You searched for:"Audrey Machado dos Reis"
We found (3) results for your search.-
Original Articles
High nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit
- Julia Marchetti,
- Audrey Machado dos Reis,
- Amanda Forte dos Santos,
- Oellen Stuani Franzosi,
- Vivian Cristine Luft, [ … ],
- Thais Steemburgo
Abstract
Original ArticlesHigh nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit
Rev Bras Ter Intensiva. 2019;31(3):326-332
DOI 10.5935/0103-507X.20190041
- Julia Marchetti,
- Audrey Machado dos Reis,
- Amanda Forte dos Santos,
- Oellen Stuani Franzosi,
- Vivian Cristine Luft,
- Thais Steemburgo
Views1See moreABSTRACT
Objective:
To evaluate possible associations between nutritional risk and the clinical outcomes of critical patients admitted to an intensive care unit.
Methods:
A prospective study was carried out with a cohort comprising 200 patients admitted to a university hospital intensive care unit. Nutritional risk was assessed with the NRS-2002 and NUTRIC scores. Patients with scores ≥ 5 were considered at high nutritional risk. Clinical data and outcome measures were obtained from patients’ medical records. Multiple logistic regression analysis was used to calculate odds ratios and their respective 95% confidence intervals (for clinical outcomes).
Results:
This sample of critical patients had a mean age of 59.4 ± 16.5 years and 53.5% were female. The proportions at high nutritional risk according to NRS-2002 and NUTRIC were 55% and 36.5%, respectively. Multiple logistic regression models adjusted for gender and type of admission indicated that high nutritional risk assessed by the NRS-2002 was positively associated with use of mechanical ventilation (OR = 2.34; 95%CI 1.31 – 4.19; p = 0.004); presence of infection (OR = 2.21; 95%CI 1.24 – 3.94; p = 0.007), and death (OR = 1.86; 95%CI 1.01 – 3.41; p = 0.045). When evaluated by NUTRIC, nutritional risk was associated with renal replacement therapy (OR = 2.10; 95%CI 1.02 – 4.15; p = 0.040) and death (OR = 3.48; 95%CI 1.88 – 6.44; p < 0.001).
Conclusion:
In critically ill patients, high nutritional risk was positively associated with an increased risk of clinical outcomes including hospital death.
Views1
Abstract
Original ArticlesHigh nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit
Rev Bras Ter Intensiva. 2019;31(3):326-332
DOI 10.5935/0103-507X.20190041
- Julia Marchetti,
- Audrey Machado dos Reis,
- Amanda Forte dos Santos,
- Oellen Stuani Franzosi,
- Vivian Cristine Luft,
- Thais Steemburgo
Views1See moreABSTRACT
Objective:
To evaluate possible associations between nutritional risk and the clinical outcomes of critical patients admitted to an intensive care unit.
Methods:
A prospective study was carried out with a cohort comprising 200 patients admitted to a university hospital intensive care unit. Nutritional risk was assessed with the NRS-2002 and NUTRIC scores. Patients with scores ≥ 5 were considered at high nutritional risk. Clinical data and outcome measures were obtained from patients’ medical records. Multiple logistic regression analysis was used to calculate odds ratios and their respective 95% confidence intervals (for clinical outcomes).
Results:
This sample of critical patients had a mean age of 59.4 ± 16.5 years and 53.5% were female. The proportions at high nutritional risk according to NRS-2002 and NUTRIC were 55% and 36.5%, respectively. Multiple logistic regression models adjusted for gender and type of admission indicated that high nutritional risk assessed by the NRS-2002 was positively associated with use of mechanical ventilation (OR = 2.34; 95%CI 1.31 – 4.19; p = 0.004); presence of infection (OR = 2.21; 95%CI 1.24 – 3.94; p = 0.007), and death (OR = 1.86; 95%CI 1.01 – 3.41; p = 0.045). When evaluated by NUTRIC, nutritional risk was associated with renal replacement therapy (OR = 2.10; 95%CI 1.02 – 4.15; p = 0.040) and death (OR = 3.48; 95%CI 1.88 – 6.44; p < 0.001).
Conclusion:
In critically ill patients, high nutritional risk was positively associated with an increased risk of clinical outcomes including hospital death.
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Review Articles
NUTRIC score use around the world: a systematic review
Rev Bras Ter Intensiva. 2019;31(3):379-385
Abstract
Review ArticlesNUTRIC score use around the world: a systematic review
Rev Bras Ter Intensiva. 2019;31(3):379-385
DOI 10.5935/0103-507X.20190061
Views0See moreABSTRACT
Objective:
To collect data on the use of The Nutrition Risk in Critically Ill (NUTRIC) score.
Methods:
A systematic literature search was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Reviews, abstracts, dissertations, protocols and case reports were excluded from this review; to be included in the review, studies needed to specifically evaluate the NUTRIC score and to have been published in English, Spanish or Portuguese.
