Prevalência da perda de peso em pacientes cardiopatas atendidos pelo SUS de uma
instituição filantrópica

Introduction: Weight loss during hospitalization is a prevalent fact in the hospital environment that affects a significant number of hospitalized patients. Marked weight loss can lead to malnutrition and increase the risk of infections, decreased wound healing capacity, increased hospital stay and, consequently, increase hospital costs and even death. The present study assessed the prevalence of weight loss in cardiac patients hospitalized by SUS. Methods: This is a quantitative, cross-sectional, descriptive and analytical study carried out in a philanthropic hospital in the city of Vila Velha, ES, with data obtained through electronic medical records of adult heart disease patients, related to nutritional screening and other variables in the period from January to December 2018. Results: Data from 62 patients were analyzed, 58.1% male and 69.4% elderly. Of the evaluated patients, 41.9% were detected with nutritional risk at admission and 43.5% at hospital discharge. 46.6% of the patients had weight loss during hospitalization and in relation to BMI, 14.5% of patients were malnourished, 32.3% were obese. Conclusion: The frequency of weight loss in hospitalized cardiac patients is worrisome and the fact that a large portion is already entering the hospital environment with nutritional risk highlights the importance of early nutritional assessment and intervention regardless of the type of pathology presented.

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Nutritional Profile of Patients with Colorretal Cancer Candidates for Big Surgery (P05-035-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz030.p05-035-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Ana Paula Rocha Trotte ◽

Rosana Oliveira Macedo ◽

Thaiza Fragoso Nunes ◽

Danielly Rodrigues Wassita da Rocha ◽

Maria Eliza De Gouvêa Marti Ferrão

Keyword(s):

Colorectal Cancer ◽

Weight Loss ◽

Nutritional Status ◽

Nutritional Assessment ◽

Nutritional Risk ◽

Cross Sectional ◽

Nutritional Profile ◽

Funding Sources ◽

Nrs 2002

Abstract Objectives To identify the nutritional profile of adult and elderly patients with colorectal cancer admitted to a Proctology ward for large elective surgeries. Methods A cross-sectional and retrospective study was performed with 31 patients of both genders, aged 39 to 77 years with colorectal cancer. The nutritional screening parameters used were the percentage of weight loss and Nutrition Risck Screening (NRS 2002). The data (percentage of weight loss and NRS 2002) were collected through a nutritional assessment form completed in the care routine, applied within 72 hours after the patient's hospitalization. Results The study included 13 adults (41.9%) and 18 elderly (58.1%). The evaluation of the percentage of weight loss showed that 7 patients (22.5%) had weight loss greater than 15% in a period of less than or equal to 6 months. In the nutritional risk assessment based on the NRS 2002, we observed that 9 patients (29%) scored 2, while 22 patients (71%) achieved a score equal to or greater than 3. Conclusions The nutritional profile of the evaluated patients showed a considerable prevalence of malnutrition, considering a weight loss of more than 15% in a period of 6 months, which is associated to a decrease in survival in patients with cancer, and is a very relevant data to help in the classification of nutritional status. The classification by the NRS 2002, showed a high prevalence of patients at nutritional or malnourished risk. Variation in the classification of nutritional status using several parameters reinforces the need for them to be used in a complementary way. Funding Sources Hospital Federal dos Servidores do Estado, Ministerio da Saude.

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Acceptance of the COVID-19 vaccine in Generation Z: A cross-sectional study in Southeast Sulawesi, Indonesia

Public Health of Indonesia ◽

10.36685/phi.v7i4.460 ◽

2021 ◽

Vol 7 (4) ◽

pp. 139-144

Author(s):

Chevin Ramadhan Hadiwijaya ◽

Muhammad Imam Zan Zabiyla Analuddin ◽

Ayikacantya Sudayasa ◽

Muhammad Hoki Akbar ◽

Lilyana Aritonia Ahmad ◽

...

