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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | - |
dc.contributor.author | SILVA, Fernanda Marchetto da | - |
dc.contributor.author | BERMUDES, Ana Carolina Gouvea | - |
dc.contributor.author | MANESCHY, Ivie Reis | - |
dc.contributor.author | ZANATTA, Graziela de Araujo Costa | - |
dc.contributor.author | FEFERBAUM, Rubens | - |
dc.contributor.author | CARVALHO, Werther Brunow de | - |
dc.contributor.author | TANNURI, Uenis | - |
dc.contributor.author | DELGADO, Artur Figueiredo | - |
dc.date.accessioned | 2014-04-25T21:53:41Z | - |
dc.date.available | 2014-04-25T21:53:41Z | - |
dc.date.issued | 2013 | - |
dc.identifier.citation | REVISTA DA ASSOCIACAO MEDICA BRASILEIRA, v.59, n.6, p.563-570, 2013 | - |
dc.identifier.issn | 0104-4230 | - |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/5153 | - |
dc.description.abstract | Objective: To assess the impact of early introduction of enteral nutrition therapy in reducing morbidity and mortality in pediatric intensive care unit. Methods: Search in the literature of the last 10 years, in English and the target population of individuals aged 1 month to 18 years admitted to pediatric intensive care units in the databases PubMed, Lilacs and Embase using the keywords: Critical Care, Nutritional Support and Nutrition Disorders or Malnutrition. Results: Despite advances in the quality of clinical care, the prevalence of malnutrition in hospitalized children remains unchanged in the last 20 years (15-30%) and has implications for the time of admission, course of illness and morbidity. Malnutrition is common and is often poorly recognized and therefore, untreated. Nutritional therapy is an essential part in the treatment of pediatric patients who have severely ill hypercatabolic state protein, which can be minimized with an effective nutritional treatment plan. In this study, we reviewed publications which have shown that there is still a paucity of randomized and controlled studies with good statistical treatment in relation to enteral nutritional therapy with outcomes related to morbidity and mortality. The current guidelines for nutritional therapy in these patients are largely based on expert opinion and data extrapolated from adult studies and studies in healthy children. Conclusion: The scientific evidence on the use of enteral nutrition therapy in improving the development of critically ill pediatric patients is still scarce and further studies are needed focusing on it, and better guidelines must be formulated. | - |
dc.description.abstract | Objetivo: Avaliar o impacto da introdução precoce de terapia nutricional enteral na redução da morbimortalidade em unidades de terapia intensiva pediátrica. Métodos: Pesquisa bibliográfica nas bases de dados PubMed, Lilacs e Embase dos últimos 10 anos, em língua inglesa e população-alvo de indivíduos de 1 mês de idade a 18 anos, internados em unidades de terapia intensiva pediátrica, usando as palavras-chave: Critical Care, Nutritional Support e Nutrition Disorders or Malnutrition. Resultados: Apesar dos avanços na qualidade dos cuidados clínicos, a prevalência de desnutrição em crianças hospitalizadas permanece imutável nos últimos 20 anos (15-30%) e tem implicações no tempo de internação, curso da doença e morbidade. A desnutrição é comum e é com frequência pouco reconhecida e então, não tratada. A terapia nutricional é parte essencial no tratamento dos pacientes pediátricos gravemente doentes que apresentam estado de hipercatabolismo proteico, que pode ser minimizado com um plano terapêutico nutricional efetivo. Neste estudo, foram revisadas publicações que mostraram que ainda há uma escassez de pesquisas controladas e randomizadas com bom tratamento estatístico em relação à terapia nutricional enteral com desfecho relacionado à morbimortalidade. As diretrizes atuais para terapia nutricional desses pacientes são amplamente baseadas na opinião de experts e em dados extrapolados de estudos em adultos, bem como de estudos realizados em crianças saudáveis | - |
dc.language.iso | eng | - |
dc.language.iso | por | - |
dc.publisher | ASSOC MEDICA BRASILEIRA | - |
dc.relation.ispartof | Revista da Associacao Medica Brasileira | - |
dc.rights | openAccess | - |
dc.subject | Care | - |
dc.subject | Nutritional therapy | - |
dc.subject | Child mortality | - |
dc.subject | Cuidados críticos | - |
dc.subject | Terapia nutricional | - |
dc.subject | Desnutrição | - |
dc.subject | Mortalidade na infância | - |
dc.subject.other | critically-ill children | - |
dc.subject.other | support | - |
dc.subject.other | malnutrition | - |
dc.subject.other | risk | - |
dc.subject.other | outcomes | - |
dc.subject.other | trial | - |
dc.title | Impact of early enteral nutrition therapy on morbimortality reduction in a Pediatric Intensive Care Unit: a systematic review | - |
dc.title.alternative | O impacto da introdução precoce de terapia nutricional enteral na redução da morbimortalidade na Terapia Intensiva Pediátrica: uma revisão sistemática | - |
dc.type | article | - |
dc.rights.holder | Copyright ASSOC MEDICA BRASILEIRA | - |
dc.identifier.doi | 10.1016/j.ramb.2013.06.013 | - |
dc.identifier.pmid | 24199586 | - |
dc.subject.wos | Medicine, General & Internal | - |
dc.type.category | original article | - |
dc.type.version | publishedVersion | - |
hcfmusp.description.beginpage | 563 | - |
hcfmusp.description.endpage | 570 | - |
hcfmusp.description.issue | 6 | - |
hcfmusp.description.volume | 59 | - |
hcfmusp.origem | WOS | - |
hcfmusp.origem.id | WOS:000329495200009 | - |
hcfmusp.origem.id | 2-s2.0-84890116957 | - |
hcfmusp.origem.id | SCIELO:S0104-42302013000600009 | - |
hcfmusp.publisher.city | SAO PAULO | - |
hcfmusp.publisher.country | BRAZIL | - |
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dc.description.index | MEDLINE | - |
hcfmusp.citation.scopus | 13 | - |
hcfmusp.scopus.lastupdate | 2024-03-29 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MPE Artigos e Materiais de Revistas Científicas - HC/ICr Artigos e Materiais de Revistas Científicas - LIM/30 Artigos e Materiais de Revistas Científicas - LIM/36 Artigos e Materiais de Revistas Científicas - ODS/02 |
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art_SILVA_Impact_Early_enteral_nutrition_therapy_and_mortality_in_a_2013_eng.PDF | publishedVersion (English) | 1.5 MB | Adobe PDF | View/Open |
art_SILVA_Impact_Early_enteral_nutrition_therapy_and_mortality_in_a_2013_por.PDF | publishedVersion (Portuguese) | 663.51 kB | Adobe PDF | View/Open |
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