Avaliação nutricional subjetiva: Parte 2 - Revisão de suas adaptações e utilizações nas diversas especialidades clínicas

Barbosa-Silva, Maria Cristina G.; Barros, Aluísio J. D.

doi:10.1590/s0004-28032002000400008

Cited by 28 publications

(24 citation statements)

References 21 publications

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“…considering subjective concepts 7 . From the beginning of this century, attempts have been made to demonstrate the nutritional assessment method that would be more accurate and reliable for certain types of patients or specific clinical conditions 3,8 .…”

Section: General Review Of Nutritional Assessmentmentioning

confidence: 99%

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Reliability of nutritional assessment in patients with gastrointestinal tumors

Poziomyck

Fruchtenicht

Kabke

et al. 2016

Rev. Col. Bras. Cir.

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A B S T R A C TPatients with gastrointestinal cancer and malnutrition are less likely to tolerate major surgical procedures, radiotherapy or chemotherapy.In general, they display a higher incidence of complications such as infection, dehiscence and sepsis, which increases the length of stay and risk of death, and reduces quality of life. The aim of this review is to discuss the pros and cons of different points of view to assess nutritional risk in patients with gastrointestinal tract (GIT) tumors and their viability, considering the current understanding and screening approaches in the field. A better combination of anthropometric, laboratory and subjective evaluations is needed in patients with GIT cancer, since malnutrition in these patients is usually much more severe than in those patients with tumors at sites other than the GIT. Therefore, in the daily practice of oncology, the definition of an appreciable and simple to apply nutritional assessment tool is necessary to identify nutritional risk patients and thus determine the best approach and appropriate nutritional support 8 . The objective of this review is to present an overview of the methods and tools used to determine nutritional risk, considering the pros and cons when applied to patients with GIT cancer. METHODSWe systematically identified studies on nutritional status of patients with GIT cancer through the PubMed and MEDLINE databases. We researched articles published in the last ten years by combining the terms "nutritional assessment", "GI cancer", "gastrointestinal tract", "gastric cancer", "oesophageal cancer" and "pancreatic cancer". We considered for evaluation only complete articles with those terms in English or Portuguese. We identified additional articles from citations in the articles evaluated. RESULTS AND DISCUSSION General review of nutritional assessmentIt was in the 1950s that authors first published research related to nutritional assessment procedures. Subjective methodsIn 1980, Detsky et al. described the Subjective Global Assessment (SGA) used to assess preoperative patients with GIT tumors (n = 202) undergoing major surgical procedures; They have shown that SGA could be easily applied and considered it a valid and reliable method to estimate the surgical patients' nutritional status 12 .Other authors have published several articles supporting the SGA in determining nutritional status, which differed from other methods in considering not only changes in body composition, but also functional changes. In addition, SGA is a simple, inexpensive, non-invasive method and can be performed at bedside.Correct guidance on the SGA application is essential, since its accuracy depends on the observer's ability to detect subjectively significant nutritional changes 8,13,14 .Subsequently, the SGA has undergone modi- Wu et al. had higher incidence of complications and longer hospital stay the worse the level of SGA in patients undergoing major procedures for GIT cancer (mainly gastric) 18 . These results were also supported by our series o...

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Section: General Review Of Nutritional Assessmentmentioning

confidence: 99%

“…However, health professionals find it difficult to use most of the currently validated tools for nutritional assessment, due to limited time, method reproducibility, organization or cost [6][7][8] . Thus, all currently considered parameters show some sort of limitation to accurately assess the state nutritional 6 .…”

Section: Introductionmentioning

confidence: 99%

Reliability of nutritional assessment in patients with gastrointestinal tumors

Poziomyck

Fruchtenicht

Kabke

et al. 2016

Rev. Col. Bras. Cir.

