Risk factors that influence the prognosis of community-acquired pneumonia in hospitalized adults
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Nutrição |
Texto Completo: | https://periodicos.puc-campinas.edu.br/nutricao/article/view/9240 |
Resumo: | ObjectiveThe present study assessed the influence of nutritional parameters on the prognosis of community-acquired pneumonia in adults admitted to a general hospital. MethodsA total of 61 individuals with community-acquired pneumonia were studied prospectively and the following data analyzed: sociodemographic variables, morbidity, life habits, anthropometric variables (body mass index, waist circumference, percentage of body fat, percentage of weight lost), biochemical variables (urea, creatinine, albumin on admission and 18 days later, prealbumin on admission and 4, 8 and 18 days later), and outcome (hospital stay shorter than 10 days, longer than 10 days and/or death). ResultsAnthropometric variables differed between genders but were not associated with poor outcome. Albumin and prealbumin levels were low on admission in 80.3% and 86.9% of the cases, respectively. Logistic regression showed that smoking (OR:1.23; CI:1.0-12.1), more than one finding or pleural effusion on chest radiographs (OR:1.4; CI:1.24-15.3) and low prealbumin on day 4 (OR:6.1; CI:1.7-22.5) predicted a poor outcome for patients with community-acquired pneumonia. ConclusionNutrition-related biochemical markers, such as low prealbumin, smoking and more than one finding on chest radiographs, indicate severe pneumonia and are useful for deciding treatment strategy. |
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Risk factors that influence the prognosis of community-acquired pneumonia in hospitalized adultsFatores de risco associados ao prognóstico de adultos internados com pneumonia adquirida na comunidadeNutritionPneumoniaPrealbuminRiskNutriçãoPneumoniaPré-albuminaRiscoObjectiveThe present study assessed the influence of nutritional parameters on the prognosis of community-acquired pneumonia in adults admitted to a general hospital. MethodsA total of 61 individuals with community-acquired pneumonia were studied prospectively and the following data analyzed: sociodemographic variables, morbidity, life habits, anthropometric variables (body mass index, waist circumference, percentage of body fat, percentage of weight lost), biochemical variables (urea, creatinine, albumin on admission and 18 days later, prealbumin on admission and 4, 8 and 18 days later), and outcome (hospital stay shorter than 10 days, longer than 10 days and/or death). ResultsAnthropometric variables differed between genders but were not associated with poor outcome. Albumin and prealbumin levels were low on admission in 80.3% and 86.9% of the cases, respectively. Logistic regression showed that smoking (OR:1.23; CI:1.0-12.1), more than one finding or pleural effusion on chest radiographs (OR:1.4; CI:1.24-15.3) and low prealbumin on day 4 (OR:6.1; CI:1.7-22.5) predicted a poor outcome for patients with community-acquired pneumonia. ConclusionNutrition-related biochemical markers, such as low prealbumin, smoking and more than one finding on chest radiographs, indicate severe pneumonia and are useful for deciding treatment strategy. ObjetivoAvaliar parâmetros nutricionais no prognóstico de adultos internados em hospital geral, com pneumonia adquirida na comunidade. MétodosForam estudados prospectivamente 61 casos da doença e analisadas variáveis: sociodemográficas, morbidade, hábitos de vida, antropométricas (índice de massa corporal, circunferência da cintura, porcentagem de gordura, porcentagem de perda de peso), bioquímicas (ureia, creatinina, albumina no momento da internação e no 18º dia e pré-albumina (na internação, quarto, oitavo e 18º dia) e evolução (menos de 10, mais de 10 dias de internação e/ou óbito). ResultadosAs variáveis antropométricas apresentaram-se diferentes entre os sexos, porém não se associaram com a má evolução da doença. Os níveis séricos de albumina e de pré-albumina encontraram-se baixos na internação em 80,3% e 86,9% dos casos, respectivamente. Após ajuste logístico, o hábito de fumar (OR:1,23, IC:1,0-12,1), a presença de mais de uma imagem ou derrame pleural no exame radiológico de tórax (OR: 1,4 IC: 1,24-15,3) e a pré-albumina baixa no quarto dia (OR:6,1 IC:1,7-22,5) foram preditores de má evolução do quadro de pacientes com pneumonia adquirida na comunidade. ConclusãoIndicador bioquímico nutricional como a pré-albumina, o tabagismo e mais de uma imagem no exame radiológico de tórax são parâmetros de gravidade de pneumonia úteis na condução clínica de infecções. Núcleo de Editoração – PUC-Campinas2023-08-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/9240Brazilian Journal of Nutrition; Vol. 25 No. 2 (2012): Revista de NutriçãoRevista de Nutrição; Vol. 25 Núm. 2 (2012): Revista de NutriçãoRevista de Nutrição; v. 25 n. 2 (2012): Revista de Nutrição1678-9865reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMPporhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/9240/6618Copyright (c) 2023 Maria Rita DONALISIO, Bertha Siqueira Bernardi de OLIVEIRA, Carlos Henrique Mamud ARCA, June Barreiros FREIRE, Daniela de Oliveira MAGROhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessDONALISIO, Maria Rita Siqueira Bernardi de OLIVEIRA, Bertha Mamud ARCA, Carlos Henrique Barreiros FREIRE, June de Oliveira MAGRO, Daniela 2023-10-05T18:59:17Zoai:ojs.periodicos.puc-campinas.edu.br:article/9240Revistahttp://www.scielo.br/rnPRIhttps://periodicos.puc-campinas.edu.br/nutricao/oai||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2023-10-05T18:59:17Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)false |
