Nutritional status parameters of patients with Pressure Ulcers in a University Hospital in southern Brazil
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Rasbran |
Texto Completo: | https://rasbran.com.br/rasbran/article/view/1795 |
Resumo: | Introduction: pressure ulcers (PU) are considered a worldwide problem and may affect up to 40% of hospitalized patients. Besides being influenced by the patient’s previous nutritional status, PU increase hospitalization costs, compromise quality of life and directly interfere in morbimortality. Therefore, nutritional evaluation is a key factor to early identification of malnutrition, weight loss and nutritional inadequacies, being important for lesion prevention and treatment. Objective: analyze nutritional status parameters of patients affected by PU admitted to a University Hospital. Method: biochemical exams, location and degree of lesions, main diagnosis, comorbidities, anthropometric measurements, and food intake info were collected. Descriptive analysis of data was conducted, and association between PU and nutritional status, weight loss, supplement use and inadequate ingestion was determined Results: thirty patients were evaluated; 38% were underweight, 46% presented some degree of arm circumference depletion and 52% had calf girth values lower than ideal; 75% did not meet nutritional needs and 100% presented with hypoalbuminemia. Two-thirds developed PU during hospitalization, 47% of which were malnourished (52% had suboptimal arm circumference values and 76% presented with significant or high weight loss). No significant association was found between PU and nutritional status, weight loss, supplement use and inadequate food ingestion. Conclusion: no statistically significant associations were found, possibly due to the small sample size. The high prevalence of malnutrition markers in patients with PU suggests that studies with higher patient numbers and duration of data collection are needed. The study reinforces the need of nutritional screening of patients from admission onwards. |
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Nutritional status parameters of patients with Pressure Ulcers in a University Hospital in southern BrazilIndicadores do estado nutricional em pacientes acometidos por Lesão por Pressão em um Hospital Universitário no sul do BrasilLesão por PressãoEstado NutricionalTerapia NutricionalIntroduction: pressure ulcers (PU) are considered a worldwide problem and may affect up to 40% of hospitalized patients. Besides being influenced by the patient’s previous nutritional status, PU increase hospitalization costs, compromise quality of life and directly interfere in morbimortality. Therefore, nutritional evaluation is a key factor to early identification of malnutrition, weight loss and nutritional inadequacies, being important for lesion prevention and treatment. Objective: analyze nutritional status parameters of patients affected by PU admitted to a University Hospital. Method: biochemical exams, location and degree of lesions, main diagnosis, comorbidities, anthropometric measurements, and food intake info were collected. Descriptive analysis of data was conducted, and association between PU and nutritional status, weight loss, supplement use and inadequate ingestion was determined Results: thirty patients were evaluated; 38% were underweight, 46% presented some degree of arm circumference depletion and 52% had calf girth values lower than ideal; 75% did not meet nutritional needs and 100% presented with hypoalbuminemia. Two-thirds developed PU during hospitalization, 47% of which were malnourished (52% had suboptimal arm circumference values and 76% presented with significant or high weight loss). No significant association was found between PU and nutritional status, weight loss, supplement use and inadequate food ingestion. Conclusion: no statistically significant associations were found, possibly due to the small sample size. The high prevalence of malnutrition markers in patients with PU suggests that studies with higher patient numbers and duration of data collection are needed. The study reinforces the need of nutritional screening of patients from admission onwards. Introdução: lesões por pressão (LPP) são consideradas um problema mundial, atingindo até 40% dos indivíduos hospitalizados. Elas aumentam custos hospitalares, diminuem qualidade de vida, interferem na morbimortalidade e podem ser influenciadas pelo estado nutricional prévio. Assim, a avaliação nutricional é fundamental para diagnosticar precocemente a desnutrição, perda de peso e inadequações nutricionais, sendo aliada na prevenção e tratamento das lesões. Objetivo: analisar indicadores do estado nutricional de pacientes acometidos por LPP internados em um Hospital Universitário. Método: foram coletados dados bioquímicos, local e grau da lesão, diagnósticos principais/associados, dados antropométricos e aceitação/tolerância dietética. Foi realizada análise descritiva dos dados e investigada associação entre LPP e estado nutricional, perda de peso, uso de suplementos e inadequação na ingestão dietética. Resultados: a amostra contou com 30 pacientes; 38% apresentavam baixo peso, 46% depleção tecidual segundo adequação de circunferência braquial (CB) e 52% segundo circunferência da panturrilha (CP); 75% não atingiam as necessidades nutricionais e 100% tinham hipoalbuminemia. Dois terços desenvolveram LPP durante a internação; destes, 47% estavam desnutridos (52% depletados segundo CB, 76% com perda de peso significativa/grave). Não foi encontrada associação estatisticamente significativa entre LPP e estado nutricional, perda de peso, uso de suplementos e inadequação da ingestão dietética. Conclusão: possivelmente não foram identificadas associações estatisticamente significativas devido ao tamanho da amostra. A elevada prevalência de indicadores de desnutrição sugere a necessidade de desenvolver pesquisas com maior amostra