Perfil clínico-nutricional de pacientes candidatos à cirurgias admitidos em um hospital universitário de Maceió-Alagoas

Abstract

Introduction: Surgery causes a series of complications, such as, for example, an exacerbation of inflammatory conditions that negatively impact and act as a risk factor for the individual's nutritional status. Thus, the importance of determining the clinicalnutritional aspects of these hospitalized patients is notable, taking into account the role that the nutritional status and the metabolic stress of the surgical procedure have on the complications that occur during hospitalization, which in turn increase the morbidity and mortality rate. Objective: To describe the clinical-nutritional profile of patients candidate for surgery at a university hospital in Northeast Brazil. Objective: To describe the clinical-nutritional profile of patients candidate for surgery at a university hospital in Northeast Brazil. Method: Cross-sectional study, carried out from August 2021 to July 2022, in the General Surgery ward of the Alberto Antunes University Hospital of the Federal University of Alagoas (HUPAA/UFAL), located in Maceió, capital of the State of Alagoas. Results: The prevalence was women (54.1%), adults, with less than or equal to 8 years of education (56.0%), financially inactive (73.4%) and low social class (]68.8%) . Regarding lifestyle, it was possible to identify that the majority of interviewees did not smoke (92.6%), did not drink (77.8%) and did not practice physical activity (75.7%). Furthermore, the predominance was of non-white individuals (80.6%). The majority of individuals had comorbidities, such as high blood pressure and/or diabetes mellitus (52.8%)) and among the patients interviewed, 46.2% were cancer patients. Regarding the days of hospitalization, the majority spent less than 7 days in hospital (70.5%). Regarding the characteristics of the surgery, the largest number were elective surgeries (77.8%), medium-sized surgeries (38.8%). ) and without complications (98.1%). Furthermore, the majority of individuals were discharged after surgery (75.2%). Regarding the nutritional diagnosis, the majority of individuals did not show weight loss (67.3%) and remained eutrophic according to the classification of the condition of the arm (43.9), the triceps fold (16.7%) and the arm muscle changes (62.6). On the other hand, according to BMI, more than half of the individuals were overweight (60.4%). Conclusion: Based on the data presented, it was evident that surgical patients require special care before, during and after surgical intervention. Furthermore, nutritional status proved to be an important influence on postoperative recovery.