You searched for:"Flávia Moraes Silva"
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Author’s Response
Reply to: Complementary of modified NUTRIC score with or without C-reactive protein and subjective global assessment in predicting mortality in critically ill patients
- Manoela Lima Oliveira,
- Daren Keith Heyland,
- Flávia Moraes Silva,
- Estela Iraci Rabito,
- Mariane Rosa, [ … ],
- Aline Marcadenti
Abstract
Author’s ResponseReply to: Complementary of modified NUTRIC score with or without C-reactive protein and subjective global assessment in predicting mortality in critically ill patients
Rev Bras Ter Intensiva. 2021;33(1):181-182
DOI 10.5935/0103-507X.20210022
- Manoela Lima Oliveira,
- Daren Keith Heyland,
- Flávia Moraes Silva,
- Estela Iraci Rabito,
- Mariane Rosa,
- Micheli da Silva Tarnowski,
- Daieni Fernandes,
- Aline Marcadenti
Views0TO THE EDITOR We revised the letter to the Editor about our study with high interest.() Please, find below are our comments. […]See moreViews0
Abstract
Author’s ResponseReply to: Complementary of modified NUTRIC score with or without C-reactive protein and subjective global assessment in predicting mortality in critically ill patients
Rev Bras Ter Intensiva. 2021;33(1):181-182
DOI 10.5935/0103-507X.20210022
- Manoela Lima Oliveira,
- Daren Keith Heyland,
- Flávia Moraes Silva,
- Estela Iraci Rabito,
- Mariane Rosa,
- Micheli da Silva Tarnowski,
- Daieni Fernandes,
- Aline Marcadenti
Views0TO THE EDITOR We revised the letter to the Editor about our study with high interest.() Please, find below are our comments.[…]See more -
Review Article
Administration of enteral nutrition in the prone position, gastric residual volume and other clinical outcomes in critically ill patients: a systematic review
Rev Bras Ter Intensiva. 2020;32(1):133-142
Abstract
Review ArticleAdministration of enteral nutrition in the prone position, gastric residual volume and other clinical outcomes in critically ill patients: a systematic review
Rev Bras Ter Intensiva. 2020;32(1):133-142
DOI 10.5935/0103-507X.20200019
Views0ABSTRACT
This systematic review of longitudinal studies aimed to evaluate the effect of enteral feeding of critically ill adult and pediatric patients in the prone position on gastric residual volume and other clinical outcomes. A literature search was conducted in the databases PubMed, Scopus and Embase using terms related to population and intervention. Two independent reviewers analyzed the titles and abstracts, and data collection was performed using a standardized form. Discrepancies were resolved by a third reviewer. The methodological quality of the studies was evaluated considering the potential for systematic errors, and the data were qualitatively analyzed. Four studies with adult patients and one with preterm patients were included. The gastric residual volume was evaluated as the main outcome: three studies did not show differences in the gastric residual volume between the prone and supine positions (p > 0.05), while one study showed a higher gastric residual volume during enteral feeding in the prone position (27.6mL versus 10.6mL; p < 0.05), and another group observed a greater gastric residual volume in the supine position (reduction of the gastric residual volume by 23.3% in the supine position versus 43.9% in the prone position; p < 0.01). Two studies evaluated the frequency of vomiting; one study found that it was higher in the prone position (30 versus 26 episodes; p < 0.001), while the other study found no significant difference (p > 0.05). The incidence of aspiration pneumonia and death were evaluated in one study, with no difference between groups (p > 0.05). The literature on the administration of enteral feeding in the prone position in critically ill patients is sparse and of limited quality, and the results regarding gastric residual volume are contradictory. Observational studies with appropriate sample sizes should be conducted to support conclusions on the subject.
Keywords:Critical illnessenteral nutritionGastrointestinal contentsnutrition therapyPneumoniaProne positionSee moreViews0Abstract
Review ArticleAdministration of enteral nutrition in the prone position, gastric residual volume and other clinical outcomes in critically ill patients: a systematic review
Rev Bras Ter Intensiva. 2020;32(1):133-142
DOI 10.5935/0103-507X.20200019
Views0ABSTRACT
This systematic review of longitudinal studies aimed to evaluate the effect of enteral feeding of critically ill adult and pediatric patients in the prone position on gastric residual volume and other clinical outcomes. A literature search was conducted in the databases PubMed, Scopus and Embase using terms related to population and intervention. Two independent reviewers analyzed the titles and abstracts, and data collection was performed using a standardized form. Discrepancies were resolved by a third reviewer. The methodological quality of the studies was evaluated considering the potential for systematic errors, and the data were qualitatively analyzed. Four studies with adult patients and one with preterm patients were included. The gastric residual volume was evaluated as the main outcome: three studies did not show differences in the gastric residual volume between the prone and supine positions (p > 0.05), while one study showed a higher gastric residual volume during enteral feeding in the prone position (27.6mL versus 10.6mL; p < 0.05), and another group observed a greater gastric residual volume in the supine position (reduction of the gastric residual volume by 23.3% in the supine position versus 43.9% in the prone position; p < 0.01). Two studies evaluated the frequency of vomiting; one study found that it was higher in the prone position (30 versus 26 episodes; p < 0.001), while the other study found no significant difference (p > 0.05). The incidence of aspiration pneumonia and death were evaluated in one study, with no difference between groups (p > 0.05). The literature on the administration of enteral feeding in the prone position in critically ill patients is sparse and of limited quality, and the results regarding gastric residual volume are contradictory. Observational studies with appropriate sample sizes should be conducted to support conclusions on the subject.
