Table 1. Classification of QINTs in Pediatrics evaluated by the multidisciplinary professionals.
Rank | QINT | Category (Waitzberg, 2010) | Mean | Cronbach’s α | Variance |
---|---|---|---|---|---|
1 | Frequency of diarrhea in patients on ENT | G | 13.194 | 0.827 | 0.089 |
2 | Frequency of nutrition dietary prescription for patients on NT at discharge | H | 12.871 | 0.822 | 0.076 |
3 | Frequency of patients on NT who recovered oral intake | A | 12.839 | 0.859 | 0.037 |
4 | Frequency of admission BMI measurement in patients on NT | B | 12.839 | 0.711 | 0.030 |
5 | Frequency of periodic reevaluation of nutritional planning in NT | B | 12.742 | 0.814 | 0.076 |
6 | Frequency of patients with altered glycemia on ENT and PNT | G | 12.741 | 0.681 | 0.140 |
7 | Frequency of nutrition probe obstruction in patients on ENT | E | 12.226 | 0.816 | 0.017 |
8 | Frequency of abdominal distension episodes in patients on ENT | G | 12.161 | 0.873 | 0.062 |
9 | Frequency of nutritional screening in hospitalized patients | B | 12.129 | 0.869 | 0.133 |
10 | Frequency of constipation episodes in patients on ENT | G | 12.065 | 0.940 | 0.037 |
11 | Frequency of fasted patients before the onset of NT | A | 12.032 | 0.870 | 0.058 |
12 | Frequency of conformity of ENT indication | C | 12.032 | 0.747 | 0.258 |
13 | Frequency of nonconformities related to time of preparation, transport and storage in ENT | D | 11.903 | 0.722 | 0.274 |
14 | Frequency of patients with peripheral NPT lasting more than seven days | D | 11.774 | 0.795 | 0.004 |
15 | Frequency of patients with high gastric residue on ENT | G | 11.613 | 0.906 | 0.018 |
16 | Frequency of patients with central PNT lasting less than seven days duration | D | 11.581 | 0.837 | 0.012 |
17 | Frequency of digestive fasting for more than 24 h in patients on ENT or oral nutrition | B | 11.452 | 0.913 | 0.007 |
18 | Frequency of CVC infection in patients on PNT | E | 11.452 | 0.753 | 0.178 |
19 | Frequency of inadvertent exit of enteral catheter in patients on ENT | E | 11.419 | 0.839 | 0.035 |
20 | Frequency of patients with hydroelectrolytic changes on PNT | G | 11.355 | 0.796 | 0.210 |
21 | Frequency of phlebitis due to insertion of peripheral venous catheter in patients on PNT | E | 11.323 | 0.856 | 0.039 |
22 | Frequency of measurement or estimation of energy expenditure and protein needs in patients on NT | B | 11.226 | 0.786 | 0.353 |
23 | Frequency of days of adequate energy administration in patients on total NT | F | 10.871 | 0.835 | 0.200 |
24 | Frequency of medical care for patients on NT | A | 10.677 | 0.614 | 0.061 |
25 | Frequency of hepatic dysfunction among patients on ENT and PNT | G | 10.323 | 0.846 | 0.384 |
26 | Frequency of renal dysfunction in patients on ENT and PNT | G | 10.129 | 0.871 | 0.369 |
27 | Frequency of biochemical assays in nutritional assessment in patients on ENT | B | 9.935 | 0.816 | 0.538 |
28 | Frequency of SGA application in patients on NT | B | 9.710 | 0.915 | 0.105 |
29 | Frequency of nutritional recall in patients on NT | B | 9.581 | 0.895 | 0.194 |
30 | Frequency of pneumothorax due to CVC insertion for PNT | E | 9.194 | 0.841 | 0.012 |
Notes:
BMI, body mass index; CVC, central venous catheter; ENT, enteral nutritional therapy; NT, nutritional therapy; PNT, parenteral nutritional therapy; QINT, quality indicator for nutritional therapy; SGA, subjective global assessment.
Categories according to Waitzberg (2010): A: general aspects; B: nutritional assessment; C: NT indications; D: preparations—pharmaceutical evaluations, handling, quality control, conservation and transportation; E: administration—access roads; F: administration—calories and proteins; G: clinical and laboratory control; and H: final evaluations.