Abstract:
BACKGROUND:Small-bowel dysfunction exerts a relevant prognostic impact in the critically ill patients. Citrullinemia has been used in the evaluation of the intestinal function and it is considered an objective parameter of the functional enterocyte mass. Present study proposes to determine the intestinal dysfunction prevalence and the citrullinemia kinetic profile in severe trauma patients and to investigate its correlation with severity indicators and clinical outcome. METHODS:A prospective study including 23 critical trauma patients was performed. Aminoacidemias were quantified, by ion exchange chromatography, at the admission and at the first and third days. Severity and outcome parameters were registered. RESULTS:In severe trauma patients, severe hypocitrullinemia (< 20 μmol/L) prevalence at admission was high (69.6%) and mean citrullinemia was low (19.5 ± 11.1 μmol/L). Baseline citrullinemia was inversely and significantly correlated with shock index (r = -55.1%, p = 0.008) and extent of invasive ventilation support (r = -42.7%, p = 0.042). Citrullinemia < 13.7 μmol/L at admission, observed in 17.4% of patients, was associated with higher shock index (1.27 ± 0.10 versus 0.75 ± 0.18, p = 0.0001) and longer duration of invasive ventilation support (20.3 ± 7 versus 11.2 ± 7.1 days, p = 0.029) and intensive care unit stay (22 ± 5.9 versus 12.2 ± 8.8 days, p = 0.048). A citrullinemia decrease in the first day after admittance superior to 12.7% constituted a significant predictive factor of in-hospital mortality (75 versus 14.3%, p = 0.044; odds ratio = 7.8; accuracy = 65.2%; specificity = 92.3%; negative predictive value = 85.7%] and lower actuarial survival (69.8 ± 41.6 versus 278.1 ± 37.4 days, p = 0.034). CONCLUSIONS:Those results confirm the high prevalence and the prognostic relevance of hypocitrullinemia, considered a biomarker of enterocyte dysfunction, in severe trauma patients.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Costa BP,Martins P,Verissimo C,Simões M,Tomé M,Grazina M,Pimentel J,Castro-Sousa Fdoi
10.20960/nh.788subject
Has Abstractpub_date
2017-03-30 00:00:00pages
284-289issue
2eissn
0212-1611issn
1699-5198journal_volume
34pub_type
杂志文章abstract:OBJECTIVES:Obesity is the consequence of an imbalance between energy intake and expenditure, food intake being affected by multiple factors -psychological, social, work-related, etc. This revision discusses the role of diet in the behavioural treatment (BT) of obesity, which faces multiple approaches and focuses on pat...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2010-01-01 00:00:00
abstract::Chagasic megaesophagus is a chronic disease that courses with progressive dysphagia, regurgitation and protein-calorie malnutrition. Advanced or recurrent megaesophagus can be treated with Serra Dória's operation (cardioplasty, partial gastrectomy and gastrojejunal Roux-en-Y anastomosis). A nutritional evaluation was ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:Observational studies show that folate levels may be associated with the development of adenomas and colorectal cancer, suggesting that folic acid supplementation may have a preventive effect. AIM:Systematic review of scientific evidence from randomized placebo-controlled clinical studies to identify the ef...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.1590/S0212-16112012000100003
更新日期:2012-01-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVES:the aim of this study was to assess the fatty acid profile of two cured meat products of similar manufacturing processes and characteristics, dry-cured ham (JA) and cecina (CE), a type of dry-cured beef. The obtained results were discussed in terms of the effects that each singular fatty aci...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.1.8911
更新日期:2015-07-01 00:00:00
abstract:Introduction:Water intake has been proposed for weight loss; however, the evidence of its efficacy is limited. The aim of this study was to systematically review the randomized clinical trials that assessed the effect of water consumption on weight with a follow up ≥ 12 weeks. A systematic query-based search was perfor...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02746
更新日期:2019-12-26 00:00:00
abstract:BACKGROUND:Weight is one of the most important parameters in assessing nutritional status. However, weight can be difficult to measure in elderly people who are unable to stand. Chumlea et al. created two equations to estimate weight in non-ambulatory patients using readily available body measurements. OBJECTIVE:The a...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.2.6320
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abstract:Introduction:Objective: to present the results of the Spanish home enteral nutrition (HEN) registry of the NADYA-SENPE group for the year 2016 and 2017. Material and methods: from January 1st 2016 to December 31st 2017, the HEN registry was recorded and afterwards a further descriptive and analytical analysis was done....
