Navegando por Autor "Furtado, Mariana Câmara Martins Bezerra"
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Artigo Early parenteral nutrition progression and nutritional parameters in critically ill patients(Braspen Journal, 2020) Lopes, Márcia Marília Gomes Dantas; Santos, Letícia Sabino; Jesus, Karla Mendonça Gonçalves de; Oliveira, Marcia Regina Dantas de Araújo; Furtado, Mariana Câmara Martins Bezerra; Serpa, Karina Marques Vermeulen; Vale, Sancha Helena de Lima; Lais, Lucia Leite; https://orcid.org/0000-0002-0011-576XIntroduction: Parenteral nutrition (PN) could be a life-sustaining therapy for patients unable to achieve their nutritional needs by oral intake and/or enteral nutrition. This study is aimed to evaluate PN progression in the first 3 days (72 h) of critically ill patients admitted to an intensive care unit (ICU) and to verify some of their nutritional parameters. Methods: In this observational prospective cohort study, we performed nutritional screening and evaluation of critically ill patients receiving early PN using the following parameters: NUTRIC Score, adductor pollicis muscle thickness (APMT), phase angle (PA), and standardized phase angle (SPA). In addition, PN adequacy was evaluated during the first 3 days, following the literature recommendations. Results: Twelve patients were enrolled in this study. Among them, 58% were female and 75% were more than 60 years of age. Most of them had cancer and had surgical treatment. PN was recommended due to intestinal obstruction (50%), gastroparesis (33%), and gastrointestinal fistulas (17%). Before PN therapy started, the fasting period was approximately 3 days. Almost all patients had high nutritional risk and poor nutritional status and prognosis. This study showed that progressive energy and protein targets were not reached in the first 3 days (72 hours) in most patients with exclusive PN therapy. Conclusions: The participants of this study presented a high nutritional risk, mild malnutrition, and poor prognosis. Most of these patients did not meet the goal of their nutritional requirements within 72 hours after initiation of PN therapy. outcome.Artigo Phase angle and onodera’s prognostic nutritional index in critically ill patients(Nutrición Hospitalaria, 2016-11-22) Lais, Lúcia Leite; Vermeulen, Karina Marques; Leal, Leilane Lilian Araújo; Furtado, Mariana Câmara Martins Bezerra; Vale, Sancha Helena de Lima; https://orcid.org/0000-0002-0972-1678; https://orcid.org/0000-0003-0021-5741; https://orcid.org/0000-0002-8061-7048Introduction: Assessing severity and nutritional prognosis in critical patients has become increasingly important in recent years, since these parameters are related to morbidity/mortality and used to guide therapeutic options. Objective: Determine nutritional prognosis through the Phase Angle (PA) and Onodera’s Prognostic Nutritional Index (OPNI) and its relationship with severity, hospitalization time and mortality of critically ill patients. Methods: Descriptive cross sectional study, involving adult patients hospitalized in an Intensive Care Unit (ICU). Data were collected from the patients’ medical records to calculate severity indicators (APACHE II, SOFA and SAPS 3) and determine the length of hospitalization and outcome. Bioimpedance was conducted to calculate the PA, using resistance and reactance data. Results: A total of 35 patients (26% men and 74% women), with mean age of 55.5 ± 16.7 years, were included. The mortality rate (17%) was similar to that expected by APACHE II and SOFA, but higher than that predicted by SAPS 3. The mean values for the PA (4.2 ± 1.0) and OPNI (38.7 ± 8.3) were lower than the reference values adopted. Individuals with PA < 5.1 exhibited signifi cantly lower reactance and albumin and higher APACHE II and SOFA values, in addition to longer hospitalization time and higher mortality. The PA was inversely correlated with all the severity indicators under study (APACHE II, SOFA and SAPS 3), and the length of hospitalization. By contrast, there was no correlation between OPNI and these parameters, or between PA and OPNI. Conclusion: The PA proved to be a good tool in assessing nutritional prognosis in critically ill patients. By contrast, more studies using the OPNI with this type of patients are neededArtigo Phase Angle and Onodera’s Prognostic Nutritional Index in critically ill patients(Nutrición Hospitalaria, 2016-07-07) Lais, Lúcia Leite; Vermeulen, Karina Marques; Leal, Leilane Lilian Araújo; Furtado, Mariana Câmara Martins Bezerra; Vale, Sancha Helena de Lima; https://orcid.org/0000-0002-8061-7048; https://orcid.org/0000-0003-0021-5741; https://orcid.org/0000-0002-0972-1678Introduction: Assessing severity and nutritional prognosis in critical patients has become increasingly important in recent years, since these parameters are related to morbidity/mortality and used to guide therapeutic options. Objective: Determine nutritional prognosis through the Phase Angle (PA) and Onodera’s Prognostic Nutritional Index (OPNI) and its relationship with severity, hospitalization time and mortality of critically ill patients. Methods: Descriptive cross-sectional study, involving adult patients hospitalized in an Intensive Care Unit (ICU). Data were collected from the patients’ medical records to calculate severity indicators (APACHE II, SOFA and SAPS 3) and determine the length of hospitalization and outcome. Bioimpedance was conducted to calculate the PA, using resistance and reactance data. Results: A total of 35 patients (26% men and 74% women), with mean age of 55.5 ± 16.7 years, were included. The mortality rate (17%) was similar to that expected by APACHE II and SOFA, but higher than that predicted by SAPS 3. The mean values for the PA (4.2 ± 1.0) and OPNI (38.7 ± 8.3) were lower than the reference values adopted. Individuals with PA < 5.1 exhibited signifi cantly lower reactance and albumin and higher APACHE II and SOFA values, in addition to longer hospitalization time and higher mortality. The PA was inversely correlated with all the severity indicators under study (APACHE II, SOFA and SAPS 3), and the length of hospitalization. By contrast, there was no correlation between OPNI and these parameters, or between PA and OPNI. Conclusion: The PA proved to be a good tool in assessing nutritional prognosis in critically ill patients. By contrast, more studies using the OPNI with this type of patients are needed