Dissertation/ Thesis
Avaliação do estado nutricional de pacientes hospitalizados e não hospitalizados e associações com desfechos clínicos adversos
| العنوان: | Avaliação do estado nutricional de pacientes hospitalizados e não hospitalizados e associações com desfechos clínicos adversos |
|---|---|
| المؤلفون: | Sousa, Iasmin Matias de |
| المساهمون: | Fayh, Ana Paula Trussardi, http://lattes.cnpq.br/0193093200384161, orcid:0000-0002-9130-9630, http://lattes.cnpq.br/0049770583345803, Silva, Flávia Moraes, Serquiz, Alexandre Coelho, Oliveira, Aline Marcadenti de, Evangelista, Karine Cavalcanti Mauricio de Sena, orcid:0000-0001-9729-1243, http://lattes.cnpq.br/2628723272728505, Lopes, Márcia Marilia Gomes Dantas |
| بيانات النشر: | Universidade Federal do Rio Grande do Norte Brasil UFRN PROGRAMA DE PÓS-GRADUAÇÃO EM CIÊNCIAS DA SAÚDE |
| سنة النشر: | 2023 |
| المجموعة: | Universidade Federal do Rio Grande do Norte: Repositório Institucional (RI UFRN) |
| مصطلحات موضوعية: | Estado nutricional, Desnutrição, Sarcopenia, Tempo de internação hospitalar, Mortalidade, Fragilidade, CNPQ::CIENCIAS DA SAUDE |
| الوصف: | The assessment of nutritional status, both in outpatient and hospital settings, allows for directing the therapeutic approach and monitoring the evolution of the treatments proposed to these patients. Although there are different methods, the conclusions are still conflicting regarding which is most appropriate for the evaluation of this population in terms of validity in predicting adverse clinical outcomes. This doctoral thesis aimed to investigate the validity of different methods for assessing the nutritional status of hospitalized and non-hospitalized patients based on the association between the diagnoses and adverse clinical outcomes (length of hospital stay, hospital readmission, and mortality). The thesis is composed of four independent cohort studies: 1) a study involving adult and elderly patients with gastric and colorectal cancer undergoing treatment, which aimed to evaluate the accuracy of isolated nutritional indicators (BMI, handgrip strength - HGS, calf circumference - CC) for the diagnosis of malnutrition (using the subjective global assessment patient generated - SGA-PG as a reference method) and its association with mortality; 2) a study including hospitalized adults and older adults evaluated in the first 72 hours after hospital admission to five hospitals in a hospital complex in the South of the country, which aimed to test the predictive validity of BMIadjusted CC (CCbmi), with the outcomes of interest being prolonged hospital stay, hospital readmission, and mortality. Weight, height, and CC were measured and BMI calculated, and adjustments were applied to the crude CC values prior to classification as normal or reduced; 3) in the same sample of hospitalized patients, malnutrition and sarcopenia were diagnosed, and the association of these isolated and overlapping conditions with clinical outcomes was evaluated; 4) a study with elderly patients with gastrointestinal cancer evaluating the association between the diagnosis of isolated and overlapping sarcopenia and frailty and mortality. ... |
| نوع الوثيقة: | doctoral or postdoctoral thesis |
| وصف الملف: | application/pdf |
| اللغة: | Portuguese |
| Relation: | SOUSA, Iasmin Matias de. Avaliação do estado nutricional de pacientes hospitalizados e não hospitalizados e associações com desfechos clínicos adversos. Orientador: Dra. Ana Paula Trussardi Fayh. 2023. 81f. Tese (Doutorado em Ciências da Saúde) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2023.; https://repositorio.ufrn.br/handle/123456789/57594 |
| الاتاحة: | https://repositorio.ufrn.br/handle/123456789/57594 |
| Rights: | Acesso Aberto |
| رقم الانضمام: | edsbas.CA1DC2E8 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |