Hypophosphatemia in postoperative patients with total parenteral nutrition: influence of nutritional support teams.

Abstract

UNLABELLED:

PURPOSE, SETTING AND SUBJECTS: We conducted a prospective, descriptive study of postoperative patients under total parenteral nutrition controlled by a Multidisciplinary Nutritional Support Team in a tertiary care hospital. Between january 2002 and november 2003. Data of nutritional status, nutritional support, hypophosphatemia, electrolyte and metabolic complications were reviewed.

RESULTS:

215 postoperative patients (63.3% male, 68 +/- 13.9 years old, 47.4% neoplasia). were included. Nutritional support according nutritional needs was made during fasting 14.2 +/- 18.4 days. Mild-moderate initial malnutrition was present in 58% of patients. 18.1% developed postoperative hypophosphatemia 96 hours after starting total parenteral nutrition containing phosphate. 37.7% patients showed moderated and 6.5% severe hypophosphatemia. Nutritional intervention corrected hypophosphatemia (p < 0.001). Factors related to hypophosphatemia were hypokalemia, hypomagnesemia, hypercalcemia, female sex, neoplasia, 96-hour postoperative period and duration of nutrition.

CONCLUSIONS:

Prevalence of hypophosphatemia in postoperative patients with total parenteral nutrition is high and needs timely monitoring. The intervention of Multidisciplinary Nutritional Support Team is effective detecting and correcting postoperative hypophosphatemia.

• Authors: M J Martínez, M A Martínez, M Montero, E Campelo, I Castro, M T Inaraja
• Journal: Nutricion hospitalaria (Nutr Hosp) 2006 Nov-Dec Vol. 21 Issue 6 Pg. 657-60 ISSN: 0212-1611 [Print] Spain
• PMID: 17147062 (Publication Type: Comparative Study, Journal Article)

Topics

• Aged
• Female
• Humans
• Hypophosphatemia (diagnosis, epidemiology, prevention & control)
• Incidence
• Male
• Nutritional Support (methods)
• Parenteral Nutrition, Total (standards)
• Patient Care Team
• Postoperative Period
• Prevalence
• Prospective Studies