Keyword(s):

Analytical Study ◽

Cross Sectional Study ◽

Cluster Sampling ◽

Cross Sectional ◽

Effective Strategies ◽

Generation Z ◽

The Media ◽

Cross Sectional Design ◽

Almost All ◽

The City

Background: Adequate health systems and effective strategies are needed to increase trust and acceptance in vaccines. Generation Z is more concerned with environmental issues related to the pandemic situation.Objective: This study aimed to assess the acceptance of the COVID-19 vaccine in Generation Z.Methods: This was an observational analytical study with a cross-sectional design on generation Z in Southeast Sulawesi, Indonesia, from May to July 2021. The samples were taken by cluster sampling using faculty classification. Data was collected using a questionnaire with a google form, included the characteristics, knowledge regarding COVID-19 and vaccine, and the media information.Results: There were 396 participants. Most of them were 20 years (52.6%), female (74.8%), and Muslim (93.7%). About 61.6% live outside the city and had insurance (77.3%). Half of the participants knew the COVID-19 symptoms (51.26%), some participants were hesitant (11.8%) and did not even know (0.76%). Almost all participants were aware of the COVID-19 vaccination program (99.2%), benefits (95.2%), side effects (84.1%), and knew the contents of the COVID-19 vaccine (62.1%). Most of them were willing to take the COVID-19 vaccine (77.8%). However, 17.93% were hesitant, and 4.29% were unwilling to participate. Most participants were not trusting vaccines (43.9%), did not feel the need (29.3%), and felt access was not easy (26.8%). Most of them used social media to get information about COVID-19 (89.1%).Conclusion: Generation Z has a good acceptance of the COVID-19 vaccine, even though there are still doubts and rejects. Accurately and sustainable information is needed.

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Good practices for preventing ventilator-associated pneumonia in the emergency department

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2018010803460 ◽

2019 ◽

Vol 53 ◽

Author(s):

Melissa Lopes Frota ◽

Cássia Regina Vancini Campanharo ◽

Maria Carolina Barbosa Teixeira Lopes ◽

Luiz Humberto Vieri Piacezzi ◽

Meiry Fernanda Pinto Okuno ◽

...

Keyword(s):

Emergency Department ◽

Analytical Study ◽

Hospitalized Patients ◽

Quantitative Approach ◽

University Hospital ◽

Care Process ◽

Ventilator Associated Pneumonia ◽

Cross Sectional ◽

Good Practices ◽

The City

ABSTRACT Objective: To evaluate the conformity of the set of good practices for preventing ventilator-associated pneumonia (VAP) in the emergency department of a university hospital. Method: A cross-sectional analytical study with a quantitative approach, conducted in a university hospital in the city of São Paulo. The study sample consisted of opportunities for care observations that comprise the set of good practices for preventing ventilator-associated pneumonia provided to intubated patients hospitalized in the emergency department. Results: A total of 209 observations were performed in 42 patients. Of the hospitalized patients, 23.8% developed VAP, and 52.4% died. Of the five recommended measures for preventing VAP, only two presented compliance above 50%. Conclusion: The care provided to patients is not in line with what is recommended in the literature, which demonstrates the need for periodic renewal of the team’s educational practices and the development of auditing projects to ensure improvements in the care process.

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Protein–energy undernutrition in hospital in-patients

British Journal Of Nutrition ◽

10.1017/s000711450000074x ◽

2000 ◽

Vol 83 (6) ◽

pp. 575-591 ◽

Cited By ~ 176

Author(s):

Clare A. Corish ◽

Nicholas P. Kennedy

Keyword(s):

