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Clinical impact of systematic nutritional care in adults submitted to allogeneic hematopoietic stem cell transplantation

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Clinical impact of systematic nutritional care in adults submitted to allogeneic hematopoietic stem cell transplantation

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Título Clinical impact of systematic nutritional care in adults submitted to allogeneic hematopoietic stem cell transplantation
Autor Sommacal, Heloisa Martins
Gazal, Claudia Hallal Alves
Jochims, Ana Maria Keller
Beghetto, Mariur Gomes
Paz, Alessandra Aparecida
Silla, Lucia Mariano da Rocha
Mello, Elza Daniel de
Abstract Background: The development of nutrition care programs for patients undergoing hematopoietic stem cell transplantation is necessity in view of the rapid and aggressive consequences frequently seen with this procedure. Patients require constant care to reduce complications and to contribute to the success of therapy. Methods: In an attempt to ascertain the impact of systematic nutritional care on patients submitted to allogeneic hematopoietic stem cell transplantation, the present study assessed the nutritional and clinical status, use of parenteral nutrition, and complication and mortality rates in two groups of patients, who were submitted to transplantation between April 2003 and December 2004 (Non-intervention Group - NIG; n = 57) and between March 2006 and January 2008 (Intervention Group - IG; n = 34). Results: There were no significant differences between groups in terms of clinical or nutritional profiles. Additionally, the length of hospital stay and complication and mortality rates were similar for both groups. However, time on parenteral nutrition during treatment was shorter for the IG [median 6.5 days (range: 1-28) for related donor recipients and 11 days (range: 1-21) for unrelated donor recipients] than for the NIG [median 20.5 days (range, 4–73) for patients submitted to myeloablative conditioning and 18.5 days (range: 11-59 days) for those submitted to nonablative conditioning]. Conclusion: The implementation of a nutritional follow-up and therapy protocol for adult patients submitted to hematopoietic stem cell transplantation shortens the duration of parenteral nutrition. It certainly has an impact on hospitalization costs and, potentially, on the rate of complications, even though this was not demonstrated in this study.
Contido em Revista brasileira de hematologia e hemoterapia = Brazilian journal of hematology and hemotherapy. São Paulo. Vol. 34, n. 5 (set./out. 2012), p. 334-338
Assunto Avaliação nutricional
Complicações
Cuidados de saúde
Nutrição
Nutrição parenteral
Terapia
Transplante de células-tronco hematopoéticas
[en] Bone marrow transplantation
[en] Nutritional support
[en] Nutrition assessment
[en] Parenteral nutrition solutions
[en] Stem cell transplantation
Origem Nacional
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/99082
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