dc.title.none.fl_str_mv |
Risk factors that influence the prognosis of community-acquired pneumonia in hospitalized adults Fatores de risco associados ao prognóstico de adultos internados com pneumonia adquirida na comunidade |
title |
Risk factors that influence the prognosis of community-acquired pneumonia in hospitalized adults |
spellingShingle |
Risk factors that influence the prognosis of community-acquired pneumonia in hospitalized adults DONALISIO, Maria Rita Nutrition Pneumonia Prealbumin Risk Nutrição Pneumonia Pré-albumina Risco |
title_short |
Risk factors that influence the prognosis of community-acquired pneumonia in hospitalized adults |
title_full |
Risk factors that influence the prognosis of community-acquired pneumonia in hospitalized adults |
title_fullStr |
Risk factors that influence the prognosis of community-acquired pneumonia in hospitalized adults |
title_full_unstemmed |
Risk factors that influence the prognosis of community-acquired pneumonia in hospitalized adults |
title_sort |
Risk factors that influence the prognosis of community-acquired pneumonia in hospitalized adults |
author |
DONALISIO, Maria Rita |
author_facet |
DONALISIO, Maria Rita Siqueira Bernardi de OLIVEIRA, Bertha Mamud ARCA, Carlos Henrique Barreiros FREIRE, June de Oliveira MAGRO, Daniela |
author_role |
author |
author2 |
Siqueira Bernardi de OLIVEIRA, Bertha Mamud ARCA, Carlos Henrique Barreiros FREIRE, June de Oliveira MAGRO, Daniela |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
DONALISIO, Maria Rita Siqueira Bernardi de OLIVEIRA, Bertha Mamud ARCA, Carlos Henrique Barreiros FREIRE, June de Oliveira MAGRO, Daniela |
dc.subject.por.fl_str_mv |
Nutrition Pneumonia Prealbumin Risk Nutrição Pneumonia Pré-albumina Risco |
topic |
Nutrition Pneumonia Prealbumin Risk Nutrição Pneumonia Pré-albumina Risco |
description |
ObjectiveThe present study assessed the influence of nutritional parameters on the prognosis of community-acquired pneumonia in adults admitted to a general hospital. MethodsA total of 61 individuals with community-acquired pneumonia were studied prospectively and the following data analyzed: sociodemographic variables, morbidity, life habits, anthropometric variables (body mass index, waist circumference, percentage of body fat, percentage of weight lost), biochemical variables (urea, creatinine, albumin on admission and 18 days later, prealbumin on admission and 4, 8 and 18 days later), and outcome (hospital stay shorter than 10 days, longer than 10 days and/or death). ResultsAnthropometric variables differed between genders but were not associated with poor outcome. Albumin and prealbumin levels were low on admission in 80.3% and 86.9% of the cases, respectively. Logistic regression showed that smoking (OR:1.23; CI:1.0-12.1), more than one finding or pleural effusion on chest radiographs (OR:1.4; CI:1.24-15.3) and low prealbumin on day 4 (OR:6.1; CI:1.7-22.5) predicted a poor outcome for patients with community-acquired pneumonia. ConclusionNutrition-related biochemical markers, such as low prealbumin, smoking and more than one finding on chest radiographs, indicate severe pneumonia and are useful for deciding treatment strategy. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-08-17 |
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://periodicos.puc-campinas.edu.br/nutricao/article/view/9240 |
url |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/9240 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/9240/6618 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
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 |
Núcleo de Editoração – PUC-Campinas |
publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
dc.source.none.fl_str_mv |
Brazilian Journal of Nutrition; Vol. 25 No. 2 (2012): Revista de Nutrição Revista de Nutrição; Vol. 25 Núm. 2 (2012): Revista de Nutrição Revista de Nutrição; v. 25 n. 2 (2012): Revista de Nutrição 1678-9865 reponame:Revista de Nutrição instname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) instacron:PUC_CAMP |
instname_str |
Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
instacron_str |
PUC_CAMP |
institution |
PUC_CAMP |
reponame_str |
Revista de Nutrição |
collection |
Revista de Nutrição |
repository.name.fl_str_mv |
Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
repository.mail.fl_str_mv |
||sbi.submissionrn@puc-campinas.edu.br |
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1799126072422301696 |