Francisca Leide da Silva Nunes1, Patricia Calado Ferreira Pinheiro Gadelha2, Milena Damasceno de Souza Costa3, Ana Carolina Carolina Ribeiro de Amorim4, Maria da Guia Bezerra da Silva5. 1. Master in Experimental Bases of Nutrition, Federal University of Pernambuco - UFPE and Nutritionist IMIP.. leide.nutri@hotmail.com. 2. Resident in Clinical Nutrition at Residency Program of the Instituto de Medicina Integral Professor Fernando Figueira (IMIP).. pcaladofp@hotmail.com. 3. Master student in Applied Molecular and Cell Biology at the Institute of Biological Sciences, University of Pernambuco - UPE and Nutritionist IMIP. damasceno.milena@gmail.com. 4. Resident in Clinical Nutrition at Residency Program of the Instituto de Medicina Integral Professor Fernando Figueira (IMIP).. carolinamorim.nutri@gmail.com. 5. Master in Maternal and Child health and Nutritionist IMIP. Brazil.. guiabs@hotmail.com.
Abstract
INTRODUCTION: The nutritional state is the independent factor that most influences the post-operational results in elective surgeries. OBJECTIVE: to evaluate the influence of the nutritional state on the hospitalization period and on the post-operative complications of patients submitted to abdominal surgery. METHODS: prospective study with 99 surgical patients over 18 years of age, submitted to abdominal surgeries in the period from April to October of 2013, in the Instituto de Medicina Integral Professor Fernando Figueira (IMIP). All patients were submitted to anthropometric nutritional evaluations through the body mass Index (BMI), arm circumference (AC) and triceps skinfold thickness (TEST). The biochemical evaluation was carried out from the leukogram and serum albumin results. The identification of candidate patients to nutritional therapy (NT) was carried out through the nutritional risk (NR) evaluation by using the BMI, loss of weight and hypoalbuminemia. The information about post-operational complications, hospitalization period and clinical diagnosis was collected from the medical records. Program SPSS version 13.0 and significance level of 5% were used for the statistical analysis. RESULTS: The malnutrition diagnosed by the AC showed significant positive association with the presence of post-operative complications (p=0.02) and with hospitalization period (p=0.02). The presence of NR was greater when evaluated by hypoalbuminemia (28.9%), however, only 4% of the sample carried out the NT in the pre-operational period. The hospitalization period was greater for patients with malignant neoplasia (p<0.01). CONCLUSION: The malnutrition diagnosis of patients submitted to abdominal surgeries is associated to greater risk of post-operational complications and longer hospitalization permanence. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
INTRODUCTION: The nutritional state is the independent factor that most influences the post-operational results in elective surgeries. OBJECTIVE: to evaluate the influence of the nutritional state on the hospitalization period and on the post-operative complications of patients submitted to abdominal surgery. METHODS: prospective study with 99 surgical patients over 18 years of age, submitted to abdominal surgeries in the period from April to October of 2013, in the Instituto de Medicina Integral Professor Fernando Figueira (IMIP). All patients were submitted to anthropometric nutritional evaluations through the body mass Index (BMI), arm circumference (AC) and triceps skinfold thickness (TEST). The biochemical evaluation was carried out from the leukogram and serum albumin results. The identification of candidate patients to nutritional therapy (NT) was carried out through the nutritional risk (NR) evaluation by using the BMI, loss of weight and hypoalbuminemia. The information about post-operational complications, hospitalization period and clinical diagnosis was collected from the medical records. Program SPSS version 13.0 and significance level of 5% were used for the statistical analysis. RESULTS: The malnutrition diagnosed by the AC showed significant positive association with the presence of post-operative complications (p=0.02) and with hospitalization period (p=0.02). The presence of NR was greater when evaluated by hypoalbuminemia (28.9%), however, only 4% of the sample carried out the NT in the pre-operational period. The hospitalization period was greater for patients with malignant neoplasia (p<0.01). CONCLUSION: The malnutrition diagnosis of patients submitted to abdominal surgeries is associated to greater risk of post-operational complications and longer hospitalization permanence. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
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