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- Title
Association of nutritional status and clinical outcomes in pediatric cardiac surgery.
- Authors
Gomes de Souza, Nayana Maria; de Andrade, Giselle Viana; Farias Bastos, Luciana; Cardoso Dantas, Anna Virgínia Viana; Torres de Melo Bezerra Cavalcante, Candice; Pinheiro Barbosa, Lorena; Gomes Guedes, Nirla; Martins da Silva, Viviane
- Abstract
Objective: To find the association of the biological personal factor 'nutritional status' of children undergoing cardiac surgery with the following behaviors: mortality/hospital discharge, length of stay in the Intensive Care Unit (ICU) and time in mechanical ventilation (MV). Methods: Cross-sectional, retrospective study of 786 medical records of children under five years of age who underwent cardiac surgery. Nola J. Pender's model was used for data analysis. The Pearson's Chi-Square test was applied to find the association between the biological personal factor and the mortality/hospital discharge behavior. The Kruskal-Wallis test was used to assess the difference between medians of the biological personal factor and the behaviors of time in MV and ICU length of stay. Results: The association between personal biological factors (poor nutritional status, acute malnutrition and chronic malnutrition) with mortality behavior was OR 2.18 (1.42 - 3.34), p=0.003, OR 0.75 (0.46 - 1.2), p=0.24 and OR 2.7 (1.77 - 4.12), p<0.0001, respectively. The median time in days of MV use and ICU length of stay in days was, respectively, 3 (p<0.0001) and 8 (p<0.0001) for poor nutritional status, two (p=0.041) and 6.5 (p=0.006) for acute malnutrition, 3 (p<0.0001) and 8 (p<0.0001) for chronic malnutrition. Conclusion: The personal biological factors with a significant association with mortality behavior were poor nutritional status and acute malnutrition. Children with analyzed nutritional deficits had a higher median time of MV and time of ICU compared with children without nutritional deficits.
- Subjects
BRAZIL; MALNUTRITION; ARTIFICIAL respiration; CHI-squared test; CONFIDENCE intervals; STATISTICAL correlation; CARDIAC surgery; LENGTH of stay in hospitals; INTENSIVE care units; MEDICAL records; DISCHARGE planning; TREATMENT effectiveness; CROSS-sectional method; RETROSPECTIVE studies; DATA analysis software; DESCRIPTIVE statistics; NUTRITIONAL status; ACQUISITION of data methodology; TERTIARY care; ODDS ratio; KRUSKAL-Wallis Test; CHILDREN
- Publication
Acta Paulista de Enfermagem, 2020, Vol 33, Issue 5, p1
- ISSN
0103-2100
- Publication type
Article
- DOI
10.37689/actaape/2020AO00835