Diagnóstico nutricional de pacientes cirúrgicos

Dias, Celina de Azevedo; Burgos, Maria Goretti Pessôa de Araújo

doi:10.1590/s0102-67202009000100002

Cited by 7 publications

(5 citation statements)

References 14 publications

(15 reference statements)

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“…In the present study, adults were classified mostly as eutrophic while the elderly malnutrition was more common, a fact that may be explained by the uniformity of the cutoff point used, underestimating the actual muscle in the elderly group. In a study proposed by Dias and Burgos 11 , malnutrition was more prevalent in the elderly, since these were mostly in their series.…”

Section: Discussionmentioning

confidence: 88%

“…In the present study, there was a prevalence of malnourished patients using the adductor pollicis muscle measure as an indicator of nutritional status. Due to the scarcity of similar studies in the literature, it was not possible to compare the incidence of malnutrition through the thickness of APM found with other studies, although malnutrition is a frequent finding from other parameters of nutritional assessment in surgical patients, as in the study of Dias and Burgos 11 .…”

Section: Discussionmentioning

confidence: 99%

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Adductor pollicis muscle as predictor of malnutrition in surgical patients

Melo¹,

Silva²

2014

ABCD, arq. bras. cir. dig.

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BackgroundIn the compromised nutritional status, there is excessive skeletal muscle loss and decreased inflammatory response, contributing to increased morbidity and mortality and length of stay.AimTo estimate the prevalence of malnutrition by measuring adductor pollicis muscle using cutoffs for surgical patients suggested in the literature.MethodsCross-sectional study with 151 patients scheduled for elective surgical procedure. Nutritional assessment was performed by classical anthropometric measurements: arm circumference, triceps skinfold thickness, arm muscle circumference, corrected arm muscle area, BMI and percentage of weight loss and the extent of the adductor pollicis muscle in both hands.ResultsThe prevalence of malnutrition in patients was high. A significant association between nutritional diagnosis according to the measures of adductor pollicis muscle and arm circumference, BMI and triceps skinfold thickness but there was no association with arm muscular circumference, arm muscular area or percentage of weight loss.ConclusionThe adductor pollicis muscle has proved to be a good method to diagnose muscle depletion and malnutrition in surgical patients.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Adductor pollicis muscle as predictor of malnutrition in surgical patients

Melo¹,

Silva²

2014

ABCD, arq. bras. cir. dig.

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“…For the sample, it was considered a population of 80 individuals, which consists of the average of the monthly hospitalizations at the General Surgery Unit and a prevalence of 48.1% of hospital malnutrition, based on the results of the Brazilian Survey of Hospital Nutritional Assessment (IBRANUTRI) 9 . It was considered an error of ±5% for a level of significance of 95%, which resulted in a minimum sample of 67 patients.…”

Section: Methodsmentioning

confidence: 99%

“…Hospital malnutrition can affect negatively the clinical evolution of the patients because it can increase the time of hospitalization, the incidence of postoperative complications, such as infections and delay of the scarring process of wounds, and it can also increase the mortality rate 9 13 . A study conducted in 1936 had already showed a strong correlation between postoperative malnutrition and complications and mortality in patients after major surgeries in the abdominal cavity 21 .…”

Section: Introductionmentioning

confidence: 99%

Total Lymphocyte Count and Serum Albumin as Predictors of Nutritional Risk in Surgical Patients

Rocha

Fortes

2015

ABCD, arq. bras. cir. dig.

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Background: Early detection of changes in nutritional status is important for a better approach to the surgical patient. There are several nutritional measures in clinical practice, but there is not a complete method for determining the nutritional status, so, health professionals should only choose the best method to use. Aim: To evaluate the total lymphocyte count and albumin as predictors of identification of nutritional risk in surgical patients. Methods: Prospective longitudinal study was conducted with 69 patients undergoing surgery of the gastrointestinal tract. The assessment of nutritional status was evaluated by objective methods (anthropometry and biochemical tests) and subjective methods (subjective global assessment). Results: All parameters used in the nutritional assessment detected a high prevalence of malnutrition, with the exception of BMI which detected only 7.2% (n=5). The albumin (p=0.01), the total lymphocytes count (p=0.02), the percentage of adequacy of skinfolds (p<0.002) and the subjective global assessment (p<0.001) proved to be useful as predictors of risk of postoperative complications, since the smaller the values of albumin and lymphocyte count and higher the score the subjective global assessment were higher risks of surgical complications. Conclusions: A high prevalence of malnutrition was found, except for BMI. The use of albumin and total lymphocyte count were good predictor for the risk of postoperative complications and when used with other methods of assessing the nutritional status, such as the subjective global assessment and the percentage of adequacy of skinfolds, can be useful for identification of nutritional risk and postoperative complications.

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“…Os pacientes cirúrgicos desnutridos possuem maior chance de apresentar complicações durante a internação hospitalar e elevado índice de morbidade e mortalidade por diferentes causas, tais como: maior risco de sepse, abcesso abdominal, problemas respiratórios e cardíacos, retardo no processo de cicatrização e comprometimento do sistema imune. A intervenção nutricional precoce tem-se mostrado eficaz na redução das complicações, tempo de permanência hospitalar, melhora da cicatrização, bem-estar e redução da taxa de mortalidade nesses pacientes 3,11,12 .…”

Section: Introductionunclassified

Estado nutricional, tempo de internação e mortalidade em pacientes submetidos à cirurgia cardíaca em um hospital na cidade de Maceió

Almeida,

Oliveira,

Pereira

et al. 2023

R. Assoc. bras. Nutr.

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Objetivo: avaliar a relação entre o estado nutricional, tempo de internação e mortalidade em pacientes submetidos à cirurgia cardíaca. Métodos: Estudo transversal retrospectivo, realizada no Hospital Santa Casa de Misericórdia de Maceió. A amostra foi constituída por pacientes adultos e idosos, de ambos os sexos, submetidos a cirurgias cardíacas. Os dados foram provenientes do prontuário eletrônico dos pacientes referentes à idade, estado nutricional, tempo de internação e mortalidade. Resultados: Foram analisados os dados de 220 pacientes, dos quais, 55,5% eram do sexo masculino e a média de idade foi 55,3 anos. A prevalência de mortalidade foi 7,8%. Cerca de 40% dos indivíduos eram eutróficos e o tempo médio de internação foi de 14,1 dias. Não houve associação entre estado nutricional, tempo de internamento e mortalidade. Conclusão: Constatou-se baixa frequência de desnutrição, e não houve relação com o prolongamento da permanência hospitalar e com a mortalidade dos pacientes. No entanto, o diagnóstico nutricional precoce no internamento hospitalar e o acompanhamento, além da implantação de uma dietoterapia adequada são de extrema importância para evitar declínio nutricional e possíveis complicações durante o tempo de estadia no ambiente hospitalar. Palavras-chave: Estado Nutricional. Mortalidade. Cirurgia cardíaca.

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Diagnóstico nutricional de pacientes cirúrgicos

Cited by 7 publications

References 14 publications

Adductor pollicis muscle as predictor of malnutrition in surgical patients

Adductor pollicis muscle as predictor of malnutrition in surgical patients

Total Lymphocyte Count and Serum Albumin as Predictors of Nutritional Risk in Surgical Patients

Estado nutricional, tempo de internação e mortalidade em pacientes submetidos à cirurgia cardíaca em um hospital na cidade de Maceió

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