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Vol. 42. Num. 6.August - September 2018
Pages e13-e16Pages 327-396
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Vol. 42. Num. 6.August - September 2018
Pages e13-e16Pages 327-396
Original
DOI: 10.1016/j.medine.2018.05.011
Quality of anthropometric measurements in Spanish Intensive Care Units (The CAMIES Study)
Calidad de la medición antropométrica en las Unidades de Medicina Intensiva españolas (Estudio CAMIES)
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M.A. García-Martíneza,b,
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garciamartinez.ma@gmail.com

Corresponding author.
, T. Cherednichenkoa, Y. Hidalgo Encinasa, A.I. Catalá Espinosaa, A. Arrascaeta Llanesa, J.A. Acosta Escribanoc
a Servicio de Medicina Intensiva, Hospital Universitario de Torrevieja, Alicante, Spain
b Servicio de Medicina Intensiva, Hospital Quirónsalud Torrevieja, Alicante, Spain
c Servicio de Medicina Intensiva, Hospital General Universitario de Alicante, Alicante, Spain
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Med Intensiva 2018;42:327-810.1016/j.medine.2018.05.002
T. Grau Carmona
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Tables (2)
Table 1. Distribution of the type of medical care, ICU beds, responses, protocols and measurement instruments according to hospital size.
Table 2. Tendency to obtain and use measurements.
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Abstract
Introduction

Real body weight and height are essential data to be obtained in all critically ill patients (CIP), due to their influence in the designing of therapies and monitoring. Visual estimation is a very inaccurate practice. No precise descriptions of anthropometric measurements among CIP are available in the clinical practice guides.

Objective

To describe anthropometric quality in CIP, health professional perception of such quality, and its influencing factors.

Design

Computer-assisted telephone or self-interviewing.

Setting

Doctors and nurses of all Spanish Intensive Care Units (ICU) attending adults.

Relevant variables

Anthropometric practices were described in detail, along with the proclivity to obtain real measurements, and the influence of professional experience, the number of ICU beds, and the health professional group involved.

Results

A total of 481 questionnaires were collected from 176 hospitals (36.8% from physicians). The availability of measuring tools is limited (weight 68.7% – height 76.7%), with no relation to the number of ICU beds (weight p=.343, height p=.61). Visual estimation was the most frequent way of obtaining measurements (weight 65.9% – height 64.8%), even when measuring tools were available. Willingness to take real measurements was very low, especially among physicians, and professional experience was associated to increased rejection (p<.001).

Conclusions

Visually estimated measurements exceed real measurements in the routine practice of Spanish ICUs. Measurement tools are not widely available in the ICU, and even when available, their use is not guaranteed. The surveyed population does not view anthropometric measures as being important for clinical practice. An effort should be made by scientific societies to promote reliable anthropometric practice in Spanish ICUs.

Keywords:
Anthropometry
Body height
Body weight
Critical illness
Intensive care practices
Resumen
Introducción

El peso y la talla reales son datos de inexcusable obtención en todos los pacientes críticamente enfermos (PCE) por su implicación en el diseño de las terapias y la monitorización. La estimación visual es una práctica poco fiable. No existe una descripción precisa en las guías de práctica clínica del PCE acerca de la obtención de medidas antropométricas.

Objetivo

Describir la calidad en la práctica de la antropometría en el PCE, la percepción de los sanitarios y los factores influyentes.

Diseño

Entrevista telefónica y personal asistida por ordenador.

Ámbito

Médicos y diplomados en Enfermería de todos los servicios de Medicina Intensiva (UCI) de adultos del territorio español.

Variables de interés

Se exploró la práctica habitual de toma de medidas, la proclividad al uso de medidas reales y la influencia de la experiencia, el tamaño de la UCI y el grupo profesional.

Resultados

Se obtuvieron 481 cuestionarios desde 176 hospitales, el 36,8% de médicos. La dotación en equipos de medida es escasa (peso 68,7%, talla 76,7%) y no se relaciona con el tamaño de la UCI (peso p = 0,343, talla p = 0,61). La estimación visual es la forma más frecuente de obtener medidas (peso 65,9%, talla 64,8%), incluso cuando se dispone de herramientas de medida. La disposición a la toma de medidas reales es baja, sobre todo entre médicos (36,2% de rechazo) y mayor experiencia asoció mayor rechazo (p < 0,001).

Conclusiones

La estimación supera a la toma de medidas reales en la rutina de las UCI españolas. Las herramientas de medida no están ampliamente disponibles en las UCI y su uso es minoritario aun existiendo. La población encuestada es poco tendente a considerar importante la toma de medidas. Debe realizarse un esfuerzo por parte de las sociedades científicas para promover la práctica antropométrica fiable en las UCI españolas.

Palabras clave:
Antropometría
Peso
Talla
Enfermedad crítica
Prácticas en Medicina Intensiva

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