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“…O padrão-ouro para realizar avaliação do estado nutricional é a Subjective Global Assessment (SGA -Avaliação Subjetiva Global) 8,13 .…”

Section: Avaliação Nutricionalunclassified

“…A desnutrição hospitalar é um problema de saúde pública e está associada ao aumento significativo de morbidade e mortalidade 2,8 . Ainda hoje é freqüentemente não diagnosticada e, portanto, não tratada O objetivo da presente revisão é discutir seis ferramentas de triagem nutricional existentes e indicar a que possa ser mais facilmente aplicada nos pacientes brasileiros hospitalizados.…”

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Aplicabilidade dos métodos de triagem nutricional no paciente hospitalizado

et al. 2008

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A prevalência de desnutrição energético-protéica em ambiente hospitalar varia de 20% a 50%, conforme critérios utilizados. O risco nutricional se refere ao risco aumentado de morbimortalidade em decorrência do estado nutricional. A triagem nutricional identifica indivíduos desnutridos ou em risco de desnutrição, almejando determinar se existe risco nutricional e se é necessária avaliação nutricional mais detalhada. Já a avaliação nutricional, além de detectar desnutrição, classifica seu grau e permite coleta de informações que auxiliem em sua correção. Foram revisadas as ferramentas de triagem nutricional mais citadas na literatura atual. Para obtenção dos artigos de triagem nutricional foram feitas pesquisas nos websites científicos. Dentre as ferramentas citadas, ressalta-se a Nutritional Risk Screening 2002, que pode ser aplicada a todos os pacientes internados em hospitais, independentemente da doença que apresentem ou da idade, sem custo adicional ao serviço e que pode ser efetuada por diferentes profissionais. Cabe a cada profissional desenvolver senso crítico para determinar sua técnica de preferência. Termos de indexação:Assistência hospitalar. Desnutrição. Programas de rastreamento. Triagem.

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“…The subjective global assessment proposed by Detsky et al 5 has been considered a good approach for subjective assessment of patients with liver disease 6 , but water retention complicates its applicability since the estimated weight loss, which is part of this assessment, becomes impaired 7 .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of nutritional indicators and body composition in patients with advanced liver disease enrolled for liver transplantation

2013

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PURPOSE: Malnutrition is prevalent in patients with advanced liver disease (LD) related to multifactorial causes. Fluid retention can underestimate the nutritional status based on anthropometric measures. We evaluated nutritional indicators and body composition (BC) in patients with liver cirrhosis and correlated them with LD severity. METHODS:Forty three patients with LD enrolled for liver transplantation were evaluated by Anthropometric measures, subjective evaluation (Global Assessment of Nutritional Status -SGA) and biochemical indicators. Single-frequency electrical bioimpedance (SFE-BIA) was used to evaluate body composition (BC). It measured resistance (R), reactance (Xc) and the phase angle (PA). LD severity was estimated by Child-Pugh and Meld criteria (Model for End-Stage Liver Disease). RESULTS:Child-Pugh index between patients was 7.11±1.70 and Meld was 12.23±4.22. Arm Circumference, Arm Muscle Circumference and Arm Muscle Area, SGA, hemoglobin, hematocrit and albumin showed better correlation with disease severity. Xc and PA showed correlation both with Meld and Child-Pugh score when BC were evaluated. PA was depleted in 55.8% of the patients. CONCLUSIONS:Diagnosis of malnutrition varied according to the method. Global assessment of nutritional status showed better correlation with disease severity than with objective methods. Single-frequency electrical bioimpedance for body composition analysis in cirrhotic patients must be cautiously used; however, primary vectors seems to be valid and promising in clinical practice.

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Avaliação nutricional subjetiva: Parte 2 - Revisão de suas adaptações e utilizações nas diversas especialidades clínicas

Cited by 28 publications

References 21 publications

Reliability of nutritional assessment in patients with gastrointestinal tumors

Reliability of nutritional assessment in patients with gastrointestinal tumors

Aplicabilidade dos métodos de triagem nutricional no paciente hospitalizado

Evaluation of nutritional indicators and body composition in patients with advanced liver disease enrolled for liver transplantation

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