Albumina sérica como marcador nutricional de pacientes em hemodiálise
Palavras-chave:
albumina sérica, mortalidade, pacientes, desnutrição energético-protéicoResumo
A prevalência de desnutrição protéico-energético em pacientes com insuficiência renal crônica submetidos à terapia de hemodiálise é elevada. Dentre os diversos parâmetros disponíveis para a avaliação do estado nutricional, a albumina tem sido o mais comumente utilizado para este fim visto a sua estreita associação com a morbidade e mortalidade nesta população. No entanto, vários fatores como idade, comorbidades, hipervolemia e perdas corpóreas podem influenciar as concentrações séricas de albumina. Além disso, na vigência de inflamação, condição comumente presente neste grupo de pacientes, o metabolismo da albumina pode encontrar-se alterado, influenciando os seus níveis plasmáticos. Sendo assim, esta comunicação tem como objetivo abordar os aspectos gerais da albumina e discutir a sua utilização na avaliação do estado nutricional de pacientes com insuficiência renal crônica submetidos à hemodiálise.
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Copyright (c) 2023 Nelma Scheyla José dos SANTOS† (in memorian), Sérgio Antônio DRAIBE, Maria Ayako KAMIMURA, Lilian CUPPARI
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