Nutritional Status ◽

Nutritional Assessment ◽

Hospital Costs ◽

Nutritional Risk ◽

Evidence Based ◽

Nutritional Interventions ◽

True Prevalence ◽

Protein Energy ◽

Hospital Patients ◽

Hospital Practices

Impaired nutritional status has been frequently reported in surveys estimating its prevalence amongst patients in hospital. While there is no doubt that protein–energy undernutrition has serious implications for health, recovery from illness or surgery and hospital costs, lack of nationally or internationally accepted cut-off points and guidelines for most nutrition-related variables make nutritional assessment difficult and proper comparisons between studies impossible. In reviewing published work in which the prevalence of undernutrition has been assessed, it can be seen that each study defined undernutrition, or nutritional risk, using different methodology. This present review aims to highlight the problems which arise when deciphering these studies, and the resulting difficulty in determining the true prevalence of undernutrition and nutritional risk, amongst both general and specific groups of hospital in-patients. It is widely agreed that routine hospital practices can further adversely affect the nutritional status of sick patients in hospital. How this occurs, and the potential effects of impaired nutritional status on clinical outcome are examined. The methods currently available to assess nutritional status are evaluated in the knowledge that such assessments are difficult in clinical practice. The review concludes by proposing that if we want the medical and nursing professions to consider the nutritional status of hospital patients seriously, definitions of undernutrition and nutritional risk, and cut-off values for the nutritional variables measured must be agreed to allow evidence-based practice. Outcome measures which allow clear comparisons between groups and treatments must be used in studies assessing the effects of nutritional interventions.

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Factors associated with nutritional risk and appetite loss in long-aged older people

Revista de Nutrição ◽

10.1590/1678-9865202134e200308 ◽

2021 ◽

Vol 34 ◽

Author(s):

Mariana de Paula SANTANA ◽

Nadine Motta FIGUEIREDO ◽

Sergio CHOCIAY JUNIOR ◽

Tainá Aparecida SILVA ◽

Rosimeire Aparecida Manoel SEIXAS ◽

...

Keyword(s):

Older Adults ◽

Weight Loss ◽

Depressive Symptoms ◽

Older People ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

Perceived Health ◽

Nutritional Risk ◽

Calf Circumference ◽

Appetite Loss

ABSTRACT Objective To analyze the factors that are associated with the nutritional risk and appetite loss of long-aged older people with two assessment instruments. Methods A cross-sectional and quantitative study was developed in Três Lagoas, a city in the Brazilian state of Mato Grosso do Sul. The household data collection was conducted with 87 long-aged older adults (≥90 years) living in the community. The risk of malnutrition, malnutrition, and the risk of weight loss were the dependent variables, assessed by the Simplified Nutritional Appetite Questionnaire and by the Mini-Nutritional Assessment - Short Form. The association with independent sociodemographic, general health, psychological, cognitive, and physical variables was analyzed using logistic regressions. Results Most of the older adults were female (55.2%), with an average age of 93.3 years, and 1.4 years of schooling. According to the Simplified Nutritional Appetite Questionnaire, 34.5% of the older individuals were at risk of losing weight. As for the results of the Mini-Nutritional Assessment, 19.5% were classified as malnourished, and 39.1% at risk of malnutrition. A greater nutritional risk in both instruments was associated with the individual's poorer self-perceived health, lower calf circumference, and presence of depressive symptoms. The greater the number of medications used, the lower the chance of weight loss. The agreement between the two instruments was low. Conclusion There was an association connecting malnutrition and appetite/weight loss with lower calf circumference, worse self-perceived health status, and presence of depressive symptoms. These results can assist in interventions planning to reduce the nutritional risk and improve the life quality of older adults.

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P-P51 Assessing the severity of pre and post-operative malnutrition in cancer patients undergoing pancreaticoduodenectomy: A review of a virtual dietetic prehabilitation service

British Journal of Surgery ◽

10.1093/bjs/znab430.273 ◽

2021 ◽

Vol 108 (Supplement_9) ◽

Author(s):

Leah Cox

Keyword(s):

