HERALDO POSSOLO DE SOUZA

(Fonte: Lattes)
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Unidades Organizacionais
Departamento de Clínica Médica, Faculdade de Medicina - Docente
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/02 - Laboratório de Anatomia Médico-Cirúrgica, Hospital das Clínicas, Faculdade de Medicina
LIM/51 - Laboratório de Emergências Clínicas, Hospital das Clínicas, Faculdade de Medicina

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Autor e Coautores FMUSP-HC Normalizados: JULIO CESAR GARCIA DE ALENCAR ×

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Agora exibindo 1 - 10 de 59
  • bookPart
    Sepse
    (2018) ALENCAR, Júlio César Garcia de; SOUZA, Heraldo Possolo de
  • article 15 Citação(ões) na Scopus
    Applicability of the GLIM criteria for the diagnosis of malnutrition in older adults in the emergency ward: A pilot validation study
    (2021) FERNANDEZ, Shirley Steffany Munoz; GARCEZ, Flavia Barreto; ALENCAR, Julio Cesar Garcia de; CEDERHOLM, Tommy; APRAHAMIAN, Ivan; MORLEY, John Edward; SOUZA, Heraldo Possolo de; SILVA, Thiago Junqueira Avelino da; RIBEIRO, Sandra Maria Lima
    Background & aims: Acutely ill older adults are at higher risk of malnutrition. This study aimed to explore the applicability and accuracy of the GLIM criteria to diagnose malnutrition in acutely ill older adults in the emergency ward (EW). Methods: We performed a retrospective secondary analysis, of an ongoing cohort study, in 165 participants over 65 years of age admitted to the EW of a Brazilian university hospital. Nutrition assessment included anthropometry, the Simplified Nutritional Assessment Questionnaire (SNAQ), the Malnutrition Screening Tool (MST), and the Mini-Nutritional Assessment (MNA). We diagnosed malnutrition using GLIM criteria, defined by the parallel presence of at least one phenotypic [nonvolitional weight loss (WL), low BMI, low muscle mass (MM)] and one etiologic criterion [reduced food intake or assimilation (RFI), disease burden/inflammation]. We used the receiver operating characteristic (ROC) curves and Cox and logistic regression for data analyses. Results: GLIM criteria, following the MNA-SF screening, classified 50.3% of participants as malnourished, 29.1% of them in a severe stage. Validation of the diagnosis using MNA-FF as a reference showed good accuracy (AUC = 0.84), and moderate sensitivity (76%) and specificity (75.1%). All phenotypic criteria combined with RFI showed the best metrics. Malnutrition showed a trend for an increased risk of transference to intensive care unit (OR = 2.08, 95% CI 0.99, 4.35), and severe malnutrition for in-hospital mortality (HR = 4.23, 95% CI 1.2, 14.9). Conclusion: GLIM criteria, following MNA-SF screening, appear to be a feasible approach to diagnose malnutrition in acutely ill older adults in the EW. Nonvolitional WL combined with RFI or acute inflammation were the best components identified and are easily accessible, allowing their potential use in clinical practice.
  • bookPart
    Abordagem do paciente na sala de emergência
    (2022) SOARES, Arthur de Campos; ALENCAR, Júlio César Garcia de; SOUZA, Heraldo Possolo de
  • bookPart
    Sepse
    (2022) ALENCAR, Júlio César Garcia de; PESSINI, Victor Cezar de Azevedo; JORDãO, Victor Navarro; SOUZA, Heraldo Possolo de
  • bookPart
    Náuseas e vômitos
    (2021) BRANDãO NETO, Rodrigo Antonio; ALENCAR, Júlio César Garcia de; SOUZA, Heraldo Possolo de; SOUZA, Stéfany Franhan Barbosa de
  • bookPart
    Abordagem inicial do paciente grave
    (2020) SOUZA, Heraldo Possolo de; BRANDãO NETO, Rodrigo Antonio; MARINO, Lucas Oliveira; ALENCAR, Júlio César Garcia de
  • bookPart
    Delirium
    (2022) ALENCAR, Júlio César Garcia de; COSTA, Milena Gomes Pinheiro; NASCIMENTO, Saionara Maria Nunes; FARIA, Carine Carrijo de; SOUZA, Heraldo Possolo de
  • bookPart
    Náuseas e vômitos
    (2019) BRANDãO NETO, Rodrigo Antonio; SOUZA, Heraldo Possolo de; ALENCAR, Júlio César Garcia de
  • bookPart
    Apresentação
    (2022) VELASCO, Irineu Tadeu; BRANDãO NETO, Rodrigo Antonio; SOUZA, Heraldo Possolo de; MARINO, Lucas Oliveira; MARCHINI, Júlio Flávio Meirelles; ALENCAR, Júlio César Garcia de
  • conferenceObject
    COVID-19 and H1N1 Pneumonia: Reanalysis and Comparison of Two Cohorts
    (2022) SORICE, E.; STERNLICHT, J.; SANTOS, L. B.; BRANDAO, R.; MARINO, L.; MARCHINI, J.; ALENCAR, J.; GOMEZ, L.; SOUZA, H.