https://cajapio.ufma.br/index.php/revistahuufma <p>Publicação do Hospital Universitário da UFMA (HU-UFMA)</p> <p>Missão: Divulgação de trabalhos científicos produzidos por pesquisadores com o objetivo de promover e disseminar a produção de conhecimentos e a socialização de experiências acadêmicas na área de saúde, assim como possibilitar o intercâmbio científico com programas de Pós-Graduação e Instituições de pesquisas nacionais e internacionais.</p> <p>A partir do primeiro semestre de 2022 a <strong>Revista</strong> <strong>de Pesquisa em Saúde</strong> passa a ser editada em <strong>FLUXO CONTÍNUO</strong>, sendo os artigos publicados logo após terem sido avaliados, aceitos e diagramados para publicação. Desta forma, buscamos dar agilidade ao processo de avaliação e publicação dos artigos, promovendo rapidez no processo de comunicação das pesquisas e disponibilidade para leituras e citações.</p> <p>ISSN 2236-6288 (on line)</p> <p>Periodicidade: Semestral com publicação dos artigos em fluxo contínuo</p> <p>A Revista de Pesquisa em Saúde não cobra custos de processamento e nem de submissão de artigos.</p> <p>Convidamos você a visitar nosso site e desejamos a todos uma boa leitura!</p> <p> </p> Universidade Federal do Maranhão pt-BR Revista de Pesquisa em Saúde 2179-6238 Direitos autorais Revista de Pesquisa em Saúde <br /><br /> <a href="http://creativecommons.org/licenses/by-nc-nd/4.0/" rel="license"><img style="border-width: 0;" src="http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png" alt="Licença Creative Commons" /></a><br />Este obra está licenciado com uma Licença <a href="http://creativecommons.org/licenses/by-nc-nd/4.0/" rel="license">Creative Commons Atribuição-NãoComercial-SemDerivações 4.0 Internacional</a>. https://cajapio.ufma.br/index.php/revistahuufma/article/view/23187 <p><strong>Introduction</strong>: The number of bariatric surgical procedures performed worldwide has been steadily increasing. According to the American Society for Metabolic and Bariatric Surgery, the Roux-en-Y gastric bypass (RYGB) continues to be the gold standard in relation to other bariatric procedures. Complications after surgical treatment for severe obesity vary according to the procedure performed and can reach up to 40 percent. Clinical follow-up after bariatric surgery has shown a tendency for hematological changes, mainly chronic anemia, as well as nutritional changes. <strong>Objectives</strong>: To evaluate anemia as a risk factor in the late postoperative period of RYGB, as well as its rates and related factors, and the outcome of adult patients at HUUFMA. <strong>Methods</strong>: This is an observational, retrospective, cross-sectional study of patients over 18 years of age who underwent RYGB at HUPD-UFMA between January 2020 and July 2022. Data collection was performed through a database of patients followed by the Bariatric Surgery Service. <strong>Conclusion</strong>: In the present study, a statistically significant difference was observed in micronutrient deficiency anemia (vitamin B12, folic acid, and iron) between the patients evaluated. Multidisciplinary follow-up is the necessary measure for a good clinical outcome, which brings prophylactic and therapeutic benefits, since nutritional deficiencies and surgical success are directly linked to eating behavior and adequate supplementation.</p> <p><strong>Keywords</strong>: Anemia; Postoperative Complications; Gastric Bypass.</p> Herlon Lucena de Figueiredo Roberto Coelho Netto da Cunha Costa Andréa Karine de Araújo Santiago Camiliane Azevedo Ferreira Gutemberg Fernandes de Araújo Copyright (c) 2025 http://creativecommons.org/licenses/by-nc-nd/4.0 2025-04-11 2025-04-11 25 2 https://cajapio.ufma.br/index.php/revistahuufma/article/view/25679 <p><strong>Introduction:</strong> Sepsis represents an important cause of admission and mortality among patients in Intensive Care Units (ICU). <strong>Objective:</strong> To describe the characteristics and morbidity and mortality outcomes of patients with sepsis/septic shock upon admission to the ICU of a high-complexity university hospital. <strong>Methods:</strong> This is a retrospective cross-sectional study. Adult patients with a diagnosis of sepsis/septic shock admitted to the ICU of the University Hospital of the Federal University of Maranhão (HU-UFMA) between 09/01/2021 and 12/31/2022, with known outcomes, were selected, excluding readmissions. Data were collected from the ICU database (EpimedR) and the electronic medical records of HU-UFMA (AGHUR). The statistical analysis began with an exploratory analysis of the data to obtain the characteristics of the study population, followed by a comparison between patients admitted with sepsis/septic shock and those admitted for other clinical causes. Pearson’s Chi-square and Mann-Whitney tests were used as appropriate, with a significance level of 0.05. <strong>Results:</strong> A total of 43 patients admitted with sepsis/septic shock during the period were studied, with ICU and hospital mortality rates of 44% and 53%, respectively. When compared to 198 patients admitted for other clinical causes, patients with sepsis/septic shock had higher severity and organ dysfunction scores at admission (p&lt;0.001), greater use of vasopressor drugs (p&lt;0.001), and renal replacement therapy (p = 0.01), with higher ICU mortality (p = 0.01). <strong>Conclusion:</strong> Patients with sepsis/septic shock at the time of ICU admission had high morbidity and mortality, emphasizing the importance of early diagnosis and timely referral to the ICU</p> Carim Miguel Choairy Terceiro Ana Paula Pierre de Moraes Maria dos Remédios Freitas Carvalho Branco Marko Antônio Freitas Santos Copyright (c) 2025 http://creativecommons.org/licenses/by-nc-nd/4.0 2025-04-11 2025-04-11 25 2