Avaliação do estado nutricional e correlação com complicações cirúrgicas em pacientes idosos submetidos a tratamento cirúrgico de fratura do fêmur proximal

Dias, Tiane Raquel da Silva; Batista, Bruno Bellaguarda; Chang, Rafael Wei Min Leal; Noriega, Jorge Enrique Acosta; Figueiredo, Giuseppe Lemos Pertoti de

doi:10.1055/s-0040-1721365

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…The MAN scale found similar percentages of malnourished older adults and older adults at risk of malnutrition, which represent, respectively, the first and second most observed findings. Dias et al 13 found that most of their patients were also malnourished or at risk of malnutrition, showing that the nutritional status of older adults is related to the risk of femoral fractures. Regarding the number of comorbidities per patient, most patients had only one comorbidity, followed by those with two comorbidities.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Profile of Proximal Femoral Fractures in Older Adults at the Regional Hospital in Cotia - Sp, Brazil

et al. 2022

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Objective: To identify the epidemiological profile of older patients with proximal femoral fractures treated at the Hospital Regional de Cotia, SP - Brazil, and describe the nutritional status of these patients. Methods: Data were obtained from the electronic patient medical records from August 2020 to April 2021. The variables studied were age, gender, ethnicity, weight and height (for BMI calculation), and presence of comorbidities. Fracture circumstances were also assessed, including trauma mechanism, anatomical location, and treatment. Moreover, the nutritional profile of patients was assessed using the Mini Nutritional Assessment (MAN). Results: Most patients were white women, with a mean age of 80 years and an average BMI of 23.55 kg/m2. Almost all patients suffered the fracture at home and the most common comorbidities were systemic arterial hypertension, diabetes mellitus, and Alzheimer’s disease. Most patients were considered to be malnourished or at risk of malnutrition. Conclusion: The nutritional status of older adults seems to be directly related to the risk of proximal fractures of the femur. Level of Evidence II, Retrospective Study.

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Section: Discussionmentioning

confidence: 99%

Epidemiological Profile of Proximal Femoral Fractures in Older Adults at the Regional Hospital in Cotia - Sp, Brazil

et al. 2022

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“…A avaliação do estado nutricional nos idosos pode ser realizada utilizando-se vários parâmetros, dentre eles, antropometria e exames laboratoriais. Os parâmetros antropométricos são métodos simples, objetivos, rápidos de serem feitos e de baixo custo 7 . Os exames bioquímicos também são medidas objetivas de avaliação do estado nutricional.…”

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“…Os exames bioquímicos também são medidas objetivas de avaliação do estado nutricional. Ambos os parâmetros são capazes de mostrar como o paciente está evoluindo nutricionalmente durante o internamento 7 .…”

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Relação entre parâmetros nutricionais e tempo de internamento em pacientes idosos hospitalizados

Cintra,

Silva,

Do Nascimento

et al. 2023

Braz. J. Hea. Rev.

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Introdução: O processo de envelhecimento cursa com alterações que influenciam diretamente o estado nutricional. Objetivo: Verificar relação de parâmetros nutricionais com tempo de internação em pacientes idosos hospitalizados. Métodos: Avaliou-se os parâmetros nutricionais: índice de massa corporal (IMC), circunferência braquial (CB), circunferência da panturrilha (CP), circunferência muscular do braço (CMB), área muscular do braço corrigida (AMBc) e Linfócitos Totais. Tempo de permanência hospitalar foi avaliado em dias. Para comparação dos dados paramétricos utilizou-se teste t de Student, e o teste de Mann Whitney para dados não paramétricos. Para correlação entre tempo de internamento e aspectos nutricionais utilizou-se correlação de Spearman(r). Na associação entre tempo de internamento e fatores associados utilizou-se teste Exato de Fisher. Foi considerado significativo valores de p<0,05. Resultados: Participaram 138 idosos. A mediana de idade e tempo de internamento hospitalar foram respectivamente 68,5 anos e 7,0 dias. A idade e tempo de internamento apresentaram uma correlação positiva (r= 0,276; p=0,001), enquanto peso (r= -0,263; p=0,002), IMC (r=: -0,243; p=0,004), CP (r= -0,336; p<0,001), CB (r= -0,316; p<0,001), CMB (r= -0,242; p=0,004) e AMB (r= -0,258; p=0,002) apresentaram correlação negativa com tempo de internamento. Na análise do risco de maior tempo de internamento, foi observado um risco relativo (RR) maior naqueles que apresentaram depleção da CP (RR=2,00; p=0,001), CB (RR=1,57; p=0,034), CMB (RR=1,59; p=0,032) e AMBc (RR=1,59; p=0,032). Conclusão: Foi observado correlação entre todos os parâmetros antropométricos avaliados com o tempo de internamento, com destaque maior para CP que mostrou que valores reduzidos apresentaram maior tempo de internamento.

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A Comparison of the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment-Short Form (MNA-SF) Tool for Older Patients Undergoing General Surgery

Kokkinakis

Venianaki

Petra

et al. 2021

JCM

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The optimal malnutrition screening tool in geriatric surgery has yet to be determined. Herein, we compare two main tools in older patients undergoing general surgery operations. Older patients (>65 years old) who underwent general surgery operations between 2012 and 2017 in a tertiary centre were included. The Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment Short Form (MNA-SF) were used for nutritional risk assessment. Preoperative variables as well as postoperative outcomes were recorded prospectively. Agreement between tools was determined with the weighted kappa (κ) statistic. Multiple regression analysis was used to assess the association of the screening tools with postoperative outcomes. A total of 302 patients (median age 74 years, range: 65–92) were included. A similar number of patients were classified as medium/high risk for malnutrition with the MNA-SF and MUST (26% vs. 36%, p = 0.126). Agreement between the two tools was moderate (weighted κ: 0.474; 95%CI: 0.381–0.568). In the multivariate analysis, MNA-SF was associated significantly with postoperative mortality (p = 0.038) and with postoperative length of stay (p = 0.001). MUST was associated with postoperative length of stay (p = 0.048). The MNA-SF seems to be more consistently associated with postoperative outcomes in elderly patients undergoing general surgery compared with the MUST tool.

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Avaliação do estado nutricional e correlação com complicações cirúrgicas em pacientes idosos submetidos a tratamento cirúrgico de fratura do fêmur proximal

Cited by 4 publications

References 7 publications

Epidemiological Profile of Proximal Femoral Fractures in Older Adults at the Regional Hospital in Cotia - Sp, Brazil

Epidemiological Profile of Proximal Femoral Fractures in Older Adults at the Regional Hospital in Cotia - Sp, Brazil

Relação entre parâmetros nutricionais e tempo de internamento em pacientes idosos hospitalizados

A Comparison of the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment-Short Form (MNA-SF) Tool for Older Patients Undergoing General Surgery

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