Frequência de desnutrição segundo o músculo adutor do polegar em pacientes internados em clínica de cirurgia geral

Abstract

In hospitalized patients, it is extremely important that their nutritional status is monitored and evaluated using various methods, which include: dietary, anthropometric, biochemical data, physical examination, clinical history, all of which help in the patient's nutritional diagnosis, thus allowing more effective conduct. Of the methods described in the literature for the nutritional assessment of surgical patients, adductor pollicis muscle thickness (EMAP) emerged as an easy, simple and non-invasive option for direct verification of the muscular compartment, demonstrating a significant association with the diagnosis of malnutrition. . Therefore, the present study aims to verify the thickness of the adductor pollicis muscle in surgical patients and its correlation with conventional anthropometric measurements. A cross-sectional study will be carried out, including individuals of both sexes, aged ≥20 years, admitted to the general surgery clinic of the Hospital Universitário Professor Alberto Antunes- (HUPAA-UFAL) located in MaceióAL. The study will take place from July 2021 to February 2022. EMAP will be measured using a CESCORF® adipometer, with malnutrition being identified when ≤13.4mm or ≤13.1mm for the dominant and non-dominant hand, respectively. For the usual anthropometric assessment measurements, body mass index, arm circumference, arm muscle circumference and tricipital skinfold thickness will be obtained. Pearson correlation tests will be applied to verify possible relationships between EMAP and other anthropometric variables. Finally, this work can conclude that EMAP can be a practice adopted to detect malnutrition, especially when combined with other anthropometric parameters for malnutrition screening, as well as a significant relationship between EMAP and IMC, CB and PCT, thus justifying its effectiveness.