scholarly journals Fatores de risco associados à desnutrição em pacientes hospitalizados: uma revisão de literatura

2021 ◽  
Vol 6 (10) ◽  
pp. 3-8
Author(s):  
Cintia Aparecida de Oliveira Flores ◽  
Rayane Lemos Farias
Keyword(s):  
Risk Factors ◽  
Gastrointestinal Symptoms ◽  
Severe Infection ◽  
Nutritional Therapy ◽  
Diet Therapy ◽  
Hospitalized Patients ◽  
Google Scholar ◽  
Admission Diagnosis ◽  
Factors Associated ◽  
Factores De Riesgo

O objetivo deste estudo é revisar conforme literatura científica os principais fatores de risco associados à desnutrição em pacientes hospitalizados. O estudo é uma revisão simples da literatura a partir de busca nas bases de dados Lilacs, Scielo, Google Acadêmico, Google e Pubmed. A partir dos achados podemos verificar que os fatores de risco que mais se destacaram foram: a perda de peso recente e involuntária, a idade superior aos 60 anos, a patologia apresentada (câncer ou infecção grave), baixa ingesta calórica/proteica no período de internação, sintomas gastrointestinais (náuseas e diarreias) e um tempo maior de internação. O tratamento da desnutrição compõe um relevante desafio, onde um diagnóstico adequado é fundamental para que uma terapia nutricional seja iniciada o mais rápido possível e proporcione um tratamento dietoterápico eficaz.Descritores: Estado Nutricional, Fatores de Risco, Hospitalizados, Desnutrição. Risk factors associated with malnutrition in hospitalized patients: a literature reviewAbstract: The objective of this study is to review, according to scientific literature, the main risk factors associated with malnutrition in hospitalized patients. The study is a simple review of the literature based on searches in the Lilacs, Scielo, Google Scholar, Google and Pubmed databases. From the findings, we can see that the risk factors that stood out the most were: recent and involuntary weight loss, age over 60 years, the pathology presented (cancer or severe infection), low caloric/protein intake in the period of hospitalization, gastrointestinal symptoms (nausea and diarrhea) and a longer hospital stay, other less reported factors also appear in the study, such as admission diagnosis, poor appetite, apparent bone and low BMI. The treatment of malnutrition constitutes a relevant challenge, where an adequate diagnosis is essential so that a nutritional therapy can be started as soon as possible and provide an effective diet therapy treatment.Descriptors: Nutritional Status, Risk Factors, Hospitalized, Malnutrition. Factores de riesgo asociados a la desnutrición en pacientes hospitalizados: revisión de la literaturaResumen: El objetivo de este estudio es revisar, de acuerdo con la literatura científica, los principales factores de riesgo asociados a la desnutrición en pacientes hospitalizados. El estudio es una simple revisión de la literatura mediante la búsqueda en las bases de datos Lilacs, Scielo, Google Scholar, Google y Pubmed. De los hallazgos se puede apreciar que los factores de riesgo que más destacaron fueron: pérdida de peso reciente e involuntaria, edad mayor de 60 años, patología presentada (cáncer o infección severa), bajo aporte calórico/proteico en el período de hospitalización, síntomas gastrointestinales (náuseas y diarrea) y estancia hospitalaria más prolongada. El tratamiento de la desnutrición constituye un desafío relevante, donde un diagnóstico adecuado es fundamental para iniciar lo antes posible una terapia nutricional y brindar un tratamiento dietético efectivo.Descriptores: Estado Nutricional, Factores de Riesgo, Hospitalizados, Desnutrición.

scholarly journals Molecular epidemiology of Cryptosporidium spp. in North Lebanon

2018 ◽  
Vol 12 (02.1) ◽  
pp. 34S ◽  
Author(s):  
Marwan Osman ◽  
Sadia Benamrouz ◽  
Karine Guyot ◽  
Dima El Safadi ◽  
Hassan Mallat ◽  
...  
Keyword(s):  
Risk Factors ◽  
Molecular Epidemiology ◽  
Gastrointestinal Symptoms ◽  
Control Program ◽  
Hospitalized Patients ◽  
Parasitic Infections ◽  
Cryptosporidium Hominis ◽  
Factors Associated ◽  
Cryptosporidium Spp ◽  
Molecular Tests

