Nutritional Risk versus Risk of Sarcopenia Associated to Postoperative Complications and Mortality in Cancer Patients Undergoing Major Surgery

Detalhes bibliográficos
Autor(a) principal: Rodrigues, Hadassa Hillary Novaes Pereira
Data de Publicação: 2021
Outros Autores: Palauro , Maristela Luft, Behne, Thayse Emanuelli Godoy, Sierra, Jessika Cadavid, Andreo, Francilene Oliveira, Thé, Mariana Borges Silva, Aguilar-Nascimento, José Eduardo de, Dock-Nascimento, Diana Borges
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/1201
Resumo: Introduction: Surgical patients who are at either nutritional or sarcopenia risk may have worst outcomes in the postoperative period. Objective: To investigate whether nutritional or sarcopenia risk is associated with mortality and postoperative complications in cancer patients undergoing major operations. Method: Prospective cohort bicentrical study enrolling 220 adult oncological patients submitted to major surgeries at Cancer Hospital and Santa Casa de Misericordia in Cuiaba-MT. Patients were classified with or without nutritional risk per the Nutritional Risk Screening 2002 and sarcopenia risk according to the Strength, Assistance with walking, Rise from a chair, Climb stairs - and Falls questionnaire preoperatively. The outcomes variables were postoperative infectious complications and death. Results: Patients with nutritional risk showed higher risk of infectious complications (24.6 vs. 5.1%; RR=4.8 CI95% 1.94-12; p<0.001) or die (11.5 vs. 1.0%; RR=11.2 CI95% 1.5-84.0; p=0.002) in post-operation when compared to patients without nutritional risk. There was no association between sarcopenia risk with infectious complications or mortality during post-operation (p>0.05). Conclusion: Oncological patients with nutritional risk have higher risk of developing postoperative infectious complications or die when compared with patients without nutritional risk or in risk of sarcopenia.
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spelling Nutritional Risk versus Risk of Sarcopenia Associated to Postoperative Complications and Mortality in Cancer Patients Undergoing Major SurgeryRiesgo Nutricional versus Riesgo de Sarcopenia Asociado con Complicaciones Postoperatorias y Mortalidad en Pacientes con Cáncer Sometidos a Cirugía MayorRisco Nutricional versus Risco de Sarcopenia Associado a Complicações Pós-Operatórias e Mortalidade em Pacientes Oncológicos Submetidos a Cirurgias de Grande PorteOncologia CirúrgicaEstado NutricionalSarcopeniaComplicações Pós-OperatóriasMortalidadeSurgical OncologyNutritional StatusSarcopeniaPostoperative ComplicationsMortalityOncología QuirúrgicaEstado NutricionalSarcopeniaComplicaciones PostoperatoriasMortalidadIntroduction: Surgical patients who are at either nutritional or sarcopenia risk may have worst outcomes in the postoperative period. Objective: To investigate whether nutritional or sarcopenia risk is associated with mortality and postoperative complications in cancer patients undergoing major operations. Method: Prospective cohort bicentrical study enrolling 220 adult oncological patients submitted to major surgeries at Cancer Hospital and Santa Casa de Misericordia in Cuiaba-MT. Patients were classified with or without nutritional risk per the Nutritional Risk Screening 2002 and sarcopenia risk according to the Strength, Assistance with walking, Rise from a chair, Climb stairs - and Falls questionnaire preoperatively. The outcomes variables were postoperative infectious complications and death. Results: Patients with nutritional risk showed higher risk of infectious complications (24.6 vs. 5.1%; RR=4.8 CI95% 1.94-12; p<0.001) or die (11.5 vs. 1.0%; RR=11.2 CI95% 1.5-84.0; p=0.002) in post-operation when compared to patients without nutritional risk. There was no association between sarcopenia risk with infectious complications or mortality during post-operation (p>0.05). Conclusion: Oncological patients with nutritional risk have higher risk of developing postoperative infectious complications or die when compared with patients without nutritional risk or in risk of sarcopenia.Introducción: Los pacientes de cáncer quirúrgico con riesgo nutricional o de sarcopenia pueden evolucionar con peores resultados en el postoperatorio. Objetivo: Investigar si existe una asociación entre el riesgo nutricional y la sarcopenia con complicaciones y mortalidad en el postoperatorio de pacientes con cáncer sometidos a operaciones mayores. Método: Estudio prospectivo de cohorte bicéntrico realizado con 220 pacientes adultos con cáncer que se sometieron a operaciones importantes en el