Comparação entre a relação PCR/albumina e o índice prognóstico inflamatório nutricional (IPIN)

Corrêa, Camila Renata; Angeleli, Aparecida Yooko Outa; Camargo, Nádia dos Reis; Barbosa, Luciano; Burini, Roberto Carlos

doi:10.1590/s1676-24442002000300004

Cited by 22 publications

(24 citation statements)

References 21 publications

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“…os parâmetros bioquímicos obtidos pelo laboratório de Patologia clínica do inca, com os pacientes em jejum de oito horas, foram: albumina (método verde de bromocresol -valor de referência: 3,5 a 5,0 g/dl), pré-albumina (método imunoturbidimétrico -valor de referência 0,2 a 0,4 g/l) e proteína c reativa -Pcr (método turbidimétrico -valor de referência < 0,5 mg/dl). a relação Pcr/albumina foi calculada para classificação de risco nutricional utilizando os valores de referências adotados por corrêa et al 4 a antropometria incluiu aferição do peso, estatura, circunferência do braço (cB), prega cutânea tricipital (Pct) e cálculo do índice de massa corporal (iMc), da circunferência muscular do braço (cMB) e da área muscular do braço corrigida (aMBc). o peso corporal foi mensurado com a utilização de balança digital de precisão (Filizola®), com capacidade máxima de 150 kg.…”

Section: Métodounclassified

Perfil Nutricional de Pacientes com Câncer de Cavidade Oral em Pré-Tratamento Antineoplásico

Oliveira

Santos²,

Viana

et al. 2015

Rev. Brasileira.De.Cancerologia

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Introdução: O câncer de cavidade oral pode causar inúmeros sintomas de impacto nutricional, que afetam negativamente a qualidade de vida, aumentando a morbidade e mortalidade. A avaliação nutricional possibilita a detecção e o manejo desses sintomas, devendo ser realizada antes, durante e após o tratamento antineoplásico. Objetivo: Caracterizar o perfil nutricional de pacientes ambulatoriais com câncer de cavidade oral em pré-tratamento antineoplásico, investigar as alterações que comprometem a ingestão alimentar e avaliar o estado nutricional, visando à intervenção o mais precocemente possível, para maior tolerância ao tratamento antineoplásico e prevenção da desnutrição. Método: Estudo transversal com 29 indivíduos de ambos os sexos, entre 30 e 75 anos de idade, portadores de câncer de cavidade oral em pré-tratamento antineoplásico. O perfil nutricional desses pacientes foi analisado de acordo com os sintomas referidos, perda de peso, consistência da dieta, número de refeições diárias, parâmetros bioquímicos, antropométricos e bioimpedância elétrica. Resultados: A maioria dos pacientes se encontrava em estádio clínico IV (65,5%); referiu, no mínimo, dois sintomas de impacto nutricional (85,2%); e apresentou perda de peso grave em seis meses (56,5%). A circunferência muscular do braço e a área muscular do braço foram os parâmetros antropométricos que classificaram o maior percentual de desnutrição. Conclusão: Perda de peso não intencional, dificuldades de deglutição e reduzida ingestão alimentar foram observadas em grande proporção. A prevalência de desnutrição foi elevada e variou conforme o parâmetro utilizado, ressaltando que os parâmetros de avaliação devem ser utilizados complementarmente.

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Section: Métodounclassified

Perfil Nutricional de Pacientes com Câncer de Cavidade Oral em Pré-Tratamento Antineoplásico

Oliveira

Santos²,

Viana

et al. 2015

Rev. Brasileira.De.Cancerologia

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“…( 13 ) dBaseado na mediana dos resultados obtidos no grupo de controles saudáveis*Teste do qui-quadrado …”

Section: Resultsunclassified

“…( 13 ) According to one study, the levels of complication risks are as follows: no risk, if the ratio is < 0.4; low risk, from 0.4 to 1.1; medium risk, from 1.2 to 2.0; and high risk, > 2.0. ( 13 ) …”

