LIS PROENCA VIEIRA
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- Clinical and Nutritional Factors Associated With Early Mortality After Heart Transplantation(2017) ABREU, L. Giglio Canelhas de; VIEIRA, L. Proenca; GOMES, T. Teixeira; BACAL, F.Objective. The aim of this work was to verify the association between clinical and nutritional factors and mortality in the 1st 30 days after heart transplantation. Methods. This was a retrospective study of patients who underwent heart transplantation in a public hospital in Brazil from January 2013 to August 2015. The clinical and nutritional factors analyzed were: body mass index, body surface area, cachexia, infection, duration of orotracheal intubation, ejection fraction, mean pulmonary pressure, Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) score, hemoglobin, and diabetes mellitus. The primary outcome was mortality in the 1st 30 days after heart transplantation, and secondary outcomes were infection, acute kidney insufficiency, and duration of orotracheal intubation. We performed chi-square test, unpaired t test, and logistic regression in the analyses. A P value of <.05 was considered to be significant. Results. The sample had 103 patients, of which 16 patients (15.53%) died within 30 days after heart transplantation. We observed a relationship between death and orotracheal intubation duration (P <.01), postoperative creatinine (P <.01), acute kidney injury (P <.01), and INTERMACS score (P =.01) in the bivariate analysis but not in the multivariate model. Conclusions. Clinical and nutritional factors had no impact on mortality up to 30 days after heart transplantation in this study, although orotracheal intubation duration, postoperative creatinine, acute kidney injury, and INTERMACS score were individually associated with early death.
- Weight Gain and Acute Rejection in Patients Submitted to Pulmonary Transplantation: A Retrospective Cohort of 10 Years(2018) ARAUJO, I. Carvalho; VIEIRA, L. Proenca; ALVES, A. C. di Creddo; SAMANO, M. Naoyuki; TEIXEIRA, R. H. de Oliveira BragaObjective. Acute rejection is one of the most common complications after pulmonary transplantation. The aim of this work was to verify the association of nutritional status and weight gain with acute rejection in the recipient during the 1st year after pulmonary transplantation. Methods. Retrospective cohort study with patients submitted to pulmonary transplantation at a pulmonary transplantation center in the state of Sao Paulo. Data on sex, age, underlying disease, type of transplantation, and presence, degree, and frequency of rejection according to the transbronchial biopsy results were collected, along with body mass index (BMI) and weight variation over the course of 1 year. The difference between groups was analyzed by means of Student t test and the association by means of chi-square test. Significance was considered with P < .05. Results. A total of 117 patients were included, of which 71 (60.7%) were male. The average age was 39.8 +/- 15.5 years. There were 77.8% with acute rejection in the 1st year after transplantation. The nutritional status of eutrophy prevailed according to BMI in both adolescents and adults, with no association with acute rejection (P = .80), and there was a greater weight gain among the individuals who showed rejection, with an increase of 7.58 kg (95% confidence interval [CI] 6.35-8.81) compared with those who did not present rejection, whose average weight gain was 4.12 kg (95% CI 1.28-6.95; P = .01). Conclusions. Nutritional status was not associated with acute cell rejection in the 1st year after transplantation, although weight gain was greater in those who had rejection.
- Smoking cessation and weight gain in patients with cardiovascular disease or risk factor(2014) ISSA, Jaqueline S.; SANTOS, Paulo C. J. L.; VIEIRA, Lis P.; ABE, Tania O.; KUPERSZMIDT, Carla S.; NAKASATO, Miyoko; CARDOSO, Elisabeth; AMORIM, Clarice; PEREIRA, Alexandre C.
conferenceObject Smoking Cessation and Weight Gain in Patients With Cardiovascular Disease(2013) ISSA, Jaqueline S.; SANTOS, Paulo C.; KUPERSZMIDT, Carla; VIEIRA, Lis P.; ABE, Tania M.; PEREIRA, Alexandre C.- Eating behavior and nutritional status in patients who underwent coronary angioplasty(2012) VIEIRA, L. Proenca; NOBRE, M. Roberto; QUEIROZ, G. Goncalves deIntroduction: The identification of stages of dietary change and the factors affecting food choices can direct more effective nutritional intervention against coronary heart disease progression. Objective: Identify the stages of change of eating behavior and its relation with nutritional status, food consumption and previous cardiovascular events in patients who underwent coronary angioplasty. Methods: A cross-sectional study with 200 hospitalized patients from a specialized cardiology hospital, after elective coronary angioplasty. They were applied an algorithm that identifies the provision of change of eating habits for a healthier pattern. Variables measured were stages of change of eating behavior, nutritional status, food consumption and cardiovascular events (previous myocardial infarction or angioplasty). It was realized comparison of averages by analysis of variance or Student's test and Chi-square test for qualitative variables. Value of significance was taken at 5%. Results: The patients were classified in the following stages: 36% maintenance, 26% preparation, 17% precontemplation, 12% action and 9% contemplation. It was observed higher cardiovascular events in maintenance/action group (p = 0.04), higher consumption of calories (p = 0.04), meat/eggs (p = 0.01) and sweets (p = 0.03) in preparation stage, comparing to maintenance group, and no association between nutritional status and stages of change (p = 0.13), although 62% of the individuals in maintenance stage were overweight. Conclusions: This work contributed to identifying the stages of change and conditions that favor changes in eating pattern. Even patients that classified themselves into the maintenance stage need to adjust their eating habits in order to reach a healthy weight.