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Clinical impact of systematic nutritional care in adults submitted to allogeneic hematopoietic stem cell transplantation
- Source :
- Repositório Institucional da UFRGS, Universidade Federal do Rio Grande do Sul (UFRGS), instacron:UFRGS, Revista Brasileira de Hematologia e Hemoterapia, Vol 34, Iss 5, Pp 334-338 (2012), Revista Brasileira de Hematologia e Hemoterapia v.34 n.5 2012, Revista brasileira de hematologia e hemoterapia, Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular (ABHHTC), instacron:ABHHTC, Revista Brasileira de Hematologia e Hemoterapia, Revista Brasileira de Hematologia e Hemoterapia, Volume: 34, Issue: 5, Pages: 334-338, Published: 2012
- Publication Year :
- 2012
-
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.
- Subjects :
- medicine.medical_specialty
Pediatrics
Bone marrow transplantation
medicine.medical_treatment
Cuidados de saúde
Nutrição
Parenteral Nutrition Solutions
Hematopoietic stem cell transplantation
Parenteral nutrition solutions
Unrelated Donor
Medicine
Nutritional care
Nutritional support
lcsh:RC633-647.5
business.industry
Mortality rate
Avaliação nutricional
Stem cell transplantation
lcsh:Diseases of the blood and blood-forming organs
Hematology
Nutrição parenteral
Transplante de células-tronco hematopoéticas
Surgery
Transplantation
Parenteral nutrition
Terapia
Original Article
business
Complication
Nutrition assessment
Complicações
Subjects
Details
- Language :
- Portuguese
- Database :
- OpenAIRE
- Journal :
- Repositório Institucional da UFRGS, Universidade Federal do Rio Grande do Sul (UFRGS), instacron:UFRGS, Revista Brasileira de Hematologia e Hemoterapia, Vol 34, Iss 5, Pp 334-338 (2012), Revista Brasileira de Hematologia e Hemoterapia v.34 n.5 2012, Revista brasileira de hematologia e hemoterapia, Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular (ABHHTC), instacron:ABHHTC, Revista Brasileira de Hematologia e Hemoterapia, Revista Brasileira de Hematologia e Hemoterapia, Volume: 34, Issue: 5, Pages: 334-338, Published: 2012
- Accession number :
- edsair.doi.dedup.....1520da152612f21578f2a2a7ac69e2d0