Results:
We included 12 (0.8%) studies from our search in this review. Ten studies (83.3%) were observational, 1 was a pilot study (8.3%) and 1 was a randomized control trial (8.3%). All of the included studies (100%) chose not to use IL-6 and considered a high nutritional risk cutoff point ≥ 5. There were 11 (91.7%) English language studies versus 1 (8.3%) Spanish language study. Mechanical ventilation and a high NUTRIC score were significantly correlated in four studies. The association between intensive care unit or hospital length of stay and nutritional high risk was significant in three studies. Seven studies found a statistically significant association between the NUTRIC score and mortality.
Conclusion:
The NUTRIC score is related to clinical outcomes, such as length of hospital stay, and is appropriate for use in critically ill patients in intensive care units.
Views0Abstract
Review ArticlesNUTRIC score use around the world: a systematic review
Rev Bras Ter Intensiva. 2019;31(3):379-385
DOI 10.5935/0103-507X.20190061
Views0See moreABSTRACT
Objective:
To collect data on the use of The Nutrition Risk in Critically Ill (NUTRIC) score.
Methods:
A systematic literature search was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Reviews, abstracts, dissertations, protocols and case reports were excluded from this review; to be included in the review, studies needed to specifically evaluate the NUTRIC score and to have been published in English, Spanish or Portuguese.
Results:
We included 12 (0.8%) studies from our search in this review. Ten studies (83.3%) were observational, 1 was a pilot study (8.3%) and 1 was a randomized control trial (8.3%). All of the included studies (100%) chose not to use IL-6 and considered a high nutritional risk cutoff point ≥ 5. There were 11 (91.7%) English language studies versus 1 (8.3%) Spanish language study. Mechanical ventilation and a high NUTRIC score were significantly correlated in four studies. The association between intensive care unit or hospital length of stay and nutritional high risk was significant in three studies. Seven studies found a statistically significant association between the NUTRIC score and mortality.
Conclusion:
The NUTRIC score is related to clinical outcomes, such as length of hospital stay, and is appropriate for use in critically ill patients in intensive care units.
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Review Article
Use of dietary fibers in enteral nutrition of critically ill patients: a systematic review
Rev Bras Ter Intensiva. 2018;30(3):358-365
Abstract
Review ArticleUse of dietary fibers in enteral nutrition of critically ill patients: a systematic review
Rev Bras Ter Intensiva. 2018;30(3):358-365
DOI 10.5935/0103-507X.20180050
Views0See moreABSTRACT
To meet the nutritional requirements of patients admitted to intensive care units, it is necessary to establish a diet schedule. Complications associated with enteral nutrition by tube feeding are not uncommon and may reduce the delivery of required nutrient to patients in intensive care units. Research on the osmolality, fat content, caloric intensity and fiber content of formulas are under way, and a substantial number of studies have focused on fiber content tolerability or symptom reduction. We conducted a systematic review of dietary fiber use and safety in critically ill patients in 8 studies based on diarrhea, other gastrointestinal symptoms (abdominal distension, gastric residual volume, vomiting and constipation), intestinal microbiota, length of stay in the intensive care unit and death. We discussed the results reported in the scientific literature and current recommendations. This contemporary approach demonstrated that the use of soluble fiber in all hemodynamically stable, critically ill patients is safe and should be considered beneficial for reducing the incidence of diarrhea in this population.
Views0Abstract
Review ArticleUse of dietary fibers in enteral nutrition of critically ill patients: a systematic review
Rev Bras Ter Intensiva. 2018;30(3):358-365
DOI 10.5935/0103-507X.20180050
Views0See moreABSTRACT
To meet the nutritional requirements of patients admitted to intensive care units, it is necessary to establish a diet schedule. Complications associated with enteral nutrition by tube feeding are not uncommon and may reduce the delivery of required nutrient to patients in intensive care units. Research on the osmolality, fat content, caloric intensity and fiber content of formulas are under way, and a substantial number of studies have focused on fiber content tolerability or symptom reduction. We conducted a systematic review of dietary fiber use and safety in critically ill patients in 8 studies based on diarrhea, other gastrointestinal symptoms (abdominal distension, gastric residual volume, vomiting and constipation), intestinal microbiota, length of stay in the intensive care unit and death. We discussed the results reported in the scientific literature and current recommendations. This contemporary approach demonstrated that the use of soluble fiber in all hemodynamically stable, critically ill patients is safe and should be considered beneficial for reducing the incidence of diarrhea in this population.
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Case reports Child Coronavirus infections COVID-19 Critical care Critical illness Extracorporeal membrane oxygenation Infant, newborn Intensive care Intensive care units Intensive care units, pediatric mechanical ventilation Mortality Physical therapy modalities Prognosis Respiration, artificial Respiratory insufficiency risk factors SARS-CoV-2 Sepsis