Hospital de Cáncer y Santa Casa de Misericordia en Cuiabá, Mato Grosso. La muestra estudiada se clasifico con o sin riesgo nutricional por Nutritional Risk Screening 2002 y sarcopenia de acuerdo con el cuestionario Strength, Assistance with walking, Rise from a chair, Climb stairs - and Falls, en el pre operatorio. Las variables de resultado fueron complicaciones infecciosas y muerte en la postoperatorio. Resultados: Los pacientes con riesgo nutricional mostraron un mayor riesgo de complicaciones infecciosas (24,6 vs. 5,1%; RR=4,8 IC95% 1,94-12; p<0,001) y muerte (11,5 vs. 1,0%; RR=11,2 IC95%1,5-84,0; p=0,002) en la postoperatorio en comparación con aquellos sin riesgo nutricional. Sin embargo, no hubo asociación entre el riesgo de sarcopenia y la presencia de complicaciones infecciosas y muerte durante el periodo postoperatorio (p> 0.05). Conclusión: Los pacientes con cáncer en riesgo nutricional según NRS-2002, fueron aquellos que tenía un mayor riesgo de complicaciones infecciosas y muerte en la postoperatorio, en comparación con aquellos sin riesgo nutricional o con riesgo de sarcopenia.Introdução: Pacientes cirúrgicos, que apresentam risco nutricional ou de sarcopenia, podem evoluir com piores desfechos no pós-operatório. Objetivo: Investigar se existe associação entre o risco nutricional e a sarcopenia com complicações e mortalidade no pós-operatório de pacientes oncológicos submetidos a cirurgias de grande porte. Método: Estudo biocêntrico de coorte, prospectivo, realizado com 220 pacientes oncológicos adultos, submetidos a operações de grande porte no Hospital de Câncer e na Santa Casa de Misericórdia em Cuiabá, Mato Grosso. Os pacientes foram classificados com ou sem risco nutricional pela Nutritional Risk Screening 2002 e de sarcopenia segundo o questionario Strength, Assistance with walking, Rise from a chair, Climb stairs - and Falls, no pré-operatório. As variáveis de desfecho foram complicações infecciosas e óbito no pós-operatório. Resultados: Os pacientes com risco nutricional mostraram maior risco de complicações infecciosas (24,6 vs. 5,1%; RR=4,8 IC95% 1,94-12; p<0,001) e de óbito (11,5 vs. 1,0%; RR=11,2 IC95%1,5-84,0; p=0,002) no pós-operatório, quando comparados aos sem risco nutricional. Não houve associação do risco de sarcopenia com a presença de complicações infecciosas e óbito ao longo do período pós-operatório (p>0,05). Conclusão: Os pacientes oncológicos em risco nutricional foram aqueles que apresentaram maior risco de complicações infecciosas e de óbito no pós-operatório, quando comparados aos sem risco nutricional ou em risco de sarcopenia.INCA2021-01-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/120110.32635/2176-9745.RBC.2021v67n1.1201Revista Brasileira de Cancerologia; Vol. 67 No. 1 (2021): Jan./Feb./Mar.; e-151201Revista Brasileira de Cancerologia; Vol. 67 Núm. 1 (2021): ene./feb./mar.; e-151201Revista Brasileira de Cancerologia; v. 67 n. 1 (2021): jan./fev./mar.; e-1512012176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporenghttps://rbc.inca.gov.br/index.php/revista/article/view/1201/910https://rbc.inca.gov.br/index.php/revista/article/view/1201/1089Copyright (c) 2021 Revista Brasileira de Cancerologiainfo:eu-repo/semantics/openAccessRodrigues, Hadassa Hillary Novaes PereiraPalauro , Maristela Luft Behne, Thayse Emanuelli Godoy Sierra, Jessika Cadavid Andreo, Francilene Oliveira Thé, Mariana Borges SilvaAguilar-Nascimento, José Eduardo de Dock-Nascimento, Diana Borges 2021-11-29T18:27:43Zoai:rbc.inca.gov.br:article/1201Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T18:27:43Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Nutritional Risk versus Risk of Sarcopenia Associated to Postoperative Complications and Mortality in Cancer Patients Undergoing Major Surgery
Riesgo Nutricional versus Riesgo de Sarcopenia Asociado con Complicaciones Postoperatorias y Mortalidad en Pacientes con Cáncer Sometidos a Cirugía Mayor
Risco Nutricional versus Risco de Sarcopenia Associado a Complicações Pós-Operatórias e Mortalidade em Pacientes Oncológicos Submetidos a Cirurgias de Grande Porte
title Nutritional Risk versus Risk of Sarcopenia Associated to Postoperative Complications and Mortality in Cancer Patients Undergoing Major Surgery
spellingShingle Nutritional Risk versus Risk of Sarcopenia Associated to Postoperative Complications and Mortality in Cancer Patients Undergoing Major Surgery
Rodrigues, Hadassa Hillary Novaes Pereira
Oncologia Cirúrgica
Estado Nutricional
Sarcopenia
Complicações Pós-Operatórias
Mortalidade
Surgical Oncology
Nutritional Status
Sarcopenia
Postoperative Complications