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02365
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abstract:BACKGROUND:The objectives of our study on non-critically ill patients receiving parenteral nutrition (PN) are to assess the incidence of hyperglycemia, the risk factors associated to its development and its influence in patient's evolution. METHODS:A multicentric prospective observational study was performed in 9 hosp...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,多中心研究
doi:10.3305/nh.2012.27.5.5880
更新日期:2012-09-01 00:00:00
abstract::The literature contains a large number of published articles indicating a strong relationship between obesity and morbidity-mortality due to different cause. There are also various short- to medium-term studies demonstrating the benefits of a moderate weight loss on the control of obesity-related risk factors. Nonethe...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
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abstract:Introduction:Aim and background: the incidence of obesity has increased among children, and obesity has been considered an independent risk factor for chronic kidney disease. We aimed to determine the degree of kidney function impairment by evaluating urine neutrophil gelatinase-associated lipocalin (NGAL) and kidney i...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02651
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abstract:BACKGROUND:The maintenance of healthy lifestyles is of great importance to prevent pregnancy-related diseases at early stages. For this reason, the knowledge of the overall wellbeing of women at childbearing-age is necessary to provide appropriate advice to maintain or improve the nutritional status. The aim of this re...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.29.2.7082
更新日期:2014-02-01 00:00:00
abstract::Sustainability represents a major concern in recent years due to climate change pressure. The diet itself contribute to the emission of greenhouse gasses, water and land use, energy consumption and environment contamination. The Mediterranean diet should be understood not only as a set of foods but also as a cultural ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.20960/nh.2133
更新日期:2018-06-12 00:00:00
abstract:UNLABELLED:Malnutrition is reported to affect 30-50% of all patients with head and neck cancer. The impact of malnutrition on surgical outcome is not clearly understood. The purpose of this study is to determine if nutritional status is related to postoperative complications (pharyngostoma) or tumor recurrence. METHOD...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
abstract::A prospective study was carried out in 207 patients with benign and neoplastic diseases of the digestive tract who were candidates for elective surgery, in order to evaluate the influence of the nutritional status and perioperative transfusions on the appearance of postoperative infections. All patients were subjected...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:1998-09-01 00:00:00
abstract:Introduction:In recent years, the advance in gut microbiota knowledge has shown that is key in the development and health status of humans. There are many factors that influence the gut microbiota and its balance, being our lifestyle one of the key factors. There is an association between feeding and practicing physica...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02805
更新日期:2019-08-27 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.5.8648
更新日期:2015-05-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112011000600031
更新日期:2011-11-01 00:00:00
abstract:INTRODUCTION:This paper presents the results of a study on pain reduction in newborns that undergo painful medical procedures. This research analyzed the reactions of babies before and after the heel lance procedure, a diagnostic test performed to detect phenylketonuria. This test involved the extraction of a capillary...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.5.7862
更新日期:2014-11-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章,随机对照试验
doi:10.20960/nh.784
更新日期:2017-07-28 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.3.9299
更新日期:2015-09-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1932
更新日期:2019-03-07 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.5.9688
更新日期:2015-11-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1513
更新日期:2018-02-27 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.20960/nh.v33i1.23
更新日期:2016-02-16 00:00:00
abstract::The relationship between adequate folate intake, adequate serum levels, and lowering the risk of suffering from cardiovascular diseases, neural tube defects, neural illness and some kind of cancers have been widely studied. Because of the expected health benefits, the consumption of foods with high folate content or e...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2006-01-01 00:00:00
abstract::A large number of recreational and elite athletes use nutritional supplements in hopes of improving performance. These aids can be costly and potentially harmful, and the advertised ergogenic gains are often based on little or no scientific evidence. Due to the lack of regulation of the dietary supplement industry, an...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2009-03-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1628
更新日期:2018-06-22 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 历史文章,杂志文章
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更新日期:2012-07-01 00:00:00
abstract:INTRODUCTION:weight and height measurements are important data for the nutritional assessment of elderly people and the implementation of the nutritional care process. Malnutrition is common in this population, who has high rates of disability that difficult to measurement this variables. OBJECTIVE:evaluate the validi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.6.9760
更新日期:2015-12-01 00:00:00
abstract::The reliability of the information collected in dietary assessment can be affected by different factors. One of the main sources of error in dietary assessment is misreporting which encompass under- and overreporting. Underreporting of food intake is one of the major problems in the assessment of habitual dietary inta...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2015.31.sup3.8760
更新日期:2015-02-26 00:00:00