Standards for the Use of Enteral Nutrition in Patients with Diabetes or Stress Hyperglycaemia: Expert Consensus
(1) Background: Hyperglycaemia that occurs during enteral nutrition (EN) should be prevented and treated appropriately since it can have important consequences for morbidity and mortality. However, there are few quality studies in the literature regarding the management of EN in this situation. The...
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| Language: | English |
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MDPI AG
2023-11-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/23/4976 |
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| author | María I. Rebollo-Pérez Luna Florencio Ojeda Pedro P. García-Luna José A. Irles Rocamora Gabriel Olveira Juan Ramón Lacalle Remigio Carmen Arraiza Irigoyen Alfonso Calañas Continente Cristina Campos Martín María Luisa Fernández Soto José Manuel García Almeida María Laínez López Concepción Losada Morell Luis Miguel Luengo Pérez Teodosia Muñoz de Escalona Martínez José L. Pereira-Cunill Francisco J. Vílchez-López Juana M. Rabat-Restrepo |
| author_facet | María I. Rebollo-Pérez Luna Florencio Ojeda Pedro P. García-Luna José A. Irles Rocamora Gabriel Olveira Juan Ramón Lacalle Remigio Carmen Arraiza Irigoyen Alfonso Calañas Continente Cristina Campos Martín María Luisa Fernández Soto José Manuel García Almeida María Laínez López Concepción Losada Morell Luis Miguel Luengo Pérez Teodosia Muñoz de Escalona Martínez José L. Pereira-Cunill Francisco J. Vílchez-López Juana M. Rabat-Restrepo |
| author_sort | María I. Rebollo-Pérez |
| collection | DOAJ |
| description | (1) Background: Hyperglycaemia that occurs during enteral nutrition (EN) should be prevented and treated appropriately since it can have important consequences for morbidity and mortality. However, there are few quality studies in the literature regarding the management of EN in this situation. The objective of this project was to attempt to respond, through a panel of experts, to those clinical problems regarding EN in patients with diabetes or stress hyperglycaemia (hereinafter referred to only as hyperglycaemia) for which we do not have conclusive scientific evidence; (2) Methods: The RAND/UCLA Appropriateness Method, a modified Delphi panel method, was applied. A panel of experts made up of 10 clinical nutrition specialists was formed, and they scored on the appropriateness of EN in hyperglycaemia, doing so in two rounds. A total of 2992 clinical scenarios were examined, which were stratified into five chapters: type of formula used, method of administration, infusion site, treatment of diabetes, and gastrointestinal complications. (3) Results: consensus was detected in 36.4% of the clinical scenarios presented, of which 23.7% were deemed appropriate scenarios, while 12.7% were deemed inappropriate. The remaining 63.6% of the scenarios were classified as uncertain; (4) Conclusions: The recommendations extracted will be useful for improving the clinical management of these patients. However, there are still many uncertain scenarios reflecting that the criteria for the management of EN in hyperglycaemia are not completely standardised. More studies are required to provide quality recommendations in this area. |
| first_indexed | 2024-03-09T01:44:42Z |
| format | Article |
| id | doaj.art-21519b69a3ac47de92132f52cf084d93 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T01:44:42Z |
| publishDate | 2023-11-01 |
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| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-21519b69a3ac47de92132f52cf084d932023-12-08T15:23:31ZengMDPI AGNutrients2072-66432023-11-011523497610.3390/nu15234976Standards for the Use of Enteral Nutrition in Patients with Diabetes or Stress Hyperglycaemia: Expert ConsensusMaría I. Rebollo-Pérez0Luna Florencio Ojeda1Pedro P. García-Luna2José A. Irles Rocamora3Gabriel Olveira4Juan Ramón Lacalle Remigio5Carmen Arraiza Irigoyen6Alfonso Calañas Continente7Cristina Campos Martín8María Luisa Fernández Soto9José Manuel García Almeida10María Laínez López11Concepción Losada Morell12Luis Miguel Luengo Pérez13Teodosia Muñoz de Escalona Martínez14José L. Pereira-Cunill15Francisco J. Vílchez-López16Juana M. Rabat-Restrepo17Endocrinology and Nutrition Clinical Management Unit, University Hospital Juan Ramón Jiménez, 21005 Huelva, SpainEndocrinology and Nutrition Clinical Management Unit, University Hospital Juan Ramón Jiménez, 21005 Huelva, SpainRegional Andalusian Health Service, Service of Endocrinology and Nutrition, University Hospitals Virgen del Rocío, 41013 Seville, SpainFaculty of Medicine, University of Seville, 41009 Seville, SpainBiomedical