Association of nutritional status with adductor pollicis muscle thickness and simplified acute physiological score in intensive care unit patients

Detalhes bibliográficos
Autor(a) principal: Correia Stevenson Braga, Mariana
Data de Publicação: 2023
Outros Autores: Leo Pacheco Marcelo, Thaís, Fernandez, Mônica, Torloni Gradinar, Ana Lúcia, Almada Colucci Paternez, Ana Carolina
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Atenção à Saúde
Texto Completo: http://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/8309
Resumo: Introduction: The use of prognostic indices and indicators to assess nutritional status can have decisive impacts on the chances of rehabilitation and survival in critically ill patients. Objectives: To assess the prevalence of malnutrition in patients admitted to the Intensive Care Unit and to verify the association between adductor pollicis muscle thickness (APMT) and the Simplified Acute Physiology Score III (SAPS III) prognostic index with the nutritional status of patients. Methods: Sixty clinical and surgical patients admitted to the adult ICU were evaluated. The assessment of nutritional status was performed in the first 48 hours of hospitalization, using the Body Mass Index (BMI) and the adequacy of the arm circumference (AC). APMT was collected from the non-dominant hand and SAPS III values ​​were calculated and provided by the physicians responsible for the ICU. Results: The prevalence of malnutrition was 25% according to BMI and 35% according to the percentage of adequacy of AC. Eutrophic patients had significantly lower mean APMT values ​​when compared to overweight individuals, according to BMI. Undernourished individuals, according to AC adequacy, had significantly lower mean APMT values ​​when compared to overweight individuals. Conclusions: The prevalence of malnutrition among patients ranged between 25 and 35%, depending on the indicator used. Mean APMT values ​​were different according to nutritional status and no association was observed between nutritional status and the SAPS III prognostic index.
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spelling Association of nutritional status with adductor pollicis muscle thickness and simplified acute physiological score in intensive care unit patientsAsociación del estado nutricional con el grosor del músculo aductor del pulgar y puntuación fisiológica aguda simplificada en pacientes de la unidad de cuidadosASSOCIAÇÃO DO ESTADO NUTRICIONAL COM ESPESSURA DO MÚSCULO ADUTOR DO POLEGAR E ESCORE FISIOLÓGICO AGUDO SIMPLIFICADO EM PACIENTES DE UNIDADE DE TERAPIA INTENSIVANutriciónUnidades de cuidados intensivosNivel de nutriciónNutriçãoUnidades de Terapia IntensivaEstado nutricionalNutritionIntensive care unitsNutritional statusIntroduction: The use of prognostic indices and indicators to assess nutritional status can have decisive impacts on the chances of rehabilitation and survival in critically ill patients. Objectives: To assess the prevalence of malnutrition in patients admitted to the Intensive Care Unit and to verify the association between adductor pollicis muscle thickness (APMT) and the Simplified Acute Physiology Score III (SAPS III) prognostic index with the nutritional status of patients. Methods: Sixty clinical and surgical patients admitted to the adult ICU were evaluated. The assessment of nutritional status was performed in the first 48 hours of hospitalization, using the Body Mass Index (BMI) and the adequacy of the arm circumference (AC). APMT was collected from the non-dominant hand and SAPS III values ​​were calculated and provided by the physicians responsible for the ICU. Results: The prevalence of malnutrition was 25% according to BMI and 35% according to the percentage of adequacy of AC. Eutrophic patients had significantly lower mean APMT values ​​when compared to overweight individuals, according to BMI. Undernourished individuals, according to AC adequacy, had significantly lower mean APMT values ​​when compared to overweight individuals. Conclusions: The prevalence of malnutrition among patients ranged between 25 and 35%, depending on the indicator used. Mean APMT values ​​were different according to nutritional status and no association was observed between nutritional status and the SAPS III prognostic index.ntroducción: El uso de índices e indicadores pronósticos para evaluar el estado nutricional puede tener impactos decisivos en las posibilidades de rehabilitación y supervivencia de los pacientes críticos. Objetivos: Evaluar la prevalencia de desnutrición en pacientes ingresados ​​en la Unidad de Cuidados Intensivos y verificar la asociación entre el grosor del músculo aductor del pulgar (APMT) y el índice pronóstico Simplified Acute Physiology Score III (SAPS III) con el estado nutricional de los pacientes. Métodos: Se evaluaron 