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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Avaliação de suporte nutricional sobre a alta hospitalar em cães e gatos /

Brunetto, Márcio Antonio. January 2006 (has links)
Orientador: Aulus Cavalieri Carciofi / Banca: Aparecido Antonio Camacho / Banca: Ingrid Dick de Paula / Resumo: O objetivo deste trabalho foi investigar o efeito do suporte nutricional assistido sobre a taxa de alta de cães e gatos hospitalizados. Foram incluidos no estudo um grupo de 947 animais hospitalizados no período de março de 1998 a dezembro de 2000 que não receberam assistência nutricional (G1) e 522 animais, hospitalizados no período de março de 2003 a dezembro de 2005 que foram manejados nutricionalmente (G2). Para a comparação de G1 versus G2 empregou-se o teste t. Em G2 empregou-se o Qui-quadrado e a Correlação de Spearman para avaliar as associações entre ingestão calórica e alta, escore de condição corporal e alta, escore de condição corporal e ingestão calórica. Os pacientes de G2 apresentaram 83,16% de alta hospitalar e tempo médio de intemação de 9,42 dias, valores significantemente maiores (p<0.001) que os de G1, de 67,1% e 6,6 dias. Em G2, 63% dos animais apresentaram consumo voluntário com ou sem persuasão (92,93% de alta), 18,90% receberam terapia nutricional enteral (71,82% de alta), 6,19% alimentação forçada (75,0% de alta), 7,0% terapia nutricional parenteral (61,90 de alta) e 4,47% dos animais ficaram em jejum (38,46% de alta), demonstrando associação entre o tipo de suporte nutricional e alta hospitalar (p<O.01). Dentre os animais que receberam de 0% a 33% da necessidade energética de manutenção (NEM), 62,73% tiveram alta, dos que receberam entre 34% e 66% da NEM, 87,78% tiveram alta e para os que receberam mais de 67% da NEM, 93,28% tiveram alta, demonstrando menor mortalidade nas faixas de maior balanço calórico (p<0.001). Nas faixas de maior balanço calórico os animais permaneceram mais tempo internados (p<0.001). O escore de condição corporal não teve associação (p>0.05) com o consumo de calorias, porém apresentou dependência com as taxas de alta e óbito (p<0.01). / Abstract: The objective of the present study was to investigate the effect of an assisted nutritional support on the outcome in dogs and cats.The study involved a group of 947 animals hospitalized in the Veterinary Hospital of FCAV - Unesp, before the Clinical Nutrition Service was implemented and therefore did not receive assisted nutritional support (G1), which was compared to a group of 522 animals that were nutritionally managed (G2). The statistical analysis of the results included the t test (G1 vs. G2) and Chi-Square and Spearman's correlation to evaluate G2 (CI and outcome, body condition score and outcome, body condition score e CI).The outcome in G2 was 83.16% and TH 9.42 days, values higher than G1 with 63% and 6.6 days (p<0.001). In G2, 63% showed voluntary feed consumption (92.93% outcome), 18.90% received enteral support (71.82% outcome), 6.19% were forced fed (75.0% outcome), 7.0% received parenteral support (61.90% outcome) and 4.47% did not eat (38.46% outcome), demonstrating an association between the type of nutritional support and outcome (p<0.01). In G2, animals that received 0% to 33% of their MER had 62.7% outcome and those receiving more than 67% of their MER had 93.28% outcome, showing a lower mortality in the higher CI range (p<0.001). TH was higher in the ranges with higher CI (p<0.001). The body condition score (BCS) was not associated with the calories consumption (p>O.05), but showed dependence on outcome (p<0.01), the discharged percentages were 73.0% for animals with low BCS, 86.32% for with ideal SCS, and 83.18% for overweight animals. / Mestre

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