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Impacto do aporte proteico e do estado nutricional no desfecho clínico de pacientes críticos / Impact of protein intake and nutritional status on the clinical outcome of critically ill patients
Santos, Helânia Virginia Dantas dos; Araújo, Izabelle Silva de.
  • Santos, Helânia Virginia Dantas dos; Universidade Federal do Vale do São Francisco. Hospital Universitário. Petrolina. BR
  • Araújo, Izabelle Silva de; Universidade Federal do Vale do São Francisco. Hospital Universitário. Petrolina. BR
Rev. bras. ter. intensiva ; 31(2): 210-216, abr.-jun. 2019. tab, graf
Article in Portuguese | LILACS | ID: biblio-1013777
RESUMO
RESUMO

Objetivo:

Avaliar a associação do estado nutricional e do consumo proteico com o desfecho clínico de pacientes críticos em uso de terapia nutricional enteral em uma unidade de terapia intensiva.

Métodos:

Estudo retrospectivo de caráter observacional analítico, realizado por meio da coleta de dados secundários registrados nos prontuários de pacientes ≥ 18 anos, internados na unidade de terapia intensiva e que receberam terapia nutricional enteral exclusiva por pelo menos 72 horas em 2017. O estado nutricional foi avaliado pelo índice de massa corporal e pela circunferência do braço. Para a estimativa das necessidades proteicas, foi considerada a recomendação da American Society for Parenteral and Enteral Nutrition. A adequação nutricional foi realizada por meio da coleta diária do volume da fórmula enteral prescrita e administrada. Nas análises, utilizaram-se testes paramétricos e não paramétricos e foi considerado significante p < 0,05.

Resultados:

Dos 188 pacientes avaliados, 71,3% eram do sexo masculino, com idade mediana de 48,5 anos (31,0 - 63,75). O principal diagnóstico clínico foi o trauma (46,3%) e a eutrofia foi o estado nutricional mais frequente (54,8%), segundo o índice de massa corporal, e de 46,4% pela circunferência braquial. A adequação proteica esteve insuficiente em 56,4% dos pacientes e apenas 46,8% atingiram a recomendação proteica mínima. A ocorrência de mortalidade esteve associada ao diagnóstico nutricional, ao índice de massa corporal (p = 0,023) e à circunferência do braço (p = 0,041), assim como a adequação proteica (p = 0,012).

Conclusão:

O estado nutricional e o consumo proteico estiveram associados de forma siginificante ao desfecho clínico dos pacientes críticos.
ABSTRACT
ABSTRACT

Objective:

To evaluate the association of nutritional status and protein intake with the clinical outcomes of critically ill patients receiving enteral nutrition therapy in an intensive care unit.

Methods:

A retrospective observational analytical study was performed by collecting secondary data recorded in medical records of patients ≥ 18 years of age who were admitted to the intensive care unit and who received exclusive enteral nutrition therapy for at least 72 hours in 2017. Nutritional status was assessed by body mass index and arm circumference. For the estimation of protein requirements, the recommendation of the American Society for Parenteral and Enteral Nutrition was considered. Nutritional adequacy was assessed by the daily collection of prescribed and administered enteral formula. In the analyses, parametric and nonparametric tests were used, and significance was set at p <0.05.

Results:

Of the 188 patients evaluated, 71.3% were male. The median age of the patients was 48.5 years (31.0 - 63.75). The main clinical diagnosis was trauma (46.3%), and eutrophic was the most frequent nutritional status (54.8% according to body mass index and 46.4% according to arm circumference). Protein adequacy was not attained in 56.4% of patients, and only 46.8% reached the minimum protein recommendation. The occurrence of mortality was associated with nutritional diagnosis, body mass index (p = 0.023), arm circumference (p = 0.041) and protein adequacy (p = 0.012).

Conclusion:

Nutritional status and protein intake were significantly associated with the clinical outcomes of critically ill patients.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Dietary Proteins / Nutritional Status / Enteral Nutrition / Critical Care Type of study: Practice guideline / Observational study / Risk factors Limits: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male Language: Portuguese Journal: Rev. bras. ter. intensiva Journal subject: Critical Care Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal do Vale do São Francisco/BR

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Full text: Available Index: LILACS (Americas) Main subject: Dietary Proteins / Nutritional Status / Enteral Nutrition / Critical Care Type of study: Practice guideline / Observational study / Risk factors Limits: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male Language: Portuguese Journal: Rev. bras. ter. intensiva Journal subject: Critical Care Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal do Vale do São Francisco/BR