Association of nutritional status with adductor pollicis muscle thickness and simplified acute physiological score in intensive care unit patients
DOI:
https://doi.org/10.13037/2359-4330.8309Keywords:
Nutrition, Intensive care units, Nutritional statusAbstract
Introduction: The use of prognostic indices and indicators to assess nutritional status can have decisive impacts on the chances of rehabilitation and survival in critically ill patients. Objectives: To assess the prevalence of malnutrition in patients admitted to the Intensive Care Unit and to verify the association between adductor pollicis muscle thickness (APMT) and the Simplified Acute Physiology Score III (SAPS III) prognostic index with the nutritional status of patients. Methods: Sixty clinical and surgical patients admitted to the adult ICU were evaluated. The assessment of nutritional status was performed in the first 48 hours of hospitalization, using the Body Mass Index (BMI) and the adequacy of the arm circumference (AC). APMT was collected from the non-dominant hand and SAPS III values were calculated and provided by the physicians responsible for the ICU. Results: The prevalence of malnutrition was 25% according to BMI and 35% according to the percentage of adequacy of AC. Eutrophic patients had significantly lower mean APMT values when compared to overweight individuals, according to BMI. Undernourished individuals, according to AC adequacy, had significantly lower mean APMT values when compared to overweight individuals. Conclusions: The prevalence of malnutrition among patients ranged between 25 and 35%, depending on the indicator used. Mean APMT values were different according to nutritional status and no association was observed between nutritional status and the SAPS III prognostic index.
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Copyright (c) 2023 Mariana Correia Stevenson Braga, Thaís Leo Pacheco Marcelo, Mônica Fernandez, Ana Lúcia Torloni Gradinar, Ana Carolina Almada Colucci Paternez
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