Estado nutricional de pacientes em uma sala de reabilitação pós-Terapia Intensiva por COVID-19
Palavras-chave:
desnutrição, avaliação nutricional, dinamometria manual, reabilitação, COVID-19Resumo
Introdução: a permanência prolongada na Unidade de Terapia Intensiva (UTI) é um fator de risco para desnutrição. Uma intervenção nutricional precoce com reabilitação hospitalar intensiva permite a recuperação da força muscular e do estado nutricional. Objetivo: determinar a evolução do estado nutricional de pacientes pós-UTI por COVID-19 em uma Sala de Reabilitação (SaRIP). Métodos: estudo descritivo, prospectivo em pacientes internados na SaRIP após permanência prolongada na UTI por COVID-19. Foram avaliados peso e Índice de Massa Corporal (IMC) em três momentos, estado nutricional de acordo com a Avaliação Global Subjetiva (AGS) e a força muscular com dinamometria em dois momentos. Foram calculados média e desvio padrão. A associação entre as variáveis foi avaliada pelo teste qui-quadrado ou o teste de Fisher e Wilcoxon, considerando um nível de significância de p<0,05. Resultados: foram incluídos 42 pacientes, 69,00 % homens, com idade média de 57,2±13 anos. A média de IMC na admissão na SaRIP foi de 26,82±5,32 kg/m2 e na alta foi de 26,99±5,15 kg/m2 (p=0,736). Segundo a AGS, 88,10 % apresentaram desnutrição na admissão e 42,86 % na alta (p=0,002). O 50% apresentaram ganho de peso com uma média de 2,73±2,07 kg e 100 % apresentaram aumento da força de preensão palmarcom uma média de 3,97±3,64 kg. Conclusões: A maioria dos pacientes foi admitida na SaRIP com desnutrição. Observou-se melhora do estado nutricional na alta.
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