Avaliação nutricional de crianças internadas em unidade de terapia intensiva pediátrica com avaliação nutricional global subjetiva e sua relação com o prognóstico
Palavras-chave:
Desnutrição, Terapia intensiva pediátrica, Prognóstico, Avaliação Nutricional Global SubjetivaResumo
Objetivo
O objetivo do estudo foi avaliar o estado nutricional de pacientes internados em unidades de terapia intensiva pediátrica por meio da Avaliação Nutricional Global Subjetiva e sua relação com o prognóstico.
Métodos
Um total de 150 pacientes em comunidades de terapia intensiva pediátrica entre 6 meses e 17 anos (idade média: 4,94±4,84, M/F:1,14) que foram hospitalizados por menos de 7 dias para todos estão incluídos neste estudo. As medidas antropométricas foram registradas. Foram determinados o tipo de nutrição (enteral, parenteral ou ambas) durante a internação, o score de risco de mortalidade PRISM III e a Avaliação Nutricional Global Subjetiva.
Resultados
Na internação 18,7% dos pacientes apresentavam desnutrição moderada, 32% desnutrição grave e 49,3% eram normais. De acordo com o score PRISM III 41,3% dos pacientes foram classificados como normais, 29,3% como moderados e 29,3% como graves. Foi encontrada uma correlação positiva entre a Avaliação Nutricional Global Subjetiva e todas as medidas antropométricas. Observou-se uma diferença estatistica significativa entre estado de desnutrição na internação, peso para idade, altura para idade, peso para altura e índice de massa corporal (p<0,01). Uma relação estatisticamente relevante foi encontrada entre a classificação de desnutrição e a duração da internação hospitalar (p<0,05). A taxa de resultados foi consideravelmente maior em pacientes com desnutrição grave (p<0,05).
Conclusão
Foi encontrada forte correlação entre a Avaliação Nutricional Global Subjetiva e as medidas antropométricas neste estudo. Também foi encontrada correlação entre o score de desnutrição na admissão e o prognóstico neste estudo.
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