Mortality, morbidity, and quality-of-life outcomes of patients requiring ≥ 14 days
            of mechanical ventilation: a 12-month post-intensive-care-unit cohort study

Cabral, Crystal; Teixeira, Cassiano; Rosa, Régis Goulart; Robinson, Caroline Cabral; Sganzerla, Daniel; Loss, Sérgio Henrique; Lora, Priscila Schmidt; Micheletti, Vania Celina Dezoti

doi:10.5935/0103-507x.20190046

Cited by 1 publication

(1 citation statement)

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“…Malnutrition in critically ill patients can occur mainly due to persistent inflammation, chronic organ failure, persistent protein catabolism and inadequate nutrition, in addition to being associated with problems in wound healing and immunosuppression, with greater susceptibility to secondary infections and low levels of survival in long term 5 . Consequently, the correct and early identification of nutritional risk in critically ill patients is essential, since recent studies have shown that not everyone benefits from aggressive nutritional therapy in the initial phase of critical illness, and the exception is patients with higher nutritional risk 2 .…”

Section: Introductionmentioning

confidence: 99%

Phase Angle for Nutritional Risk Screening in Cardiac Critically Ill Patients

Tenório¹,

Rodrigues²,

Júnior³

et al. 2023

Rev Esp Nutr Hum Diet

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Introduction: The phase angle has been listed as a nutritional marker and its useful role in critically ill patients, but its role as a patient-to-patient tool has not yet been tested. This study sought to evaluate the phase angle as a proposal to determine nutritional risk in critically ill patients hospitalized in cardiac intensive care units. Methods: Transversal study, coupled to a prospective analysis variable (hospitalization outcome) and involving adult and elderly male and female patients in cardiac intensive care units. The nutritional risk was determined by using the NUTRICscore, the phase angle was obtained through bioelectrical impedance analysis and other data, through the clinical record. A significance level of p <0.05 was used for all statistical analysis. Results: 79 patients were included and resulted in homogeneous distribution among the sexes and an average age of 67.2 ± 13.7 years. Most of the sample had malnutrition according to the body mass index (BMI) (46.7%; CI: 36.0-57.8) and due to the adequacy of the arm circumference (40.8%; CI: 34.0-52.0). According to the NUTRIC score, 59.5% (CI: 48.5-69.3) had a high nutritional risk, and 68.4% (CI: 57.4-77.6) had a low phase angle (≤5.5 °). Correlation between the phase angle and age (p = 0.010) and BMI (p = 0.023) was verified. A good sensitivity (72%; CI: 55.6-81.9) and specificity (68%; CI: 42.5-77.5) of the low phase angle were obtained to detect nutritional risk by NUTRIC. Conclusions: The PhA had good results of sensitivity and specificity but should be used with caution to determine the nutritional risk in critically ill cardiac patients.

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Section: Introductionmentioning

confidence: 99%