Cryptosporidium spp. are enteroparasites with worldwide distribution that infect the gastrointestinal tract of several vertebrates including humans. Human to human, zoonotic, foodborne and waterborne are reported as the main transmission routes of this parasite. Cryptosporidium spp. have been recognized as the predominant cause of waterborne and foodborne outbreaks. However, the epidemiological situation of cryptosporidiosis is not well known in Lebanon, a developing country with a population often affected by intestinal parasitic infections. This study was devoted to determine the prevalence and the genetic diversity of Cryptosporidium spp. in symptomatic hospitalized patients and in two children populations with different socio-economic level in North-Lebanon, as well as the risk factors associated with cryptosporidiosis. Fecal samples obtained from these populations were examined microscopically by modified Ziehl-Neelsen staining as well as nested PCR were done for the detection of Cryptosporidium oocysts. Out of 163 symptomatic hospitalized patients and 249 children, Cryptosporidium was present in 11% and 10.4% respectively according to microscopy examination and/or molecular tests. The genotyping showed the predominance of Cryptosporidium hominis in both populations. Subgenotype analysis of the isolates at the gp60 locus identified three subtypes IdA19, IbA10G2 and IaA18R3 for C. hominis and two subtypes IIaA15G1R1 and IIaA15G2R1 for C. parvum. Moreover, cryptosporidiosis was correlated with having meals outside home and presence of gastrointestinal symptoms especially diarrhea (p <0.05). This work constitutes the first molecular epidemiology study outlining risk factors associated with cryptosporidiosis in Lebanon. These findings support a need of a control program to prevent the circulation of this parasite.

scholarly journals Factores de riesgo asociados a distocias del mecanismo del parto en gestantes primíparas atendidas en el Hospital Dr. Verdi Cevallos Balda

2020 ◽  
Vol 4 (2) ◽  
pp. 1
Author(s):  
Olga Katherine Veintimilla Chinga ◽  
María Alicia Fernanda Ledezma Hurtado ◽  
Dadier Marrero González ◽  
Lizeet López ◽  
Hugo Loor Lino
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Rural Areas ◽  
Overweight And Obesity ◽  
Modifiable Risk Factors ◽  
Maternal Complications ◽  
Factors Associated ◽  
Factores De Riesgo ◽  
Uterine Malformations ◽  
Delivery Mechanism

  Las distocias del mecanismo del parto en gestantes pueden generar consecuencias significativas tanto maternas como fetales y neonatales, existiendo diversos factores de riesgo asociados a dicha condición. La prevalencia de las distocias es variable para cada localidad, presentándose en el 0,3 % a de los casos. En este sentido, el objetivo de este trabajo fue determinar los principales factores de riesgo que se asocian a distocias del mecanismo del parto en gestantes primíparas atendidas en el Hospital Dr. Verdi Cevallos Balda. Se realizó un estudio descriptivo y retrospectivo, con 250 embarazadas atendidas en el periodo de enero 2018 a diciembre 2019. Las distocias de los mecanismos del parto en primíparas en el Hospital Dr. Verdi Cevallos se presentaron con más frecuencia en las edades entre los 20 y 34 años, con grado de instrucción secundaria, y de zonas rurales. Los principales factores de riesgos modificables asociados a distocias fueron los controles prenatales insuficientes, sobrepeso y obesidad de las gestantes; además de ganancia de peso inadecuada durante el embarazo, bajo peso fetal, duración prolongada de la primera fase del trabajo de parto e inducción del mismo. Los factores de riesgos no modificables identificados fueron la presentación de cara, estrechez pélvica, malformaciones uterinas, hipertensión arterial como enfermedad crónica asociada, talla materna menor a 140 cm y parto prolongado de más de 20 horas. Las complicaciones maternas tuvieron una alta incidencia y dentro de ellas, las cesáreas fueron las más frecuentes, mientras que el distress respiratorio fue la complicación neonatal más presentada.   Palabras clave: Distocia, factores de riesgo, peso elevado, malformaciones uterinas, complicaciones.   Abstract Dystocia of the delivery mechanism in pregnant women can generate significant maternal, fetal and neonatal consequences, with various risk factors associated with this condition. The prevalence of dystocia is variable for each locality, occurring in 0.3% of cases. In this sense, the objective of this study was to determine the main risk factors associated with dystocia in the delivery mechanism in primiparous pregnant women treated at the Dr. Verdi Cevallos Balda Hospital. A descriptive and retrospective study was carried out, with 250 pregnant women seen in the period from January 2018 to December 2019. Dystocia of the labor mechanisms in primiparous women at the Dr. Verdi Cevallos Hospital occurred more frequently in the ages between 20 and 34 years old, with a secondary education degree, and from rural areas. The main modifiable risk factors associated with dystocia were insufficient prenatal care, overweight and obesity in pregnant women; as well as inadequate weight gain during pregnancy, low fetal weight, prolonged duration of the first phase of labor and its induction. The non-modifiable risk factors identified were face presentation, pelvic narrowing, uterine malformations, arterial hypertension as an associated chronic disease, maternal height less than 140 cm and prolonged labor of more than 20 hours. Maternal complications had a high incidence and within them, caesarean sections were the most frequent, while respiratory distress was the most common neonatal complication.   Keywords: Dystocia, risk factors, high weight, uterine malformations, complications.

