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Objective Describe the dietary intake of children and adolescents submitted to allogeneic hematopoietic stem cell transplantation. Methods Data from 0 to 19-year-old patients’ medical records who were submitted to the procedure from January 2012 to September 2017 were used. These medical records provided anthropometric, food intake control and symptoms data for three moments: three days before infusion (M1), the infusion day (M2), and 25 days after the cell infusion (M3). This study was approved by the Ethics in Research Committee (17-0267). Results The patients presented weight loss (p>0.001) and a decrease in body mass index (p>0.001) in M1 versus M2 and M3. The means of calorie intake (p=0.031), protein (p=0.006), lipid (p=0.017), dietary fiber (p=0.035), calcium (p=0.005), iron (p=0.012), and sodium (p=0.022) had a reduction from M1 to M2 and an increase from M2 to M3. There was a decrease in mean intake of carbohydrates and calories per kilo from M1 to M2 and an increase from M2 to M3. The nutritional status was related to temperature above 37ºC (p0,001) e diminuição do índice de massa corporal (p>0,001) no M1 versus M2 e M3. As médias de ingestão calórica (p=0,031), de proteínas (p=0,006), de lipídios (p=0,017), de fibra alimentar (p=0,035), de cálcio (p=0,005), de ferro (p=0,012) e de sódio (p=0,022) tiveram redução de M1 para M2 e aumento de M2 para M3. Houve diminuição na ingestão média de carboidratos e calorias por quilo de M1 para M2 e um aumento de M2 para M3. O estado nutricional foi relacionado à temperatura acima de 37ºC (p

A dietoterapia é essencial para pacientes hospitalizados. O objetivo deste estudo foi avaliar a aceitabilidade das refeições do almoço de pacientes que receberam a dietética para Diabetes Mellitus (DM) e verificar aspectos que podem interferir nesse consumo, como as estações do ano. Estudo quantitativo descritivo que avaliou o consumo da refeição almoço dos pacientes que receberam dietética DM em um período de verão e outro de inverno no ano de 2019. Os dados foram verificados em frequências absolutas, porcentagens, médias, e o teste estatístico foi o de regressão logística com a correlação de dados a um nível de significância de 95% (p

Introduction: during hematopoietic stem cell transplantation (HSCT) some factors may impact on the patient's nutritional status (NS). Conditioning regimen, as well as signs and symptoms of the gastrointestinal tract, can negatively infl uence on oral food intake. Patients may require the use of complementary nutritional therapies aiming at an adequate caloric intake with the objective of avoiding decreasing in NS. Objective: the study aims to describe the nutritional aspects relevant to the maintenance of NS during hospitalization of children and adolescents undergoing HSCT at a tertiary hospital. Method: a retrospective study with a review of medical records of patients undergoing HSCT, aged between 0 and 19 years of age (incomplete) between January 2009 and December 2014. Data were collected regarding food intake, nutritional therapies used, and clinical signs and symptoms in six times: hospitalization, D0 (day of cell infusion), D+7, D+14, D+21 and D+28. Results: sixty-three patients were evaluated, being 56% males, with a median age of ten years. At the time of hospitalization, 100% of patients had their energy needs met by mouth, decreasing from D0 (about 30%), with more prevalent use of parental nutritional and enteral nutrition from D+7. Loss of appetite, mucositis and nausea were the most frequent signs and symptoms. From D+21 it was possible to observe an increase in caloric intake by mouth. Conclusion: patients showed decreased food intake throughout hospitalization. However, it has been shown that the prescription of complementary nutritional therapies has reduced the impact of weight loss.Introducción: durante el trasplante de células madre hematopoyéticas (TCMH) algunos factores pueden influir en el estado nutricional (EN) del paciente. El régimen de acondicionamiento, así como los signos y síntomas del tracto gastrointestinal, pueden influir negativamente en la ingesta oral de alimentos. Los pacientes pueden requerir el uso de terapias nutricionales complementarias dirigidas a una ingesta calórica adecuada con el objetivo de evitar el deterioro del EN. Objetivo: el estudio tiene como objetivo describir los aspectos nutricionales relevantes para el mantenimiento del EN durante la hospitalización de niños y adolescentes sometidos al TCMH en un hospital terciario. Método: un estudio retrospectivo con una revisión de los registros médicos de los pacientes sometidos al TCMH, con edades comprendidas entre 0 y 19 años (incompletos) entre enero de 2009 y diciembre de 2014. Se recopilaron datos sobre la ingesta de alimentos, las terapias nutricionales utilizadas y los signos y síntomas clínicos en seis tiempos: hospitalización, D0 (día de infusión celular), D+7, D+14, D+21 y D+28. Resultados: se evaluaron sesenta y tres pacientes, siendo 56% del sexo masculino, con una edad media de diez años. En el momento de la hospitalización 100% de los pacientes cubrían sus necesidades energéticas con la alimentación oral, disminuyendo en el D0 (alrededor del 30%), con un uso más prevalente de nutrición enteral y parenteral en el D+7. La inapetencia, mucositis y náuseas fueron los signos y síntomas más frecuentes. Desde el D+21 fue posible observar un aumento en la ingesta calórica por vía oral. Conclusión: los pacientes mostraron una disminución en la ingesta de alimentos durante la hospitalización. Sin embargo, se ha demostrado que la prescripción de terapias nutricionales complementarias ha reducido el impacto de la pérdida de peso.