Pancreatic Cancer ◽

Weight Loss ◽

Nutritional Status ◽

Cancer Patients ◽

Nutritional Assessment ◽

Nutritional Risk ◽

Perioperative Outcomes ◽

Risk Patients ◽

Median Weight Loss ◽

Dietetic Intervention

Abstract Background The prevalence of malnutrition amongst pancreatic cancer patients is widely reported. This is due to reduced nutritional intake, increased energy expenditure and increased nutrient losses secondary to malabsorption. A Whipple's procedure or pancreaticoduodenectomy is the only potentially curable intervention for pancreatic cancer patients. Malnutrition is associated with increased peri and post-operative complications including delayed wound healing, longer hospital admission and higher mortality rate. Dietetic prehabilitation is a proactive intervention to assess patients’ nutritional status in preparation for elective surgery and, through early dietetic intervention, has the potential to improve perioperative outcomes. This pilot study reviewed the severity of nutritional risk in both the pre and post-operative stages to understand the need for dietetic prehabilitation in this patient group. Methods All patients referred were nutritionally assessed as part of a dietetic cancer prehabilitation pathway, which includes pre-surgical nutritional assessment within one week of referral and early post discharge nutritional assessment. Nutritional assessment was carried out using the PG-SGA short form and patients were triaged as requiring either a universal, targeted or specialist dietetic intervention dependent on severity of nutritional risk. Patients who scored <4 were triaged as universal, and were low nutritional risk. Patients who scored 5-9 were triaged as targeted and were medium nutritional risk, and patients who scored >9 were triaged as specialist, and were high nutritional risk. Results 35 patients were referred for dietetic prehabilitation assessment. 71% of patients were triaged as requiring either a targeted or specialist prehabilitiation intervention. BMI ranged from 15.7kg/m² to 35.9kg/m² and median weight loss was 10.0%. 23 patients received early post surgical nutritional assessment, within 12 days of discharge from hospital. All 23 patients required targeted or specialist dietetic intervention. 22 patients reported post-operative weight loss, with a median weight loss of 7.5%. There was no correlation between pre-surgical and post-surgical nutritional risk. Conclusions Patients undergoing pancreaticoduodenectomy are at high nutritional risk in both the pre and post-operative periods. Patients without evidence of malnutrition in the pre-operative stage remain at high risk of malnutrition and the associated complications in the post operative stage. A prehabilitation programme can identify patients at nutritional risk and institute interventions to optimise perioperative nutritional status. Findings from this review will form the basis of a study examining the effects of a prehabilitation programme on outcomes following pancreaticoduodenectomy.

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STRONG RELATIONSHIP BETWEEN MALNUTRITION AND COGNITIVE FRAILTY IN THE SINGAPORE LONGITUDINAL AGEING STUDIES (SLAS-1 AND SLAS-2)

Journal of Prevention of Alzheimer's Disease ◽

10.14283/jpad.2017.46 ◽

2017 ◽

pp. 1-7

Author(s):

L. Chye ◽

K. Wei ◽

M.S.Z. Nyunt ◽

Q. Gao ◽

S.L. Wee ◽

...

Keyword(s):