scholarly journals Epidemiological characteristics, clinical characteristics, and prognostic factors of children with atopy hospitalised with adenovirus pneumonia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Miao Li ◽  
Xiao-Hua Han ◽  
Li-Yun Liu ◽  
Hui-Sheng Yao ◽  
Li-Li Yi
Keyword(s):  
Risk Factors ◽  
Disease Severity ◽  
Clinical Characteristics ◽  
Severe Infection ◽  
Small Airway ◽  
Personal History ◽  
Factors Associated ◽  
History Of ◽  
Radiological Changes ◽  
Epidemiological Characteristics

Abstract Background Atopy may be associated with disease severity and a poor prognosis of human adenovirus (HAdV) pneumonia in children. Our aim was to observe the clinical characteristics and pulmonary radiological changes in children with atopy and HAdV pneumonia in China. Methods Children hospitalised with HAdV pneumonia from June 2018 to December 2019 were analysed. All children were divided into atopic with HAdV, non-atopic with HAdV, and atopic without HAdV infection group. Each group was further divided into the mild and severe pneumonia groups according to disease severity. Standard treatment was initiated after admission, and regular follow-up evaluations were conducted at 1 month after discharge. Baseline and clinical characteristics and pulmonary radiological changes in children with and without atopy were evaluated. Risk factors associated with small airway lesions in patients with HAdV pneumonia were analysed. Results The eosinophil count in the atopic group was significantly higher than that in the non-atopic group (P < 0.05). Severe coughing, wheezing, and small airway lesions on chest high-resolution computed tomography (HRCT) upon admission, after discharge and 1 month after discharge were significantly higher in the atopic group (with or without HAdV infection) than in the non-atopic group (P < 0.05). There were significant differences in the number of patients with wheezing and small airway lesions during hospitalisation and after discharge among the three groups (P < 0.05). The risks of small airway lesions in children with a family or personal history of asthma, severe infection, atopy, and HAdV infection were 2.1-, 2.7-, 1.9-, 2.1-, and 1.4-times higher than those in children without these characteristics, respectively. Conclusions Children with atopy and HAdV pneumonia may experience severe coughing in mild cases and wheezing in mild and severe cases. Children with atopy are more susceptible to the development of small airway lesions, recurrent wheezing after discharge and slower recovery of small airway lesions as observed on pulmonary imaging than non-atopic children after HAdV infection. A family or personal history of asthma, atopy, severe infection, and HAdV infection are independent risk factors associated with the development of small airway lesion as observed on chest HRCT.

scholarly journals Risk factors associated with disease aggravation among 126 hospitalized patients with COVID-19 in different places in China

Medicine ◽  
2020 ◽  
Vol 99 (45) ◽  
pp. e22971
Author(s):  
Shuai Shao ◽  
Zhiling Zhao ◽  
Feng Wang ◽  
Dandan Chang ◽  
Yong Liu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hospitalized Patients ◽  
Factors Associated

Factores de Riesgo Asociados a las Mujeres con Citología positiva / Risk Factors Associated to the Women with Positive Cytologies

2010 ◽  
Vol 21 (1) ◽  
pp. 19-27
Author(s):  
Lissette Messana ◽  
◽  
Ivette Castillo ◽  
Yaite Hernández ◽  
Niurka Manresa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Factors Associated ◽  
Factores De Riesgo ◽  
Las Mujeres

PERFIL EPIDEMIOLÓGICO Y FACTORES DE RIESGO DE MORTALIDAD EN ADULTOS CON COVID-19: ESTUDIO RETROSPECTIVO.