60 pacientes clínicos y quirúrgicos ingresados ​​en la UCI de adultos. La valoración del estado nutricional se realizó en las primeras 48 horas de hospitalización, utilizando el Índice de Masa Corporal (IMC) y la adecuación del perímetro braquial (CA). El APMT se recogió de la mano no dominante y los valores de SAPS III fueron calculados y proporcionados por los médicos responsables de la UCI. Resultados: La prevalencia de desnutrición fue del 25% según IMC y del 35% según porcentaje de adecuación de AC. Los pacientes eutróficos tenían valores medios de APMT significativamente más bajos en comparación con los individuos con sobrepeso, según el IMC. Los individuos desnutridos, de acuerdo con la adecuación de CA, tenían valores medios de APMT significativamente más bajos en comparación con los individuos con sobrepeso. Conclusiones: La prevalencia de desnutrición entre los pacientes osciló entre 25 y 35%, según el indicador utilizado. Los valores medios de APMT fueron diferentes según el estado nutricional y no se observó asociación entre el estado nutricional y el índice pronóstico SAPS III.Introdução: O uso rotineiro de índices prognósticos e indicadores para avaliação do estado nutricional pode ter impactos decisivos sobre as chances de reabilitação e sobrevivência em pacientes críticos. Objetivos: Avaliar a prevalência de desnutrição em pacientes admitidos em Unidade de Terapia Intensiva e verificar a associação entre a espessura do músculo adutor do polegar (EMAP) e o índice de prognóstico Simplified Acute Physiology Score III (SAPS III) com o estado nutricional dos pacientes. Materiais e métodos: Foram avaliados 60 pacientes admitidos na UTI adulto. A avaliação do estado nutricional foi realizada nas primeiras 48 horas de internação, por meio do Índice de Massa Corporal (IMC) e pela adequação da circunferência de braço (CB). A EMAP foi coletada na mão não dominante e os valores de SAPS III foram calculados e fornecidos pelos médicos responsáveis pela UTI. Resultados: A prevalência de desnutrição foi de 25% segundo IMC e de 35% segundo a porcentagem de adequação da CB. Os pacientes eutróficos apresentaram valores médios da EMAP significativamente menores quando comparados com os indivíduos com excesso de peso, de acordo com o IMC. Os indivíduos desnutridos, segundo adequação da CB, apresentaram valores médios de EMAP significativamente menores quando comparados com os indivíduos com excesso de peso. Conclusões: A prevalência de desnutrição entre os pacientes variou entre 25 e 35%, conforme indicador utilizado. Os valores médios de EMAP foram diferentes segundo estado nutricional e não foi observada associação entre o estado nutricional e o índice prognóstico SAPS III.Universidade Municipal de São Caetano do Sul - USCS2023-01-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/830910.13037/2359-4330.8309Journal of Health Care; Vol. 20 No. 72 (2022): Revista de Atenção à Saúde - RASRevista de Atenção à Saúde; v. 20 n. 72 (2022): Revista de Atenção à Saúde - RAS2359-433010.13037/ras.v20i72reponame:Revista de Atenção à Saúdeinstname:Universidade Municipal de São Caetano do Sul (USCS)instacron:USCSporenghttp://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/8309/3855http://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/8309/3856Copyright (c) 2023 Mariana Correia Stevenson Braga, Thaís Leo Pacheco Marcelo, Mônica Fernandez, Ana Lúcia Torloni Gradinar, Ana Carolina Almada Colucci Paternezhttps://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessCorreia Stevenson Braga, MarianaLeo Pacheco Marcelo, ThaísFernandez, MônicaTorloni Gradinar, Ana LúciaAlmada Colucci Paternez, Ana Carolina2023-01-27T14:11:39Zoai:ojs2.seer.uscs.edu.br:article/8309Revistahttps://seer.uscs.edu.br/index.php/revista_ciencias_saudePUBhttp://seer.uscs.edu.br/index.php/revista_ciencias_saude/oaieditoria.ras@online.uscs.edu.br || vera.basso@online.uscs.edu.br2359-43302359-4330opendoar:2023-01-27T14:11:39Revista de Atenção à Saúde - Universidade Municipal de São Caetano do Sul (USCS)false
dc.title.none.fl_str_mv Association of nutritional status with adductor pollicis muscle thickness and simplified acute physiological score in intensive care unit patients
Asociación del estado nutricional con el grosor del músculo aductor del pulgar y puntuación fisiológica aguda simplificada en pacientes de la unidad de cuidados
ASSOCIAÇÃO DO ESTADO NUTRICIONAL COM ESPESSURA DO MÚSCULO ADUTOR DO POLEGAR E ESCORE FISIOLÓGICO AGUDO SIMPLIFICADO EM PACIENTES DE UNIDADE DE TERAPIA INTENSIVA
title Association of nutritional status with adductor pollicis muscle thickness and simplified acute physiological score in intensive care unit patients
spellingShingle Association of nutritional status with adductor pollicis muscle thickness and simplified acute physiological score in intensive care unit patients
