Indicadores de qualidade em terapia nutricional pediátrica de unidade de terapia intensiva de hospital universitário: avaliação e monitoramento da terapia nutricional

Abstract

This study aims to analyze quality indicators in nutritional therapy, focusing on the evaluation and monitoring of nutritional care in neonatology in a university hospital. Medical records of newborns (NB) in the Neonatal ICU were analyzed to implement and evaluate three quality indicators in pediatric NT based on the work Quality Indicators in Nutritional Therapy: 10 years of IQTN in Brazil: results, challenges and proposals: Rate of Nutritional Risk Achievement (I1), Initial Food Anamnesis Achievement (I2) and Adequacy of Infused Volume over Prescribed (I3). The indicators were adjusted to the local reality. A descriptive analysis of the indicators and mean and standard deviation of the quantitative variables were performed. Data were collected from 48 newborns. The mean gestational age was 38 weeks (± 2.1), with 12 preterm. The mean weight was 2985.6 g (± 447.2), with 9 low weight newborns. The mean length was 47.4 cm (±2.7) and the mean head circumference was 34.2 cm (±1.9). I1 reached 65.9%, not reaching the target of ≥80%. I2 reached 86.8%, above the target of ≥75%. I3 resulted in 82%, with 38/47 of the newborns in ENT reaching the target of 80%. Continuous evaluation of the indicators is recommended in order to minimize possible biases caused by the low sample size. In addition, it is possible to highlight the need for improvements in the processes related to NICU ENT, such as the need to improve triage and adjust protocols.