Keywords:Critical illnessenteral nutritionGastrointestinal contentsnutrition therapyPneumoniaProne positionSee more
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Original Articles
Complementarity of modified NUTRIC score with or without C-reactive protein and subjective global assessment in predicting mortality in critically ill patients
- Manoela Lima Oliveira,
- Daren Keith Heyland,
- Flávia Moraes Silva ,
- Estela Iraci Rabito ,
- Mariane Rosa, [ … ],
- Aline Marcadenti
Abstract
Original ArticlesComplementarity of modified NUTRIC score with or without C-reactive protein and subjective global assessment in predicting mortality in critically ill patients
Rev Bras Ter Intensiva. 2019;31(4):490-496
DOI 10.5935/0103-507X.20190086
- Manoela Lima Oliveira,
- Daren Keith Heyland,
- Flávia Moraes Silva ,
- Estela Iraci Rabito ,
- Mariane Rosa,
- Micheli da Silva Tarnowski,
- Daieni Fernandes,
- Aline Marcadenti
Views1ABSTRACT
Objective:
To evaluate the concordance between the modified NUTRIC and NUTRIC with C-reactive protein instruments in identifying nutritional risk patients and predicting mortality in critically ill patients. The risk of death in patient groups was also investigated according to nutritional risk and malnutrition detected by subjective global assessment.
Methods:
A cohort study of patients admitted to an intensive care unit. Nutritional risk was assessed by modified NUTRIC and a version of NUTRIC with C-reactive protein. Subjective global assessment was applied to diagnose malnutrition. Kappa statistics were calculated, and an ROC curve was constructed considering modified NUTRIC as a reference. The predictive validity was assessed considering mortality in 28 days (whether in the intensive care unit or after discharge) as the outcome.
Results:
A total of 130 patients were studied (63.05 ± 16.46 years, 53.8% males). According to NUTRIC with C-reactive protein, 34.4% were classified as having a high score, while 28.5% of patients had this classification with modified NUTRIC. According to SGA 48.1% of patients were malnourished. There was excellent agreement between modified NUTRIC and NUTRIC with C-reactive protein (Kappa = 0.88, p < 0.001). The area under the ROC curve was equal to 0.942 (0.881 - 1.000) for NUTRIC with C-reactive protein. The risk of death within 28 days was increased in patients with high modified NUTRIC (HR = 1.827; 95%CI 1.029 - 3.244; p = 0.040) and NUTRIC with C-reactive protein (HR = 2.685; 95%CI 1.423 - 5.064; p = 0.002) scores. A high risk of death was observed in patients with high nutritional risk and malnutrition, independent of the version of the NUTRIC score applied.
Conclusion:
An excellent agreement between modified NUTRIC and NUTRIC with C-reactive protein was observed. In addition, combining NUTRIC and subjective global assessment may increase the accuracy of predicting mortality in critically ill patients.
Keywords:Critical careinflammationIntensive care unitsMortalityNutritionnutritional assessmentScreeningSee moreViews1Abstract
Original ArticlesComplementarity of modified NUTRIC score with or without C-reactive protein and subjective global assessment in predicting mortality in critically ill patients
Rev Bras Ter Intensiva. 2019;31(4):490-496
DOI 10.5935/0103-507X.20190086
- Manoela Lima Oliveira,
- Daren Keith Heyland,
- Flávia Moraes Silva ,
- Estela Iraci Rabito ,
- Mariane Rosa,
- Micheli da Silva Tarnowski,
- Daieni Fernandes,
- Aline Marcadenti
Views1ABSTRACT
Objective:
To evaluate the concordance between the modified NUTRIC and NUTRIC with C-reactive protein instruments in identifying nutritional risk patients and predicting mortality in critically ill patients. The risk of death in patient groups was also investigated according to nutritional risk and malnutrition detected by subjective global assessment.
Methods:
A cohort study of patients admitted to an intensive care unit. Nutritional risk was assessed by modified NUTRIC and a version of NUTRIC with C-reactive protein. Subjective global assessment was applied to diagnose malnutrition. Kappa statistics were calculated, and an ROC curve was constructed considering modified NUTRIC as a reference. The predictive validity was assessed considering mortality in 28 days (whether in the intensive care unit or after discharge) as the outcome.
Results:
A total of 130 patients were studied (63.05 ± 16.46 years, 53.8% males). According to NUTRIC with C-reactive protein, 34.4% were classified as having a high score, while 28.5% of patients had this classification with modified NUTRIC. According to SGA 48.1% of patients were malnourished. There was excellent agreement between modified NUTRIC and NUTRIC with C-reactive protein (Kappa = 0.88, p < 0.001). The area under the ROC curve was equal to 0.942 (0.881 - 1.000) for NUTRIC with C-reactive protein. The risk of death within 28 days was increased in patients with high modified NUTRIC (HR = 1.827; 95%CI 1.029 - 3.244; p = 0.040) and NUTRIC with C-reactive protein (HR = 2.685; 95%CI 1.423 - 5.064; p = 0.002) scores. A high risk of death was observed in patients with high nutritional risk and malnutrition, independent of the version of the NUTRIC score applied.
Conclusion:
An excellent agreement between modified NUTRIC and NUTRIC with C-reactive protein was observed. In addition, combining NUTRIC and subjective global assessment may increase the accuracy of predicting mortality in critically ill patients.
Keywords:Critical careinflammationIntensive care unitsMortalityNutritionnutritional assessmentScreeningSee more
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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