Perfil e prognóstico a longo prazo dos pacientes que recebem terapia insulínica em unidades de terapia intensiva clínico-cirúrgica: estudo de coorte

Boff, Márcia Inês; Hetzel, Márcio Pereira; Dallegrave, Daniele Munaretto; Oliveira, Roselaine Pinheiro de; Cabral, Crystal; Teixeira, Cassiano

doi:10.1590/s0103-507x2009000400010

Cited by 1 publication

(2 citation statements)

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“…Several aspects of a single condition, including injury response, the physical limitations inherent to each individual, and his/her nutritional status before injury, hinder the nutritional status management of patients who are critically ill. (12) Therefore, we cannot assess these patients using anthropometric nutritional indicators alone because their body mass might be significantly altered due to a depletion or an overload of the plasma volume that results from major water-balance disorders over a short period of time. Thus, daily physical and laboratory exams are needed as complement assessments.…”

Section: Discussionmentioning

confidence: 99%

“…However, other authors have found that high rates of hypoglycemia are associated with strict glycemia control, which contributes to a poorer prognosis and increased mortality rates. (11,12) Because patients in an ICU are at nutritional risk, the present study assessed the possible correlations between patient survival and nutritional status, early nutrition, and hyperglycemia.…”

Section: Introductionmentioning

confidence: 99%

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Estado nutricional, hiperglicemia, nutrição precoce e mortalidade de pacientes internados em uma unidade de terapia intensiva

Lucas¹,

Fayh²

2012

Rev. bras. ter. intensiva

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Estado nutricional, hiperglicemia, nutrição precoce e mortalidade de pacientes internados em uma unidade de terapia intensiva ORIGINAL ARTICLE INTRODUCTION Severe or critical diseases are descriptions that are applied to clinical or surgical life-threatening conditions. These conditions typically require admission to an intensive care unit (ICU). (1) Nutritional depletion is common among patients admitted to ICUs because their metabolic responses to stress promote an intense catabolism of proteins to repair damaged tissues and supply energy. (2, 3) Other important alterations during severe conditions include hypermetabolism and hyperglycemia associated with insulin resistance and increased lipolysis. (1-3) Nutritional depletion impairs immune response, affects wound healing, alters bodily composition and organ function, and is associated with consequences that lead to a higher probability of infections and pressure ulcers and that increase the risks for clinical morbidity and mortality. (4) Although the frequency and consequences of in-hospital malnutrition are

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%