Associação do estado nutricional e os desfechos clínicos em cirurgia cardíaca pediátrica

Abstract

Associação do estado nutricional e os desfechos clínicos em cirurgia cardíaca pediátrica Association of nutritional status and clinical outcomes in pediatric cardiac surgery Relación del estado nutricional y los resultados clínicos en cirugía cardíaca pediátrica

Translation, cross-cultural adaptation, content validation, and clinical feasibility of the nutritional pathway for infants with congenital heart disease before surgery

“…cardiologist, dietitian, and SLT) specialist monitoring, and hypercaloric formula intake (see Appendix B) can reproduce the outcomes found in the British pilot data. 17 However, considering that in Brazil we have a greater nutritional deficit in infants than in the UK, 17 , 25 we predict that the benefits will be even wider in a low-income population, with limited access to nutritional and SLT expert care pre-surgery. 26 In addition, we hope that the results can be used for the formulation of Brazilian guidelines of comprehensive nutritional pre-surgical care for children with CHD, for public policies related to access to hypercaloric formulas to low-income high-risk children.…”

Prognostic nutritional index and mortality in children and adolescents underwent cardiac surgery

“…18,19 The presence of malnutrition in studied patients increased the chance of mortality 4 times, reinforcing negative effects of malnutrition that are widely documented in the literature as factors of morbimortality in cardiovascular surgery. [18][19][20][21] The described association may be explained by the postoperative metabolic response, characterized by altered energetic demands, complex inflammatory status and higher protein catabolism, 3,22 added to malnutrition, which can by itself impair the results of the corrective surgery. 19 Thus, postoperative nutritional diagnosis in cardiovascular surgeries allows for early therapeutic intervention, decreasing risks of postoperative complications.…”

“…2 Around 80% of children with cardiovascular diseases need surgical intervention, whether corrective or palliative. 3 The evolution of surgical techniques enabled higher rate of survival, whereas the presence of malnutrition in these patients increases the risk of complications in the postoperative period due to higher metabolic demand. 4 Nutritional status represents an important role in the incidence of morbidity and mortality in the postoperative period.…”

“…Nutritional assessment may establish and even prevent risk situations after surgery, observing that inadequate nutritional status in the period that antecedes it is frequently worsened in the postoperative period. 3,6 The determination of nutritional status is complex, once many indexes are necessary to perform a complete and accurate description, such as food intake, anthropometric data and biochemical parameters. 6 Various tools were created in order to assess nutritional status.…”

Factores de riesgo de la desnutrición hospitalaria y mortalidad en pacientes hospitalizados: Una revisión sistemática, periodo 2018-2023

“…El estado nutricional del paciente antes de ser hospitalizado es indicado como un factor de riesgo de desnutrición hospitalaria (Abahuje et al, 2020;Bhirommuang et al, 2019;de Souza et al, 2020;Lovera Montilla & Cáceres Villota, 2023;Ortiz-Beltrán et al, 2020) Muchos pacientes que son ingresados al hospital llegan con niveles de desnutrición altos o con riesgo alto (Cuong et al, 2018;Rinninella et al, 2018).…”