2020 ◽  
Vol 31 (1) ◽  
Author(s):  
Dayami Martínez Sosa ◽  
Oswaldo Vásconez Hatt ◽  
Katherine Rosero Arboleda ◽  
Fabian Zurita Alvarado ◽  
Mónica Hernández Lojano ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Course ◽  
Demographic Data ◽  
Severity Of Illness ◽  
Factors Associated ◽  
Related Risk ◽  
Factores De Riesgo ◽  
New Type ◽  
Epidemiological Characteristics

By the ending of 2019 a new type of coronavirus was identified named SARS-CoV 2, and now known to be the etiological agent of the acute respiratory syndrome coronavirus (SARS-CoV-2). Known as coronavirus 2019 disease or (COVID-19) constitutes a challenge for the world in many unknown aspects and problems in public health. In Ecuador the first reported of a confirmed appeared on February 29 2020, and in March 12 an emergency health status is declared. Objective: To determine the epidemiological characteristics and factors related to death and survival in patients with COVID-19. Design: The study is of transversal retrospective design, the patients chosen were those seen in the respiratory or suspicious of COVID-19 area of Hospital Vozandes Quito between March 2 and April 30. Demographic data and related risk factors for mortality were obtained using the EPI-1 individual form, epidemiological research files, the VI Epi system and electronic promptuary of patients. Results: 250 patients were obtained for this study, 87 of those were confirmed COVID-19, out those eight died and 79 were alive at the ending of the follow up. Regarding the severity of illness, 61% of the patients were classified as mild and 6 % critical (p =<0.001). Elevated values of CRP (OR 1 IC 95% 1.000 – 1.024), age about 55 years old to diagnosis (OR 42,040 IC 95% 36,320 – 47,760) and the presence of hiporexia (OR 24 IC 95% 1.183 – 504.413) were associated with higher mortality levels amongst COVID-19 positive patients. Conclusions The majority of COVID-19 cases showed no serious manifestations, were treated symptomatically and home isolation. Elevated values of CRP and the presence of hiporexia at the diagnosis are factors consistently with death. Future investigations are required to determine the risk factors associated with worst clinical course and prognosis.

Risk Factors Associated with Impulsivity Among Hospitalized Patients

2015 ◽  
Vol 30 ◽  
pp. 1856
Author(s):  
R. Masmoudi ◽  
F. Charfeddine ◽  
F. Smaoui ◽  
L. Aribi ◽  
J. Aloulou ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hospitalized Patients ◽  
Factors Associated

scholarly journals Factores de riesgo asociados al parto pre término en el hospital nacional Guillermo Almenara Irigoyen de enero a junio del 2010.

2019 ◽  
pp. 143-149
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Pregnant Women ◽  
Preterm Delivery ◽  
Multiple Pregnancy ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
National Hospital ◽  
Factors Associated ◽  
Factores De Riesgo