Nutritional Assessment ◽

Short Form ◽

Mini Nutritional Assessment ◽

Strong Relationship ◽

Community Dwelling ◽

Nutritional Risk ◽

Physical Frailty ◽

Cross Sectional ◽

Cognitive Frailty ◽

Nutrition Screening

Background: Physical frailty is well known to be strongly associated with malnutrition, but the combined impact of physical frailty and cognitive impairment among non-demented older persons (cognitive frailty) on malnutrition prevalence is not well documented. Design: Cross-sectional cohort study. Setting and Participants: Community-dwelling older Singaporeans aged ≥55y (n=5414) without dementia in the Singapore Longitudinal Ageing Study (SLAS-1 and SLAS-2). Measurements: The Mini Nutritional Assessment – short form (MNA-SF) and Nutrition Screening Initiative (NSI) Determine Checklist were used to determine their nutritional status. Participants were categorized as cognitive normal (CN) or cognitive impaired (CI) by Mini Mental State Examination (MMSE<=23), as pre-frail (PF) (score=1-2) or frail (F) (score=3-5) using Fried’s criteria, and as cognitive pre-frail (PF+CI) or cognitive frail (F+CI). Results: The prevalence of cognitive frailty was 1.6%, and cognitive pre-frailty was 5.5% (total, 7.1%). The prevalence of MNA malnutrition was 2.4%, and NSI high nutritional risk was 6.3%. The prevalence of MNA malnutrition was lowest among Robust-CN and highest among Frail-CI (0.5% in Robust-CN, 0.6% in Robust-CI, 2.8% in Pre-frail-CN, 7.3% in Pre-frail-CI, 15.4% in Frail-CN, and 23.1% in Frail-CI). Similarly, the prevalence of NSI high nutritional risk was lowest in Robust-CN (3.7%) and highest in Frail-CI (13.6%). Adjusted for sociodemographic and health status, pre-frailty/frailty-CI versus Robust-CN was associated with the highest odds ratio of association with MNA malnutrition (OR=8.16, p<0.001), although not the highest with NSI high nutritional risk (OR=1.48, p=0.017). Conclusions: An extraordinary high prevalence of malnutrition was observed among older adults with cognitive frailty who should be specially targeted for active intervention.

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Nutritional assessment and hand grip strength of candidates for surgery of the gastrointestinal tract

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/s0102-67202014000200005 ◽

2014 ◽

Vol 27 (2) ◽

pp. 104-108 ◽

Cited By ~ 5

Author(s):

Thalita Morgana Guimarães SILVEIRA ◽

Juliana Barbosa de SOUSA ◽

Maria Luiza Ferreira STRINGHINI ◽

Ana Tereza Vaz de Souza FREITAS ◽

Paulla Guimarães MELO

Keyword(s):

Gastrointestinal Tract ◽

Nutritional Status ◽

Global Assessment ◽

Nutritional Assessment ◽

Low Cost ◽

Subjective Assessment ◽

Nutritional Risk ◽

Dominant Hand ◽

Subjective Global Assessment ◽

Cross Sectional

BACKGROUND: The assessment of nutritional status in clinical practice must be done with simple, reliable, low cost and easy performance methods. The power of handshake is recognized as a useful tool to evaluate muscle strength, and therefore, it is suggested that can detect malnutrition. AIM: To evaluate the nutritional status by subjective global assessment and power of handshake preoperatively in patients going to gastrointestinal surgeries and to compare the diagnosis obtained by subjective global assessment with traditional anthropometric methods and power of handshake. METHODS: A cross-sectional study was conducted with patients for surgery in the gastrointestinal tract and related organs. Socioeconomic and anthropometric data, applied to subjective global assessment and checked the power of handshake, were collected. The force was obtained by the average of three measurements of the dominant and non-dominant hand and thus compared with reference values of the population by sex and age, for the classification of nutritional risk. RESULTS: The sample consisted of 40 patients, 24-83 years, and most women (52.5%) housewives (37,5%) and diagnosed with cancer (45%). According to subjective global assessment, 37.5% were classified as moderately malnourished; 15% were underweight by BMI measurements; 25% had arm circumference at risk for malnutrition (<percentil 5); 60% reported recent weight loss; and 37.5% low clamping force in power of handshake on non-dominant hand (left). CONCLUSION: A significant association was observed for the diagnosis of nutritional subjective assessment with anthropometric methods and strength of the handshake only at the non-dominant limb.

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Nutritional risk factors in hospitalized nonagenarian patients

Abr-Jun - Braspen Journal ◽

10.37111/braspenj.2020352009 ◽

2020 ◽

Vol 2 (35) ◽

pp. 160-165

Author(s):

Ludiane Alves do Nascimento ◽

Grasiela K. P. Andrade ◽

Juliana Bonfleur Carvalho ◽

Ana Lucia Chalhoub Chediac Rodrigues ◽

Ariane Nadólskis Severine

Keyword(s):

