Cirurgia oncológica de grande porte reduz a função muscular de pacientes com e sem risco nutricional
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFMT |
Texto Completo: | http://ri.ufmt.br/handle/1/4892 |
Resumo: | To investigate the impact of oncological surgical procedures on the muscle function of patients with and without nutritional risk. Methods: Cross-sectional study conducted with cancer patients candidates for major operations between July 2018 to March 2019 in Cuiabá, Mato Grosso, Brazil. Patients were assessed preoperatively for nutritional risk by Nutritional Risk Screening-2002 and handgrip strength (FPP) was assessed both on the pre- and 2nd and 5th postoperative days (PO). Results: 92 patients were evaluated, of which 55.4% (N= 51) were men and 44.6% (N=41) women, with a mean age (SD) of 64 years (10.81) for patients at risk and 51 years (12.99) for patients without nutritional risk. The preoperative nutritional assessment showed that 34.8% of the patients had no risk and 65.2% had a nutritional risk. The FPP was lower (p = 0.008) in the group with nutritional risk (29,8Kgf vs. 31,7Kgf) in the preoperative period. In both groups, there was a significant drop in FPP on the 2nd PO day. The drop in FPP from the preoperative period (31,7Kgf) to the 2nd PO day (21,6Kgf) was more pronounced in patients without nutritional risk (p = 0.039). Patients with nutritional risk had a longer hospital stay (p = 0.049). Conclusion: Surgical trauma causes loss of muscle function in early PO. Patients without nutritional risk have a more significant decrease in muscle strength after surgical oncological procedures than those with nutritional risk. These results serve as a very strong argument for the implementation of pre-habilitation in all patients who are candidates for major oncological surgeries. |
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Cirurgia oncológica de grande porte reduz a função muscular de pacientes com e sem risco nutricionalProcedimentos cirúrgicos operatóriosNeoplasiasForça muscularEstado nutricionalTempo de internaçãoCNPQ::CIENCIAS DA SAUDE::MEDICINASurgical proceduresOperativeNeoplasmsMuscle strength nutritional statusLength of StayTo investigate the impact of oncological surgical procedures on the muscle function of patients with and without nutritional risk. Methods: Cross-sectional study conducted with cancer patients candidates for major operations between July 2018 to March 2019 in Cuiabá, Mato Grosso, Brazil. Patients were assessed preoperatively for nutritional risk by Nutritional Risk Screening-2002 and handgrip strength (FPP) was assessed both on the pre- and 2nd and 5th postoperative days (PO). Results: 92 patients were evaluated, of which 55.4% (N= 51) were men and 44.6% (N=41) women, with a mean age (SD) of 64 years (10.81) for patients at risk and 51 years (12.99) for patients without nutritional risk. The preoperative nutritional assessment showed that 34.8% of the patients had no risk and 65.2% had a nutritional risk. The FPP was lower (p = 0.008) in the group with nutritional risk (29,8Kgf vs. 31,7Kgf) in the preoperative period. In both groups, there was a significant drop in FPP on the 2nd PO day. The drop in FPP from the preoperative period (31,7Kgf) to the 2nd PO day (21,6Kgf) was more pronounced in patients without nutritional risk (p = 0.039). Patients with nutritional risk had a longer hospital stay (p = 0.049). Conclusion: Surgical trauma causes loss of muscle function in early PO. Patients without nutritional risk have a more significant decrease in muscle strength after surgical oncological procedures than those with nutritional risk. These results serve as a very strong argument for the implementation of pre-habilitation in all patients who are candidates for major oncological surgeries.Investigar o impacto de procedimentos cirúrgicos oncológicos na função muscular de pacientes com e sem risco nutricional. Métodos: Estudo transversal realizado com pacientes oncológicos candidatos a operações de grande porte entre julho de 2018 a março de 2019 em Cuiabá, Mato Grosso, Brasil. Os pacientes foram avaliados no pré- operatório quanto ao risco nutricional pela Nutritional Risk Screening-2002 e avaliou-se a força de