Introduction: Metabolic syndrome (MS) can be defined as a set of cardiovascular risk
factors related to central obesity and insulin resistance, which can influence the prognosis
of hospitalized patients. Objectives: To identify the prevalence of MS among patients
admitted to the medical clinic ward, in a university hospital, as well as to correlate this
syndrome with the prognosis of these patients. Methods: An observational cohort study
was conducted, whose data were obtained through physical examination and by
reviewing the medical records of each patient. Thus, analyzes of demographic and clinical
variables, physical examination and complementary exams were performed. For the
assessment of MS, the concept of the National Cholesterol Education Program's Adult
Treatment Panel III (NCEP-ATP III) was used. Results: Eighty consecutive patients
admitted to the medical clinic ward of Hospital Universitário João de Barros Barreto
(HUJBB) were selected for a period of 4 months. It was observed that 55% of the patients
did not have MS criteria (Group 1 – G1) and 45% had the syndrome (Group 2 – G2). G2
had a mean age of more than a decade (57.4 ±16.1 x 47 ±19.9, p= 0.014) and a higher
prevalence of women (53.3% x 47.5%, p. >0.05). Within this same group, DM, SAH and
obesity were the most prevalent factors (94.4%; 72.2% and 61%). Regarding the days of
hospitalization, averages of 24.8 days and 25.7 days were observed for groups 1 and 2,
respectively (p= 0.835). As for the evolutionary characteristics, there was a similarity
between the groups regarding the number of deaths (11.4% x 11.1%, p= 1) and a
superiority in the values regarding the transfer to intensive care in G2 (4.5% x 11 .1%),
despite not reaching statistical significance (p= 0.401). There was a higher incidence of
echocardiographic changes in patients with MS (84%) than in patients without MS (60%).
Conclusion: Almost half of the entire population studied had MS, with the highest
prevalence in women and patients over 60 years of age. Diabetes mellitus, arterial
hypertension and obesity were the component factors with the highest prevalence in G2.
It was seen that MS did not affect the length of stay and the prognosis of the patients
analyzed, as there was no significant distinction between the groups in these variables.
However, MS may have been a triggering or influencing factor in the cause of such
hospitalizations.
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