant malnutrition. Considering the results, it is important to take into account weight loss at treatment baseline; it is also important to control calcium and phosphate levels during treatment, to advise and counsel the patient on the GI effects (nausea, vomits and diarrhea) and emotionally reinforce the patient., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
- Published
- 2014
- Full Text
- View/download PDF
42. [Home parenteral nutrition; satisfaction of patients and their caregivers with nutrition unit and pharmacy service].
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Arrabal Durán P, Romero Jiménez RM, Cuerda Compes C, Camblor Álvarez M, Bretón Lesmes I, De Lorenzo Pinto A, Buendía Bravo S, Frías Soriano L, García Peris P, and Sanjurjo Sáez M
- Subjects
- Adult, Aged, Caregivers psychology, Female, Health Care Surveys, Humans, Male, Middle Aged, Nurses, Parenteral Nutrition, Home psychology, Pharmacists, Physicians, Surveys and Questionnaires, Caregivers statistics & numerical data, Parenteral Nutrition, Home statistics & numerical data, Patient Satisfaction, Pharmacy Service, Hospital organization & administration
- Abstract
Introduction: Home Parenteral Nutrition (HPN) is a practice in continually growing by the significant advantages involved for the patient and the healthcare system. Today, in the investigation of health outcomes is essential to assess the patient s opinion. Among the measures focused on patients with HPN, several studies about quality of life have been done, but the degree of satisfaction with this treatment modality has not been evaluated., Objective: To evaluate the degree of satisfacion of patients and their caregivers receiving HPN with doctors, pharmacists and nurses in a hospital., Material and Methods: An anonymous survey was distributed, which consisted of 48 closed questions to patients and their caregivers receiving HPN who voluntarily answered. With survey responses a database in SPSS with the following variables was created: personal, sociocultural, clinical and related to HPN data and valoration of health personnel involved (nutrition area of the Pharmacy Service and Nursing and Medical Nutrition Units) and hospital facilities related to HPN. Also a section of open response suggestions was included., Results: 24 surveys were distributed, 12 to patients and 12 to caregivers. Response rate was 91.7% in the case of patients and 58.3% in the caregivers. 63.6% of patients and 42.9% of caregivers were women. Mean age was, respectively, 46.1 years (SD: 13.7) and 47.0 years (SD: 3.6). Most of patients (55.6%) and caregivers (60.0%) had secondary studies and were pensoniers (72.7% and 71.4%, respectively). Underlying diseases of patients were: radiation enteritis (27.3%), intestinal obstruction (18.2%), intestinal carcinomatosis (45.5%) and Chron s disease (9.1%). With respect to items assessing satisfaction with physicians, nurses and pharmacists, in general both patients and caregivers were satisfied. Suggestions made were: greater amplitude of delivery schedule of HPN and inclusion of audiovisual information., Conclusions: The degree of satisfaction of patients receiving HPN and their caregivers with the care given by doctors, pharmacists and nurses is appropriate, but it s possible to make improvements to optimize the quality of the whole process., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
- Published
- 2014
- Full Text
- View/download PDF
43. [Role of the nutritional support team in the management of dysphagia].
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García-Peris P, Velasco C, and Frías Soriano L
- Subjects
- Deglutition Disorders diagnosis, Humans, Patient Care Team, Deglutition Disorders therapy, Nutritional Support methods
- Abstract
Dysphagia is a highly prevalent symptom, which may be due to multiple disease processes, both structural and functional, and located at the oropharyngeal or esophageal level. Oropharyngeal dysphagia can cause malnutrition even in 1/3 of patients as a result of alterations in the efficiency of swallowing and cause changes in the security of swallowing (penetration and aspiration) in up to 2/3 of the patients who present it, with high risk of aspiration pneumonia and respiratory infections. In neurological, elderly or institutionalized patients its prevalence may range from 30 to 60%, with different degrees of severity that may become necessary artificial nutrition. It is also related to greater disability, prolonged hospital stays and increased mortality. Therefore, early diagnosis is critical and the establishment of an effective treatment that includes postural exercises, nutritional support and rehabilitation. All this wouldn't be possible without a nutritional team that takes part of the multidisciplinary team patients with dysphagia required. It is the only way to ensure a longterm care to these patients in order to decrease the morbidity and mortality.
- Published
- 2014
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