Nutritional Status ◽

Clinical Outcomes ◽

Positive Relationship ◽

Nutritional Assessment ◽

Disease Process ◽

Mini Nutritional Assessment ◽

Nutritional Therapy ◽

Nutritional Risk ◽

Cross Sectional ◽

Nutrition Assistance

Introduction: In 2050, we estimate that the population of individuals who are 90 years of age or older will be five times higher than that in 2010. Among elderly people, the disease process can contribute to a worsening nutritional status. This article aims to examine the associations among nutritional status and initial diagnoses, muscle mass, routes of feeding, and clinical outcomes. Despite the progressive increase in this population and their particularities, few studies have been conducted among nonagenarians. Methods: This was a cross-sectional study that included patients over 90 years old admitted to Hospital Sírio Libanês. The following parameters were assessed: calf circumference (CC), body mass index (BMI), routes of feeding and medical diagnosis. Nutritional screening was performed using the Mini Nutritional Assessment (MNA). Results: A total of 79 patients were assessed, and they had a median age of 92 years, a median BMI of 22.6 kg/m2 and median hospital stay of 13 days. A total of 59.5% of the patients (n=47) were female. The frequency of malnutrition (as assessed by the BMI) was 54.4%. There was a positive relationship (71.4%) between CC <31 cm and underweight (as assessed by the BMI) (p=0.032). Malnutrition (classified using the MNA) was significantly associated with dysphagia (77.4%) (p=0,003), the use of supplements (p=0.002) and enteral nutrition therapy (p=0.005). Mortality (25.8%) was also significantly related to malnutrition, showing that nutritional status contributed to poor clinical outcomes in patients (p=0.042). Conclusion: Dysphagia had a positive relationship with malnutrition because it is a condition that affects food intake. The use of supplements and a higher indication for enteral nutritional therapy both had a positive relationship with malnutrition because they are conducts indicated to improve nutritional status, showing that specific nutrition assistance strategies for this age group can contribute to improved nutritional status in nonagenarians.

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WHICH PATIENTS SURGICALLY TREATED FOR UROLITHIASIS NEED NUTRITIONAL CARE?

Journal of Aging Research and Lifestyle ◽

10.14283/jarcp.2015.69 ◽

2015 ◽

pp. 1-5

Author(s):

V. Aparecida Leandro-Merhi ◽

J.L. Braga de Aquino ◽

R. Marmiroli ◽

L. Oliveira Reis

Keyword(s):

Nutritional Status ◽

Kidney Stones ◽

Nutritional Assessment ◽

Multinomial Logistic Regression ◽

Nutritional Risk ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated ◽

Urologic Diseases ◽

The Impact

Introduction: The present study is justified by the interest of investigating the impact of nutritional status on urology patients. Objective: To investigate the nutritional status of urology patients and identify the risk factors associated with type of kidney stone. Method: This cross-sectional study assessed the nutritional status and energy and nutrient intakes of 175 hospitalized adult urology patients stratified as follows: patients submitted to percutaneous nephrolithotripsy (PN), patients submitted to endoscopic ureterolithotripsy (EU), and patients without kidney stones. All study variables were investigated as possible predictors of urologic diseases. Multinomial logistic regression analysis and the proportional odds model identified the factors associated with kidney stones. The significance level was set at 5%. Results: Kidney stones were more common in females (p<0.0001), EU patients without nutritional risk according to the Nutritional Risk Screening (NRS) (p=0.0061), patients with normal triceps skinfold thickness (p=0.015), and younger patients (p=0.0001). Patients hospitalized for longer periods (p=0.0038) and older patients (p=0.0001) did not have kidney stones. In EU patients kidney stones were associated with being female (p<0.0001; OR: 3.699; CI: 2.001; 6.838), having mid-upper arm muscle circumference between the 10th and 90th percentiles (p=0.0477; OR: 3.164; CI: 1.012; 9.895), not being at nutritional risk according to the NRS (p=0.0308; OR: 3.265; IC: 1.116; 9.557), and being younger (p=0.0008; OR: 0.966; CI: 2.001; 6.838). Conclusion: PN patients seem to need nutritional assessment and follow-up, while patients with kidney stones smaller than one centimeter do not seem to need routine nutritional assessment.

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