JULIO CESAR GARCIA DE ALENCAR

Índice h a partir de 2011
8
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Unidades Organizacionais
BAO, FOB - Docente
LIM/51 - Laboratório de Emergências Clínicas, Hospital das Clínicas, Faculdade de Medicina

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Agora exibindo 1 - 10 de 180
  • bookPart
    Trauma torácico
    (2021) RAMOS, Vitor Marcondes; DIAS, Lucas Gonçalves; BORTOLETO, Felipe Mouzo; ALENCAR, Júlio César Garcia de
  • bookPart
    Sedação e analgesia em procedimentos
    (2022) COLLEONI, Osmar; MARQUES, Bruno; ALENCAR, Júlio César Garcia de
  • bookPart
    Emergências hipertensivas
    (2022) MARCHINI, Julio Flávio Meirelles; ALENCAR, Júlio César Garcia de; BARROSO, Patrícia Perez
  • bookPart
    Emergências oncológicas
    (2020) ALENCAR, Júlio César Garcia de; BRANDãO NETO, Rodrigo Antonio
  • 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
    Emergências ginecológicas
    (2022) FERREIRA FILHO, Edson Santos; BRANDãO NETO, Rodrigo Antonio; ALENCAR, Júlio César Garcia de
  • bookPart
    Via aérea nas emergências hipertensivas
    (2023) VAISBERG, Victor Van; MARCHINI, Julio Flavio Meirelles; ALENCAR, Júlio César Garcia de
  • bookPart
    Abordagem sistematizada da via aérea
    (2023) BOCCATO, Camila de Castello Branco; AMAT, Helena Ribeiro Aiello; GASPAR, Patrícia Lopes; AMOROSO, Diego; MAIA, Ian Ward Abdalla; ALENCAR, Júlio César Garcia de