Section: Methodsmentioning

confidence: 99%

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Association between serum selenium level and conversion of bacteriological tests during antituberculosis treatment

et al. 2014

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Objective: To determine whether serum selenium levels are associated with the conversion of bacteriological tests in patients diagnosed with active pulmonary tuberculosis after eight weeks of standard treatment. Methods: We evaluated 35 healthy male controls and 35 male patients with pulmonary tuberculosis, the latter being evaluated at baseline, as well as at 30 and 60 days of antituberculosis treatment. For all participants, we measured anthropometric indices, as well as determining serum levels of albumin, C-reactive protein (CRP) and selenium. Because there are no reference values for the Brazilian population, we used the median of the serum selenium level of the controls as the cut-off point. At 30 and 60 days of antituberculosis treatment, we repeated the biochemical tests, as well as collecting sputum for smear microscopy and culture from the patients. Results: The mean age of the patients was 38.4 ± 11.4 years. Of the 35 patients, 25 (71%) described themselves as alcoholic; 20 (57.0%) were smokers; and 21 (60.0%) and 32 (91.4%) presented with muscle mass depletion as determined by measuring the triceps skinfold thickness and arm muscle area, respectively. Of 24 patients, 12 (39.2%) were classified as moderately or severely emaciated, and 15 (62.5%) had lost > 10% of their body weight by six months before diagnosis. At baseline, the tuberculosis group had lower serum selenium levels than did the control group. The conversion of bacteriological tests was associated with the CRP/albumin ratio and serum selenium levels 60 days after treatment initiation. Conclusions: Higher serum selenium levels after 60 days of treatment were associated with the conversion of bacteriological tests in pulmonary tuberculosis patients.

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“…The inflammatory / nutritional index PCR/Albumin was used to assess the risk of severely ill patients according to the following risk factors for complications: CRP/albumin ratio <0.4 (without risk); 0.4-1.2 (low risk); 1.2-2.0 (medium risk) and >2.0 (high risk) (20,21) .…”

Section: -Crp/alb Relationshipmentioning

confidence: 99%

Target, Prescription and Infusion of Enteral Nutritional Therapy of Critical Patients in Intensive Care Unit

José

Leandro-Merhi

Aquino

2018

Arq. Gastroenterol.

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BACKGROUND: Enteral nutritional therapy (ENT) is the best route for the nutrition of critically ill patients with improved impact on the clinical treatment of such patients. OBJECTIVE: To investigate the energy and protein supply of ENT in critically ill in-patients of an Intensive Care Unit (ICU). METHODS: Prospective longitudinal study conducted with 82 critically ill in-patients of an ICU, receiving ENT. Anthropometric variables, laboratory tests (albumin, CRP, CRP/albumin ratio), NUTRIC-score and Nutritional Risk Screening (NRS-2002), energy and protein goals, and the inadequacies and complications of ENT were assessed. Statistical analysis was performed using the Chi-square or Fischer tests and the Wilcoxon test. RESULTS: A total of 48.78% patients were at high nutritional risk based on NUTRIC score. In the CRP/albumin ratio, 85.37% patients presented with a high risk of complications. There was a statistically significant difference (P<0.0001) for all comparisons made between the target, prescription and ENT infusion, and 72% of the quantities prescribed for both calories and proteins was infused. It was observed that the difference between the prescription and the infusion was 14.63% (±10.81) for calories and 14.21% (±10.5) for proteins, with statistically significant difference (P<0.0001). In the relationship between prescription and infusion of calories and proteins, the only significant association was that of patients at high risk of CRP/albumin ratio, of which almost 94% received less than 80% of the energy and protein volume prescribed (P=0.0111). CONCLUSION: The administration of ENT in severely ill patients does not meet their actual energy and protein needs. The high occurrence of infusion inadequacies, compared to prescription and to the goals set can generate a negative nutritional balance.

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Comparação entre a relação PCR/albumina e o índice prognóstico inflamatório nutricional (IPIN)

Cited by 22 publications

References 21 publications

Perfil Nutricional de Pacientes com Câncer de Cavidade Oral em Pré-Tratamento Antineoplásico

Perfil Nutricional de Pacientes com Câncer de Cavidade Oral em Pré-Tratamento Antineoplásico

Association between serum selenium level and conversion of bacteriological tests during antituberculosis treatment

Target, Prescription and Infusion of Enteral Nutritional Therapy of Critical Patients in Intensive Care Unit

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