Factores de riesgo asociados al parto pre término en el hospital nacional Guillermo Almenara Irigoyen de enero a junio del 2010. Risk factors associated with preterm delivery in the Guillermo Almenara Irigoyen National Hospital from January to June 2010 Lizbeth Estefanía Díaz Polo Universidad de San Martin de Porres. Lima 12 DOI: https://doi.org/10.33017/RevECIPeru2011.0036/ RESUMEN El parto pre término ocurre entre las 22 y antes de las 37 semanas. Su etiología es multifactorial y es causa principal de morbilidad y mortalidad perinatal. El objetivo fue determinar los factores de riesgo asociados al parto pre término en gestantes del Hospital Nacional Guillermo Almenara Irigoyen de Enero a Junio del 2010. Se realizó un estudio retrospectivo, caso - control y descriptivo. Las historias clínicas de pacientes casos y controles, fueron revisadas y registradas en fichas y se procesaron con el SPSS versión 15. Los resultados fueron 81 pacientes con diagnóstico de parto pre término, con significancia estadística en las siguientes variables: ausencia de atención prenatal (OR 3.07, P>0.05), pre eclampsia (OR 20.86, P>0.001), ruptura prematura de membranas (OR 4.03, P>0.005), embarazo múltiple (OR 5.64, P>0.01), corioamnionitis (OR 2.02, P>0.1), lugar de nacimiento: sierra (OR 3.88, P>0.05) y nivel socioeconómico D-E (OR12.73, P>0.05). Se evidencio que gestantes más pobres y con menor nivel educativo presentan mayor incidencia de parto pre término [1] [2] [3]. Que el 21% de los partos pre término, estuvo asociado a la ruptura prematura de membranas (OR 4.03) dato que se encuentra dentro del rango de incidencia, ya que Aagaard-Tillery [4] (2005) señala una incidencia de la ruptura prematura de membrana pre término entre 30 y 40% y Fabián (2008) observó 11.67% de ruptura prematura de membranas [5]. Las gestantes con pre eclampsia tuvieron un riesgo 20 veces más de presentar parto pre término. El 34.6% con parto pre término presentó pre eclampsia, de ellas el 42.8% fue pre eclampsia severa, 25% leve y 32.14% síndrome de HELLP; dato similar al observado por Salviz en su estudio en el Hospital Cayetano Heredia, donde encontró un 30 % de parto pre término en pacientes con pre eclampsia; si bien es conocido que la pre eclampsia afecta del 3 al 5% de las gestaciones, no existen estudios sobre la incidencia de la pre eclampsia en el parto pre término [6]. Se concluye que el principal factor de riesgo asociado al parto pre término fue la pre eclampsia. Haber nacido en la sierra, pertenecer a nivel socioeconómico D-E, ausencia de atención prenatal, ruptura prematura de membranas, coriomanionitis y embarazo múltiple fueron también significativos. Descriptores: factores de riesgo, parto pre término, parto a término, pre eclampsia. ABSTRACT Preterm birth occurs between 22 and before 37 weeks. Its etiology is multifactorial and is a major cause of perinatal morbidity and mortality. The objective was to determine the risk factors associated with preterm delivery in pregnant women Guillermo Almenara Irigoyen National Hospital from January to June 2010. We performed a retrospective case - control and descriptive. The case histories of patients and controls were reviewed and recorded in chips and processed with SPSS version 15. The results were 81 patients diagnosed with preterm birth, with statistical significance in the following variables: absence of prenatal care (OR 3.07, P> 0.05), pre-eclampsia (OR 20.86, P <0.001), premature rupture of membranes (OR 4.03, P> 0,005), multiple pregnancy (OR 5.64, P> 0.01), chorioamnionitis (OR 2.02, P> 0.1), place of birth: saw (OR 3.88, P> 0.05) and socioeconomic status (OR12.73, P> 0.05). It was evident that more poor pregnant women with less education have a higher incidence of preterm delivery [1] [2] [3]. That 21% of preterm births was associated with premature rupture of membranes (OR 4.03) data that is within the range of incidence, as Aagaard-Tillery [4] (2005) noted an incidence of premature rupture preterm membrane between 30 and 40% and Fabian (2008) observed 11.67% of premature rupture of membranes [5]. Pregnant women with preeclampsia had a 20 times higher risk of preterm birth present. 34.6% presented with preterm birth pre-eclampsia, of which 42.8% was severe preeclampsia, 25% and 32.14% mild HELLP syndrome; data Salviz similar to that observed in their study in the Cayetano Heredia Hospital, where he found a 30 % of preterm birth in patients with preeclampsia, although it is known that pre-eclampsia affects 3 to 5% of pregnancies, no studies on the incidence of preeclampsia in preterm labor [6]. We conclude that the main risk factor associated with preterm delivery was preeclampsia. Being born in the mountains, belong to socioeconomic status, lack of prenatal care, premature rupture of membranes, coriomanionitis and multiple pregnancy were also significant. Keywords: risk factors, preterm delivery, term delivery, pre-eclampsia.

scholarly journals Prevalence of trematodes and host risk factors associated with dairy cattle in Colombia

2021 ◽  
Vol 31 (2) ◽  
pp. 171
Author(s):  
R. B. Andrade ◽  
J. Forero ◽  
J. D. Ospina
Keyword(s):  
Risk Factors ◽  
Dairy Cattle ◽  
Fasciola Hepatica ◽  
Factors Associated ◽  
Factores De Riesgo ◽  
Paramphistomum Cervi

El estudio se llevó a cabo para establecer la prevalencia e identificar los factores de riesgo asociados con las infecciones por trematodes en ganado lechero de las tierras altas de Boyacá, Colombia. Las muestras fecales recogidas de 300 bovinos seleccionados al azar se examinaron utilizando una técnica de sedimentación simple para el recuento diferencial de huevos de trematodes. En el ganado estudiado fueron encontrados huevos de tres grupos de trematodes, a saber: Fasciola hepatica, Paramphistomum cervi y Cotylophoron cotylophorum. La prevalencia específica para estas tres especies fueron de 11,6%, 9,3% y 3,7% respectivamente. Se observó una superposición importante entre F. hepatica y P. cervi. La prevalencia de los tres trematodes identificados en este estudio se asoció significativamente (p&lt;0,05) con la condición corporal y la raza, mientras que la prevalencia de Fasciola sp y Paramphistomum sp fue asociada con la edad. La prevalencia de los tres principales trematodes de importancia para la salud animal y la alta tasa de infección mixta, junto al deterioro de la condición corporal, determinan una pérdida económica sustancial debida a la reducción de la productividad del ganado en el área estudiada.

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