espanolIntroduccion: durante el trasplante de celulas madre hematopoyeticas (TCMH) algunos factores pueden infl uir en el estado nutricional (EN) del paciente. El regimen de acondicionamiento, asi como los signos y sintomas del tracto gastrointestinal, pueden influir negativamente en la ingesta oral de alimentos. Los pacientes pueden requerir el uso de terapias nutricionales complementarias dirigidas a una ingesta calorica adecuada con el objetivo de evitar el deterioro del EN. Objetivo: el estudio tiene como objetivo describir los aspectos nutricionales relevantes para el mantenimiento del EN durante la hospitalizacion de ninos y adolescentes sometidos al TCMH en un hospital terciario. Metodo: un estudio retrospectivo con una revision de los registros medicos de los pacientes sometidos al TCMH, con edades comprendidas entre 0 y 19 anos (incompletos) entre enero de 2009 y diciembre de 2014. Se recopilaron datos sobre la ingesta de alimentos, las terapias nutricionales utilizadas y los signos y sintomas clinicos en seis tiempos: hospitalizacion, D0 (dia de infusion celular), D+7, D+14, D+21 y D+28. Resultados: se evaluaron sesenta y tres pacientes, siendo 56% del sexo masculino, con una edad media de diez anos. En el momento de la hospitalizacion 100% de los pacientes cubrian sus necesidades energeticas con la alimentacion oral, disminuyendo en el D0 (alrededor del 30%), con un uso mas prevalente de nutricion enteral y parenteral en el D+7. La inapetencia, mucositis y nauseas fueron los signos y sintomas mas frecuentes. Desde el D+21 fue posible observar un aumento en la ingesta calorica por via oral. Conclusion: los pacientes mostraron una disminucion en la ingesta de alimentos durante la hospitalizacion. Sin embargo, se ha demostrado que la prescripcion de terapias nutricionales complementarias ha reducido el impacto de la perdida de peso. EnglishIntroduction: during hematopoietic stem cell transplantation (HSCT) some factors may impact on the patient’s nutritional status (NS). Conditioning regimen, as well as signs and symptoms of the gastrointestinal tract, can negatively infl uence on oral food intake. Patients may require the use of complementary nutritional therapies aiming at an adequate caloric intake with the objective of avoiding decreasing in NS. Objective: the study aims to describe the nutritional aspects relevant to the maintenance of NS during hospitalization of children and adolescents undergoing HSCT at a tertiary hospital. Method: a retrospective study with a review of medical records of patients undergoing HSCT, aged between 0 and 19 years of age (incomplete) between January 2009 and December 2014. Data were collected regarding food intake, nutritional therapies used, and clinical signs and symptoms in six times: hospitalization, D0 (day of cell infusion), D+7, D+14, D+21 and D+28. Results: sixty-three patients were evaluated, being 56% males, with a median age of ten years. At the time of hospitalization, 100% of patients had their energy needs met by mouth, decreasing from D0 (about 30%), with more prevalent use of parental nutritional and enteral nutrition from D+7. Loss of appetite, mucositis and nausea were the most frequent signs and symptoms. From D+21 it was possible to observe an increase in caloric intake by mouth. Conclusion: patients showed decreased food intake throughout hospitalization. However, it has been shown that the prescription of complementary nutritional therapies has reduced the impact of weight loss.

Introducción y objetivos. Identificar y analizar las necesidades de atención de los pacientes candidatos a trasplante de células tronco hematopoyéticas (TCTH) con el fin de planificar las intervenciones para cada situación específica en el Programa Asistencial de Trasplante de Células Tronco Hematopoyéticas (PATCTH).

Introducción y objetivos. Por ser un tratamiento de alta complejidad, el trasplante de células madres hematopoyéticas (TCMH) requiere de la actuación integrada del equipo asistencial. Por lo tanto, el objetivo de este estudio es describir la matriz multiprofesional y el impacto sobre el proceso de atención del equipo involucrado en el cuidado de los pacientes de TCMH.

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.

The aim of the present study was to assess the influence of socioeconomic status (SeS) on the outcome of allo-SCT at a Brazilian SCT center. In total, 201 patients receiving HLA-identical related allo-SCTs were studied. The median age was 30 years. Overall, 163 patients had malignancies (CML 68, ALL/AML 63, myelodysplastic syndrome 12 and others 20). SeS was defined according to the Brazilian Association of Market Research Agencies classification, where people are clustered in groups A-E (richest to poorest). In total, 146 patients (72%) were classified as richest (A+B+C) and 55 (28%) as poorest (D+E). The D+E SeS group was associated with a higher incidence of chronic GVHD and acute GVHD (hazard ratio (HR)=2.61; P=0.001 and HR=2.62; P=0.001, respectively), better platelet and neutrophil engraftment (HR=1.94; P=