preensão palmar (FPP) tanto no pré- quanto no 2o e 5o dia de pós-operatório (PO). Resultados: Foram avaliados 92 pacientes, dos quais 55,4% (N= 51) eram homens e 44,6% (N=41) mulheres, com média (DP) de idade de 64 anos (10,81) para pacientes com risco e 51 anos (12,99) para pacientes sem risco nutricional. A avaliação nutricional pré-operatória mostrou que 34,8% dos pacientes não tinham risco e 65,2% apresentavam risco nutricional. A FPP foi menor (p=0,008) no grupo com risco nutricional (29,8Kgf vs. 31,7Kgf) no pré-operatório. Em ambos os grupos houve queda significativa da FPP no 2o dia de PO. A queda da FPP do pré-operatório (31,7Kgf) para o 2o dia de PO (21,6Kgf) foi mais pronunciada em pacientes sem risco nutricional (p=0,039). Pacientes com risco nutricional apresentaram maior tempo de internação (p=0,049). Conclusão: O trauma operatório acarreta perda da função muscular no PO precoce. Pacientes sem risco nutricional apresentam queda da força muscular mais expressiva após procedimentos cirúrgicos oncológicos do que aqueles com risco nutricional. Esses resultados servem como argumento bastante forte para a implementação da Pré-habilitacão em todos os pacientes candidatos a operações oncológicas de grande porte.Universidade Federal de Mato GrossoBrasilFaculdade de Medicina (FM)UFMT CUC - CuiabáPrograma de Pós-Graduação em Ciências da SaúdeNascimento, José Eduardo de Aguilar Siqueira dohttp://lattes.cnpq.br/0439577158192249Nascimento, José Eduardo de Aguilar Siqueira do142.196.031-15http://lattes.cnpq.br/0439577158192249Nascimento, Diana Borges Dock603.933.601-30http://lattes.cnpq.br/9831021975900855142.196.031-15Santos, Hugo Dias Hoffmann000.525.011-08http://lattes.cnpq.br/3806179760311361Sierra, Jessika Cadavid2023-11-24T13:17:30Z2020-03-192023-11-24T13:17:30Z2020-03-06info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisSIERRA, Jessika Cadavid. Cirurgia oncológica de grande porte reduz a função muscular de pacientes com e sem risco nutricional. 2020. 40 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Mato Grosso, Faculdade de Medicina, Cuiabá, 2020.http://ri.ufmt.br/handle/1/4892porinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMTinstname:Universidade Federal de Mato Grosso (UFMT)instacron:UFMT2023-11-25T06:01:24Zoai:localhost:1/4892Repositório InstitucionalPUBhttp://ri.ufmt.br/oai/requestjordanbiblio@gmail.comopendoar:2023-11-25T06:01:24Repositório Institucional da UFMT - Universidade Federal de Mato Grosso (UFMT)false |
dc.title.none.fl_str_mv |
Cirurgia oncológica de grande porte reduz a função muscular de pacientes com e sem risco nutricional |
title |
Cirurgia oncológica de grande porte reduz a função muscular de pacientes com e sem risco nutricional |
spellingShingle |
Cirurgia oncológica de grande porte reduz a função muscular de pacientes com e sem risco nutricional Sierra, Jessika Cadavid Procedimentos cirúrgicos operatórios Neoplasias Força muscular Estado nutricional Tempo de internação CNPQ::CIENCIAS DA SAUDE::MEDICINA Surgical procedures Operative Neoplasms Muscle strength nutritional status Length of Stay |
title_short |
Cirurgia oncológica de grande porte reduz a função muscular de pacientes com e sem risco nutricional |
title_full |
Cirurgia oncológica de grande porte reduz a função muscular de pacientes com e sem risco nutricional |
title_fullStr |
Cirurgia oncológica de grande porte reduz a função muscular de pacientes com e sem risco nutricional |
title_full_unstemmed |
Cirurgia oncológica de grande porte reduz a função muscular de pacientes com e sem risco nutricional |
title_sort |
Cirurgia oncológica de grande porte reduz a função muscular de pacientes com e sem risco nutricional |
author |
Sierra, Jessika Cadavid |
author_facet |
Sierra, Jessika Cadavid |
author_role |
author |
dc.contributor.none.fl_str_mv |
Nascimento, José Eduardo de Aguilar Siqueira do http://lattes.cnpq.br/0439577158192249 Nascimento, José Eduardo de Aguilar Siqueira do 142.196.031-15 http://lattes.cnpq.br/0439577158192249 Nascimento, Diana Borges Dock 603.933.601-30 http://lattes.cnpq.br/9831021975900855 142.196.031-15 Santos, Hugo Dias Hoffmann 000.525.011-08 http://lattes.cnpq.br/3806179760311361 |
dc.contributor.author.fl_str_mv |
Sierra, Jessika Cadavid |
