Nutritional assessment and surgical risk makers in children submitted to cardiac surgery
Autor(a) principal: | |
---|---|
Data de Publicação: | 1995 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801995000100008 |
Resumo: | In order to assess the nutritional status of children with heart diseases and to evaluate nutritional parameters for predicting postoperative complications, 50 children undergoing to cardiac surgery and classified in high and low surgical risk prospectively evaluated. Assessment parameters included anthropometry and plasma proteins albumin, transferrin and prealbumin. The nutritional classification according to Waterlow's modified criteria showed a high prevalence of malnutrition in the population studied (78%). The measures of arm circumference when located below the 5th percentile showed a significant association with general postoperative complications in the high risk group (arm circumference, p = 0,0019; arm muscle circumference, p = 0,0419). The percentage of weight per height, serum albumin and transferrin has not played a prognostic role concerning postoperative morbidity. The mean value of prealbumin was significantly lower in high risk group patients developing postoperative infections (p < 0,01) compared to those who did not. The sensitivity-specificity analysis of prealbumin as risk indicator for postoperative infection was 87.5% and 59% respectively. The nutritional risk classification seems to be a good way to identify the subgroups of children with additional postoperative surgical risk. However, more specific and sensitive tests are desirable to provide an individual identification of these children. |
id |
APM-1_edec210135e75aed889c10896982f69a |
---|---|
oai_identifier_str |
oai:scielo:S1516-31801995000100008 |
network_acronym_str |
APM-1 |
network_name_str |
São Paulo medical journal (Online) |
repository_id_str |
|
spelling |
Nutritional assessment and surgical risk makers in children submitted to cardiac surgeryNutritional assessmentMalnutritionCardiac surgeryPrealbuminIn order to assess the nutritional status of children with heart diseases and to evaluate nutritional parameters for predicting postoperative complications, 50 children undergoing to cardiac surgery and classified in high and low surgical risk prospectively evaluated. Assessment parameters included anthropometry and plasma proteins albumin, transferrin and prealbumin. The nutritional classification according to Waterlow's modified criteria showed a high prevalence of malnutrition in the population studied (78%). The measures of arm circumference when located below the 5th percentile showed a significant association with general postoperative complications in the high risk group (arm circumference, p = 0,0019; arm muscle circumference, p = 0,0419). The percentage of weight per height, serum albumin and transferrin has not played a prognostic role concerning postoperative morbidity. The mean value of prealbumin was significantly lower in high risk group patients developing postoperative infections (p < 0,01) compared to those who did not. The sensitivity-specificity analysis of prealbumin as risk indicator for postoperative infection was 87.5% and 59% respectively. The nutritional risk classification seems to be a good way to identify the subgroups of children with additional postoperative surgical risk. However, more specific and sensitive tests are desirable to provide an individual identification of these children.Associação Paulista de Medicina - APM1995-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801995000100008Sao Paulo Medical Journal v.113 n.1 1995reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31801995000100008info:eu-repo/semantics/openAccessLeite,Heitor PonsFisberg,MauroNovo,Neil FerreiraNogueira,Eliana Borges RodriguesUeda,lvete Kotomieng2009-06-03T00:00:00Zoai:scielo:S1516-31801995000100008Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2009-06-03T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Nutritional assessment and surgical risk makers in children submitted to cardiac surgery |
title |
Nutritional assessment and surgical risk makers in children submitted to cardiac surgery |
spellingShingle |
Nutritional assessment and surgical risk makers in children submitted to cardiac surgery Leite,Heitor Pons Nutritional assessment Malnutrition Cardiac surgery Prealbumin |
title_short |
Nutritional assessment and surgical risk makers in children submitted to cardiac surgery |
title_full |
Nutritional assessment and surgical risk makers in children submitted to cardiac surgery |
title_fullStr |
Nutritional assessment and surgical risk makers in children submitted to cardiac surgery |
title_full_unstemmed |
Nutritional assessment and surgical risk makers in children submitted to cardiac surgery |
title_sort |
Nutritional assessment and surgical risk makers in children submitted to cardiac surgery |
author |
Leite,Heitor Pons |
author_facet |
Leite,Heitor Pons Fisberg,Mauro Novo,Neil Ferreira Nogueira,Eliana Borges Rodrigues Ueda,lvete Kotomi |
author_role |
author |
author2 |
Fisberg,Mauro Novo,Neil Ferreira Nogueira,Eliana Borges Rodrigues Ueda,lvete Kotomi |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Leite,Heitor Pons Fisberg,Mauro Novo,Neil Ferreira Nogueira,Eliana Borges Rodrigues Ueda,lvete Kotomi |
dc.subject.por.fl_str_mv |
Nutritional assessment Malnutrition Cardiac surgery Prealbumin |
topic |
Nutritional assessment Malnutrition Cardiac surgery Prealbumin |
description |
In order to assess the nutritional status of children with heart diseases and to evaluate nutritional parameters for predicting postoperative complications, 50 children undergoing to cardiac surgery and classified in high and low surgical risk prospectively evaluated. Assessment parameters included anthropometry and plasma proteins albumin, transferrin and prealbumin. The nutritional classification according to Waterlow's modified criteria showed a high prevalence of malnutrition in the population studied (78%). The measures of arm circumference when located below the 5th percentile showed a significant association with general postoperative complications in the high risk group (arm circumference, p = 0,0019; arm muscle circumference, p = 0,0419). The percentage of weight per height, serum albumin and transferrin has not played a prognostic role concerning postoperative morbidity. The mean value of prealbumin was significantly lower in high risk group patients developing postoperative infections (p < 0,01) compared to those who did not. The sensitivity-specificity analysis of prealbumin as risk indicator for postoperative infection was 87.5% and 59% respectively. The nutritional risk classification seems to be a good way to identify the subgroups of children with additional postoperative surgical risk. However, more specific and sensitive tests are desirable to provide an individual identification of these children. |
publishDate |
1995 |
dc.date.none.fl_str_mv |
1995-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801995000100008 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801995000100008 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1516-31801995000100008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.113 n.1 1995 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209259186290688 |