Correia Stevenson Braga, Mariana
Nutrición
Unidades de cuidados intensivos
Nivel de nutrición
Nutrição
Unidades de Terapia Intensiva
Estado nutricional
Nutrition
Intensive care units
Nutritional status
title_short Association of nutritional status with adductor pollicis muscle thickness and simplified acute physiological score in intensive care unit patients
title_full Association of nutritional status with adductor pollicis muscle thickness and simplified acute physiological score in intensive care unit patients
title_fullStr Association of nutritional status with adductor pollicis muscle thickness and simplified acute physiological score in intensive care unit patients
title_full_unstemmed Association of nutritional status with adductor pollicis muscle thickness and simplified acute physiological score in intensive care unit patients
title_sort Association of nutritional status with adductor pollicis muscle thickness and simplified acute physiological score in intensive care unit patients
author Correia Stevenson Braga, Mariana
author_facet Correia Stevenson Braga, Mariana
Leo Pacheco Marcelo, Thaís
Fernandez, Mônica
Torloni Gradinar, Ana Lúcia
Almada Colucci Paternez, Ana Carolina
author_role author
author2 Leo Pacheco Marcelo, Thaís
Fernandez, Mônica
Torloni Gradinar, Ana Lúcia
Almada Colucci Paternez, Ana Carolina
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Correia Stevenson Braga, Mariana
Leo Pacheco Marcelo, Thaís
Fernandez, Mônica
Torloni Gradinar, Ana Lúcia
Almada Colucci Paternez, Ana Carolina
dc.subject.por.fl_str_mv Nutrición
Unidades de cuidados intensivos
Nivel de nutrición
Nutrição
Unidades de Terapia Intensiva
Estado nutricional
Nutrition
Intensive care units
Nutritional status
topic Nutrición
Unidades de cuidados intensivos
Nivel de nutrición
Nutrição
Unidades de Terapia Intensiva
Estado nutricional
Nutrition
Intensive care units
Nutritional status
description Introduction: The use of prognostic indices and indicators to assess nutritional status can have decisive impacts on the chances of rehabilitation and survival in critically ill patients. Objectives: To assess the prevalence of malnutrition in patients admitted to the Intensive Care Unit and to verify the association between adductor pollicis muscle thickness (APMT) and the Simplified Acute Physiology Score III (SAPS III) prognostic index with the nutritional status of patients. Methods: Sixty clinical and surgical patients admitted to the adult ICU were evaluated. The assessment of nutritional status was performed in the first 48 hours of hospitalization, using the Body Mass Index (BMI) and the adequacy of the arm circumference (AC). APMT was collected from the non-dominant hand and SAPS III values ​​were calculated and provided by the physicians responsible for the ICU. Results: The prevalence of malnutrition was 25% according to BMI and 35% according to the percentage of adequacy of AC. Eutrophic patients had significantly lower mean APMT values ​​when compared to overweight individuals, according to BMI. Undernourished individuals, according to AC adequacy, had significantly lower mean APMT values ​​when compared to overweight individuals. Conclusions: The prevalence of malnutrition among patients ranged between 25 and 35%, depending on the indicator used. Mean APMT values ​​were different according to nutritional status and no association was observed between nutritional status and the SAPS III prognostic index.
publishDate 2023
dc.date.none.fl_str_mv 2023-01-27
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/8309
10.13037/2359-4330.8309
url http://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/8309
identifier_str_mv 10.13037/2359-4330.8309
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv http://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/8309/3855
http://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/8309/3856
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Municipal de São Caetano do Sul - USCS
publisher.none.fl_str_mv Universidade Municipal de São Caetano do Sul - USCS
dc.source.none.fl_str_mv Journal of Health Care; Vol. 20 No. 72 (2022): Revista de Atenção à Saúde - RAS
Revista de Atenção à Saúde; v. 20 n. 72 (2022): Revista de Atenção à Saúde - RAS
2359-4330
10.13037/ras.v20i72
reponame:Revista de Atenção à Saúde
instname:Universidade Municipal de São Caetano do Sul (USCS)
instacron:USCS
instname_str Universidade Municipal de São Caetano do Sul (USCS)
instacron_str USCS
institution USCS
reponame_str Revista de Atenção à Saúde
collection Revista de Atenção à Saúde
repository.name.fl_str_mv Revista de Atenção à Saúde - Universidade Municipal de São Caetano do Sul (USCS)
repository.mail.fl_str_mv editoria.ras@online.uscs.edu.br || vera.basso@online.uscs.edu.br
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