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Nutritional assessment and management in acute pancreatitis: Ongoing lessons of the NCEPOD report.
Phillips, Mary E; Smith, Neil; McPherson, Simon; O'Reilly, Derek A.
Afiliación
  • Phillips ME; Department of Nutrition and Dietetics, Royal Surrey County Hospital, Guildford, UK.
  • Smith N; Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
  • McPherson S; National Confidential Enquiry into Patient Outcome and Death (NCEPOD), London, UK.
  • O'Reilly DA; National Confidential Enquiry into Patient Outcome and Death (NCEPOD), London, UK.
J Hum Nutr Diet ; 35(3): 504-511, 2022 06.
Article en En | MEDLINE | ID: mdl-34905277
INTRODUCTION: Acute pancreatitis (AP) is a medical emergency that is common, poorly understood and carries a significant risk of death. The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) undertook a comprehensive report into the current management of AP in the UK. The study aimed to provide a more detailed analysis of the findings related to nutritional assessment and support. METHODS: The data presented here were analysed from the core dataset used in the NCEPOD study. Adult patients admitted between January and June 2014 with a coded diagnosis of AP were included. A clinical and organisational questionnaire was used to collect data and submitted case notes subjected to peer review. Nutritional data, including assessment and provision of support, were analysed. RESULTS: One hundred and forty-seven out of 168 (87.5%) hospitals had a nutrition team in place. A screening nutritional assessment was performed in only 67.4% (368/546) of patients. Subsequent referral to a dietitian and nutrition team input occurred in 39% (201/521) and 25% (143/572) of patients, respectively. Supplemental nutrition was considered and used in 240/555 (43.2%) patients. Overall management of the patients' nutrition was considered adequate by the case reviewers in only 281/332 (85%) of cases and by the clinicians in 77% (421/555) of cases. CONCLUSIONS: Many patients do not receive adequate nutritional assessment and, in up to 23% of cases, nutritional intervention is not adequate. Pancreatic exocrine insufficiency is likely under recognised and undertreated. Nutritional strategies to support early intervention and to support clinicians outside of tertiary pancreatic centres are warranted.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pancreatitis Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adult / Humans Idioma: En Revista: J Hum Nutr Diet Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pancreatitis Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adult / Humans Idioma: En Revista: J Hum Nutr Diet Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido