Claudia Georgiadis Lewandowski, Liane Esteves Daudt, Ana Maria Keller Jochims, Alessandra Paz, Elza Daniel de Mello
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29950
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6169
Compártelo:
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.
Palabras Clave: Hematopoietic stem cell transplantation. Nutritional therapy. Pediatrics.
Mª José Sendrós Madroño
María Josefa Martínez Gómez , Cristóbal Melián Fernández , María Romeo Donlo
Pilar Gomis Muñoz
Marta Suárez González , Juan José Díaz Martín , Santiago Jiménez Treviño , Carlos Alfredo Bousoño García
David López Daza
Michelli Cristina Silva de Assis , Andreia Barcellos Teixeira Macedo , Cláudia Hallal Alves Gazal , Célia Mariana Barbosa de Souza Martins , Luciana Verçoza Viana
Alicia Moreno Borreguero
Julia Álvarez Hernández
Erica Barreiro Domínguez , Raquel Sánchez Santos , Susana Diz Jueguen , Alexandra Piñeiro Teijeiro , Jaime Seoane Antelo , Esther Carrera Dacosta
Isabela Bernasconi José , Vania Aparecida Leandro-Merhi , José Luis Braga de Aquino , José Alexandre Mendonça
Mar Tripiana Rallo , Belén Montañés Pauls , Virginia Bosó Ribelles , Raúl Ferrando Piqueres
Leandro Silveira Monteiro da Silva , Haroldo Falcão Ramos da Cunha
José Ignacio Díaz-Pizarro Graf , Vanessa J. Kumpf , José Eduardo de Aguilar-Nascimento , Amber M. Hall , Liam McKeever , Ezra Steiger , Marion F. Winkler , Charlene W. Compher
Jéssica Martínez Rodríguez , Maria Roca Fontbona
Javier Blasco-Alonso , Raquel Gil-Gómez , Ana García Ruiz , Marta Cortés Hernández , Guiomar Gutiérrez Schiaffino
Julia Álvarez Hernández
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