Mortality
Oncología Quirúrgica
Estado Nutricional
Sarcopenia
Complicaciones Postoperatorias
Mortalidad
title_short Nutritional Risk versus Risk of Sarcopenia Associated to Postoperative Complications and Mortality in Cancer Patients Undergoing Major Surgery
title_full Nutritional Risk versus Risk of Sarcopenia Associated to Postoperative Complications and Mortality in Cancer Patients Undergoing Major Surgery
title_fullStr Nutritional Risk versus Risk of Sarcopenia Associated to Postoperative Complications and Mortality in Cancer Patients Undergoing Major Surgery
title_full_unstemmed Nutritional Risk versus Risk of Sarcopenia Associated to Postoperative Complications and Mortality in Cancer Patients Undergoing Major Surgery
title_sort Nutritional Risk versus Risk of Sarcopenia Associated to Postoperative Complications and Mortality in Cancer Patients Undergoing Major Surgery
author Rodrigues, Hadassa Hillary Novaes Pereira
author_facet Rodrigues, Hadassa Hillary Novaes Pereira
Palauro , Maristela Luft
Behne, Thayse Emanuelli Godoy
Sierra, Jessika Cadavid
Andreo, Francilene Oliveira
Thé, Mariana Borges Silva
Aguilar-Nascimento, José Eduardo de
Dock-Nascimento, Diana Borges
author_role author
author2 Palauro , Maristela Luft
Behne, Thayse Emanuelli Godoy
Sierra, Jessika Cadavid
Andreo, Francilene Oliveira
Thé, Mariana Borges Silva
Aguilar-Nascimento, José Eduardo de
Dock-Nascimento, Diana Borges
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Rodrigues, Hadassa Hillary Novaes Pereira
Palauro , Maristela Luft
Behne, Thayse Emanuelli Godoy
Sierra, Jessika Cadavid
Andreo, Francilene Oliveira
Thé, Mariana Borges Silva
Aguilar-Nascimento, José Eduardo de
Dock-Nascimento, Diana Borges
dc.subject.por.fl_str_mv Oncologia Cirúrgica
Estado Nutricional
Sarcopenia
Complicações Pós-Operatórias
Mortalidade
Surgical Oncology
Nutritional Status
Sarcopenia
Postoperative Complications
Mortality
Oncología Quirúrgica
Estado Nutricional
Sarcopenia
Complicaciones Postoperatorias
Mortalidad
topic Oncologia Cirúrgica
Estado Nutricional
Sarcopenia
Complicações Pós-Operatórias
Mortalidade
Surgical Oncology
Nutritional Status
Sarcopenia
Postoperative Complications
Mortality
Oncología Quirúrgica
Estado Nutricional
Sarcopenia
Complicaciones Postoperatorias
Mortalidad
description Introduction: Surgical patients who are at either nutritional or sarcopenia risk may have worst outcomes in the postoperative period. Objective: To investigate whether nutritional or sarcopenia risk is associated with mortality and postoperative complications in cancer patients undergoing major operations. Method: Prospective cohort bicentrical study enrolling 220 adult oncological patients submitted to major surgeries at Cancer Hospital and Santa Casa de Misericordia in Cuiaba-MT. Patients were classified with or without nutritional risk per the Nutritional Risk Screening 2002 and sarcopenia risk according to the Strength, Assistance with walking, Rise from a chair, Climb stairs - and Falls questionnaire preoperatively. The outcomes variables were postoperative infectious complications and death. Results: Patients with nutritional risk showed higher risk of infectious complications (24.6 vs. 5.1%; RR=4.8 CI95% 1.94-12; p<0.001) or die (11.5 vs. 1.0%; RR=11.2 CI95% 1.5-84.0; p=0.002) in post-operation when compared to patients without nutritional risk. There was no association between sarcopenia risk with infectious complications or mortality during post-operation (p>0.05). Conclusion: Oncological patients with nutritional risk have higher risk of developing postoperative infectious complications or die when compared with patients without nutritional risk or in risk of sarcopenia.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-27
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1201
10.32635/2176-9745.RBC.2021v67n1.1201
url https://rbc.inca.gov.br/index.php/revista/article/view/1201
identifier_str_mv 10.32635/2176-9745.RBC.2021v67n1.1201
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1201/910
https://rbc.inca.gov.br/index.php/revista/article/view/1201/1089
dc.rights.driver.fl_str_mv Copyright (c) 2021 Revista Brasileira de Cancerologia
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Revista Brasileira de Cancerologia
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 67 No. 1 (2021): Jan./Feb./Mar.; e-151201
Revista Brasileira de Cancerologia; Vol. 67 Núm. 1 (2021): ene./feb./mar.; e-151201
Revista Brasileira de Cancerologia; v. 67 n. 1 (2021): jan./fev./mar.; e-151201
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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