Research Institute of Málaga (IBIMA), 29010 Málaga, SpainFaculty of Medicine, University of Seville, 41009 Seville, SpainUniversity Hospital of Jaén, 23007 Jaén, SpainEndocrinology and Nutrition Clinical Management Unit, University Hospital Reina Sofia, 14004 Córdoba, SpainEndocrinology and Nutrition Clinical Management Unit, University Hospital Virgen Macarena, 41009 Seville, SpainEndocrinology and Nutrition Clinical Management Unit, University Hospital San Cecilio, 18012 Granada, SpainBiomedical Research Institute of Málaga (IBIMA), 29010 Málaga, SpainEndocrinology and Nutrition Clinical Management Unit, University Hospital Juan Ramón Jiménez, 21005 Huelva, SpainEndocrinology and Nutrition Clinical Management Unit, Internal Medicine Clinical Management Unit, Hospital Infanta Margarita, 14940 Cabra, Córdoba, SpainUniversity Hospital of Badajoz, 06080 Badajoz, SpainEndocrinology and Nutrition Clinical Management Unit, University Hospital Torrecárdenas, 04009 Almeria, SpainRegional Andalusian Health Service, Service of Endocrinology and Nutrition, University Hospitals Virgen del Rocío, 41013 Seville, SpainEndocrinology and Nutrition Clinical Management Unit, Biomedical Research and Innovation Institute of Cádiz, University Hospital Puerta del Mar, 11009 Cádiz, SpainFaculty of Medicine, University of Seville, 41009 Seville, Spain(1) Background: Hyperglycaemia that occurs during enteral nutrition (EN) should be prevented and treated appropriately since it can have important consequences for morbidity and mortality. However, there are few quality studies in the literature regarding the management of EN in this situation. The objective of this project was to attempt to respond, through a panel of experts, to those clinical problems regarding EN in patients with diabetes or stress hyperglycaemia (hereinafter referred to only as hyperglycaemia) for which we do not have conclusive scientific evidence; (2) Methods: The RAND/UCLA Appropriateness Method, a modified Delphi panel method, was applied. A panel of experts made up of 10 clinical nutrition specialists was formed, and they scored on the appropriateness of EN in hyperglycaemia, doing so in two rounds. A total of 2992 clinical scenarios were examined, which were stratified into five chapters: type of formula used, method of administration, infusion site, treatment of diabetes, and gastrointestinal complications. (3) Results: consensus was detected in 36.4% of the clinical scenarios presented, of which 23.7% were deemed appropriate scenarios, while 12.7% were deemed inappropriate. The remaining 63.6% of the scenarios were classified as uncertain; (4) Conclusions: The recommendations extracted will be useful for improving the clinical management of these patients. However, there are still many uncertain scenarios reflecting that the criteria for the management of EN in hyperglycaemia are not completely standardised. More studies are required to provide quality recommendations in this area.https://www.mdpi.com/2072-6643/15/23/4976enteral nutritiondiabetesstress hyperglycaemiaexpert consensusDelphi |
| spellingShingle | María I. Rebollo-Pérez Luna Florencio Ojeda Pedro P. García-Luna José A. Irles Rocamora Gabriel Olveira Juan Ramón Lacalle Remigio Carmen Arraiza Irigoyen Alfonso Calañas Continente Cristina Campos Martín María Luisa Fernández Soto José Manuel García Almeida María Laínez López Concepción Losada Morell Luis Miguel Luengo Pérez Teodosia Muñoz de Escalona Martínez José L. Pereira-Cunill Francisco J. Vílchez-López Juana M. Rabat-Restrepo Standards for the Use of Enteral Nutrition in Patients with Diabetes or Stress Hyperglycaemia: Expert Consensus Nutrients enteral nutrition diabetes stress hyperglycaemia expert consensus Delphi |
| title | Standards for the Use of Enteral Nutrition in Patients with Diabetes or Stress Hyperglycaemia: Expert Consensus |
| title_full | Standards for the Use of Enteral Nutrition in Patients with Diabetes or Stress Hyperglycaemia: Expert Consensus |
| title_fullStr | Standards for the Use of Enteral Nutrition in Patients with Diabetes or Stress Hyperglycaemia: Expert Consensus |
| title_full_unstemmed | Standards for the Use of Enteral Nutrition in Patients with Diabetes or Stress Hyperglycaemia: Expert Consensus |
| title_short | Standards for the Use of Enteral Nutrition in Patients with Diabetes or Stress Hyperglycaemia: Expert Consensus |
| title_sort | standards for the use of enteral nutrition in patients with diabetes or stress hyperglycaemia expert consensus |
| topic | enteral nutrition diabetes stress hyperglycaemia expert consensus Delphi |
| url | https://www.mdpi.com/2072-6643/15/23/4976 |
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