Coluna / Columna v.15, n.1 /2016

ARTIGO ORIGINAL


NUTRITIONAL STATUS, VITAMIN D AND NASAL COLONIZATION IN SPINAL SURGERY



Diego Benone dos Santos1 , Raphael de Rezende Pratali1 , Samuel Machado Martins1 , Carla Balkanyi Hoffman1 , Carlos Eduardo Gonçales Barsotti1 , Francisco Prado Eugenio dos Santos1 , Carlos Eduardo Algaves Soares de Oliveira1

1 . Orthopedics and Traumatology Service of the Hospital do Servidor Público Estadual de São Paulo.

DOI: http://dx.doi.org/



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ABSTRACT

Objective:
Evaluate the nutritional status, vitamin D, the serum albumin, and the nasal colonization by bacteria in a Brazilian population sample that included specifically patients undergoing spine surgery

Methods:
The serum albumin and vitamin D tests were performed on blood samples; nasal microbiological research was performed by swab and demographic information was collected. We studied the correlation between the tests and gender and age groups of patients.

Results:
Seventy-five patients were included. Of this total, 74 patients underwent testing of albumin levels, 64 of vitamin D and 41 underwent nasal swab. The mean of serum albumin was 3.76 g/dl (SD = 0.53 g/dl); 70.3% of subjects were considered normal and 29.7% showed hypoalbuminemia. Regarding vitamin D, the mean was 16.64 ng/ml (SD: 7.43 ng/ml); 64.1% of patients were considered deficient, 32.8% insufficient, and 3.1% were considered normal. There was significant difference between albumin and age (p=0.007), being that the greater the age, the lower the albumin. Hypoalbuminemia was significantly more frequent over 60 years (p<0.001). There was no correlation between vitamin D or nasal swab and age (p=0.603 and 0.725, respectively). The correlation between the tests and gender showed no significant difference in any of the parameters.

Conclusion:
The serum albumin and vitamin D levels and results of nasal swab were presented for a Brazilian sample of patients undergoing spine surgery. It was found correlation between hypoalbuminemia (inferring malnutrition) and age group of patients. Almost all the patients had some degree of vitamin D deficiency, with no correlation with age.


Keywords: Spine/surgery,Serum albumin,Vitamin D,Staphylococcus aureus

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