e tempo de coleta. O estudo reforça a importância do acompanhamento nutricional do paciente desde a admissão hospitalar.ASSOCIAÇÃO BRASILEIRA DE NUTRIÇÃO (ASBRAN)2022-03-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rasbran.com.br/rasbran/article/view/179510.47320/rasbran.2021.1795Revista da Associação Brasileira de Nutrição - RASBRAN; v. 12 n. 4 (2021); 67-872357-78941983-3164reponame:Rasbraninstname:Associação Brasileira de Nutrição (ASBRAN)instacron:ASBRANporhttps://rasbran.com.br/rasbran/article/view/1795/396Copyright (c) 2022 Revista da Associação Brasileira de Nutrição - RASBRANhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessKahl, KarineFiates, Giovanna Medeiros RataichesckBagolin do Nascimento, Amanda 2022-06-22T18:26:02Zoai:ojs.emnuvens.com.br:article/1795Revistahttps://www.rasbran.com.br/rasbranONGhttps://rasbran.com.br/rasbran/oaiindex_rasbran@asbran.org.br || rasbran@asbran.org.br2357-78941983-3164opendoar:2022-06-22T18:26:02Rasbran - Associação Brasileira de Nutrição (ASBRAN)false |
dc.title.none.fl_str_mv |
Nutritional status parameters of patients with Pressure Ulcers in a University Hospital in southern Brazil Indicadores do estado nutricional em pacientes acometidos por Lesão por Pressão em um Hospital Universitário no sul do Brasil |
title |
Nutritional status parameters of patients with Pressure Ulcers in a University Hospital in southern Brazil |
spellingShingle |
Nutritional status parameters of patients with Pressure Ulcers in a University Hospital in southern Brazil Kahl, Karine Lesão por Pressão Estado Nutricional Terapia Nutricional |
title_short |
Nutritional status parameters of patients with Pressure Ulcers in a University Hospital in southern Brazil |
title_full |
Nutritional status parameters of patients with Pressure Ulcers in a University Hospital in southern Brazil |
title_fullStr |
Nutritional status parameters of patients with Pressure Ulcers in a University Hospital in southern Brazil |
title_full_unstemmed |
Nutritional status parameters of patients with Pressure Ulcers in a University Hospital in southern Brazil |
title_sort |
Nutritional status parameters of patients with Pressure Ulcers in a University Hospital in southern Brazil |
author |
Kahl, Karine |
author_facet |
Kahl, Karine Fiates, Giovanna Medeiros Rataichesck Bagolin do Nascimento, Amanda |
author_role |
author |
author2 |
Fiates, Giovanna Medeiros Rataichesck Bagolin do Nascimento, Amanda |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Kahl, Karine Fiates, Giovanna Medeiros Rataichesck Bagolin do Nascimento, Amanda |
dc.subject.por.fl_str_mv |
Lesão por Pressão Estado Nutricional Terapia Nutricional |
topic |
Lesão por Pressão Estado Nutricional Terapia Nutricional |
description |
Introduction: pressure ulcers (PU) are considered a worldwide problem and may affect up to 40% of hospitalized patients. Besides being influenced by the patient’s previous nutritional status, PU increase hospitalization costs, compromise quality of life and directly interfere in morbimortality. Therefore, nutritional evaluation is a key factor to early identification of malnutrition, weight loss and nutritional inadequacies, being important for lesion prevention and treatment. Objective: analyze nutritional status parameters of patients affected by PU admitted to a University Hospital. Method: biochemical exams, location and degree of lesions, main diagnosis, comorbidities, anthropometric measurements, and food intake info were collected. Descriptive analysis of data was conducted, and association between PU and nutritional status, weight loss, supplement use and inadequate ingestion was determined Results: thirty patients were evaluated; 38% were underweight, 46% presented some degree of arm circumference depletion and 52% had calf girth values lower than ideal; 75% did not meet nutritional needs and 100% presented with hypoalbuminemia. Two-thirds developed PU during hospitalization, 47% of which were malnourished (52% had suboptimal arm circumference values and 76% presented with significant or high weight loss). No significant association was found between PU and nutritional status, weight loss, supplement use and inadequate food ingestion. Conclusion: no statistically significant associations were found, possibly due to the small sample size. The high prevalence of malnutrition markers in patients with PU suggests that studies with higher patient numbers and duration of data collection are needed. The study reinforces the need of nutritional screening of patients from admission onwards. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-03-31 |
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 |
https://rasbran.com.br/rasbran/article/view/1795 10.47320/rasbran.2021.1795 |
url |
https://rasbran.com.br/rasbran/article/view/1795 |
identifier_str_mv |
10.47320/rasbran.2021.1795 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rasbran.com.br/rasbran/article/view/1795/396 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Revista da Associação Brasileira de Nutrição - RASBRAN https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Revista da Associação Brasileira de Nutrição - RASBRAN https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
ASSOCIAÇÃO BRASILEIRA DE NUTRIÇÃO (ASBRAN) |
publisher.none.fl_str_mv |
ASSOCIAÇÃO BRASILEIRA DE NUTRIÇÃO (ASBRAN) |
dc.source.none.fl_str_mv |
Revista da Associação Brasileira de Nutrição - RASBRAN; v. 12 n. 4 (2021); 67-87 2357-7894 1983-3164 reponame:Rasbran instname:Associação Brasileira de Nutrição (ASBRAN) instacron:ASBRAN |
instname_str |
Associação Brasileira de Nutrição (ASBRAN) |
instacron_str |
ASBRAN |
institution |
ASBRAN |
reponame_str |
Rasbran |
collection |
Rasbran |
repository.name.fl_str_mv |
Rasbran - Associação Brasileira de Nutrição (ASBRAN) |
repository.mail.fl_str_mv |
index_rasbran@asbran.org.br || rasbran@asbran.org.br |
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1797049027975446528 |