dc.subject.por.fl_str_mv |
Procedimentos cirúrgicos operatórios Neoplasias Força muscular Estado nutricional Tempo de internação CNPQ::CIENCIAS DA SAUDE::MEDICINA Surgical procedures Operative Neoplasms Muscle strength nutritional status Length of Stay |
topic |
Procedimentos cirúrgicos operatórios Neoplasias Força muscular Estado nutricional Tempo de internação CNPQ::CIENCIAS DA SAUDE::MEDICINA Surgical procedures Operative Neoplasms Muscle strength nutritional status Length of Stay |
description |
To investigate the impact of oncological surgical procedures on the muscle function of patients with and without nutritional risk. Methods: Cross-sectional study conducted with cancer patients candidates for major operations between July 2018 to March 2019 in Cuiabá, Mato Grosso, Brazil. Patients were assessed preoperatively for nutritional risk by Nutritional Risk Screening-2002 and handgrip strength (FPP) was assessed both on the pre- and 2nd and 5th postoperative days (PO). Results: 92 patients were evaluated, of which 55.4% (N= 51) were men and 44.6% (N=41) women, with a mean age (SD) of 64 years (10.81) for patients at risk and 51 years (12.99) for patients without nutritional risk. The preoperative nutritional assessment showed that 34.8% of the patients had no risk and 65.2% had a nutritional risk. The FPP was lower (p = 0.008) in the group with nutritional risk (29,8Kgf vs. 31,7Kgf) in the preoperative period. In both groups, there was a significant drop in FPP on the 2nd PO day. The drop in FPP from the preoperative period (31,7Kgf) to the 2nd PO day (21,6Kgf) was more pronounced in patients without nutritional risk (p = 0.039). Patients with nutritional risk had a longer hospital stay (p = 0.049). Conclusion: Surgical trauma causes loss of muscle function in early PO. Patients without nutritional risk have a more significant decrease in muscle strength after surgical oncological procedures than those with nutritional risk. These results serve as a very strong argument for the implementation of pre-habilitation in all patients who are candidates for major oncological surgeries. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-03-19 2020-03-06 2023-11-24T13:17:30Z 2023-11-24T13:17:30Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
SIERRA, Jessika Cadavid. Cirurgia oncológica de grande porte reduz a função muscular de pacientes com e sem risco nutricional. 2020. 40 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Mato Grosso, Faculdade de Medicina, Cuiabá, 2020. http://ri.ufmt.br/handle/1/4892 |
identifier_str_mv |
SIERRA, Jessika Cadavid. Cirurgia oncológica de grande porte reduz a função muscular de pacientes com e sem risco nutricional. 2020. 40 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Mato Grosso, Faculdade de Medicina, Cuiabá, 2020. |
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http://ri.ufmt.br/handle/1/4892 |
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por |
language |
por |
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info:eu-repo/semantics/openAccess |
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openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Mato Grosso Brasil Faculdade de Medicina (FM) UFMT CUC - Cuiabá Programa de Pós-Graduação em Ciências da Saúde |
publisher.none.fl_str_mv |
Universidade Federal de Mato Grosso Brasil Faculdade de Medicina (FM) UFMT CUC - Cuiabá Programa de Pós-Graduação em Ciências da Saúde |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFMT instname:Universidade Federal de Mato Grosso (UFMT) instacron:UFMT |
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Universidade Federal de Mato Grosso (UFMT) |
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UFMT |
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UFMT |
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Repositório Institucional da UFMT |
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Repositório Institucional da UFMT |
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Repositório Institucional da UFMT - Universidade Federal de Mato Grosso (UFMT) |
repository.mail.fl_str_mv |
jordanbiblio@gmail.com |
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1804648525122764800 |