Nutrition Risk Screening in Patients Admitted to an Adult Emergency Department of a Brazilian University Hospital

Kami, Akemi Arenas; Fernandes, Ricardo; Camargo, Carolina de Quadros; Corsi, D.; Salles, Raquel Kuerten de; Trindade, Erasmo Benício Santos de Moraes

doi:10.1177/0884533616656339

Cited by 8 publications

(11 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The highest and lowest prevalence rates of nutrition risk in the current study were identified from the MUST (37.1%) and NRS‐2002 (29.4%), lower than those described by Kami et al, who found nutrition risk for 48.7% (NRS‐2002) of the inpatients admitted to an emergency service in a Brazilian hospital 28 . Another study conducted in Brazilian hospitals detected similar proportions of patients at nutrition risk via the same instruments: 39.6% with the MUST and 27.1% with the NRS‐2002 (27.1%) 23 .…”

Section: Discussioncontrasting

confidence: 86%

Nutritional Risk Screening 2002, Short Nutritional Assessment Questionnaire, Malnutrition Screening Tool, and Malnutrition Universal Screening Tool Are Good Predictors of Nutrition Risk in an Emergency Service

et al. 2017

View full text Add to dashboard Cite

show abstract

Section: Discussioncontrasting

confidence: 86%

Nutritional Risk Screening 2002, Short Nutritional Assessment Questionnaire, Malnutrition Screening Tool, and Malnutrition Universal Screening Tool Are Good Predictors of Nutrition Risk in an Emergency Service

et al. 2017

View full text Add to dashboard Cite

show abstract

“…We have found no studies applying NRS-2002 to the population of interest in the ED. Two studies in individuals above the age of 18 reported prevalences of 29% and 49% [ 54 , 55 ], which are lower than the prevalence of 59% that we observed. This, we expect to be largely explained by the younger average age.…”

Section: Discussioncontrasting

confidence: 97%

Risk of Malnutrition upon Admission and after Discharge in Acutely Admitted Older Medical Patients: A Prospective Observational Study

et al. 2021

View full text Add to dashboard Cite

There is a lack of knowledge about malnutrition and risk of malnutrition upon admission and after discharge in older medical patients. This study aimed to describe prevalence, risk factors, and screening tools for malnutrition in older medical patients. In a prospective observational study, malnutrition was evaluated in 128 older medical patients (≥65 years) using the Nutritional Risk Screening 2002 (NRS-2002), the Mini Nutritional Assessment-Short Form (MNA-SF) and the Eating Validation Scheme (EVS). The European Society of Clinical Nutrition (ESPEN) diagnostic criteria from 2015 were applied for diagnosis. Agreement between the screening tools was evaluated by kappa statistics. Risk factors for malnutrition included polypharmacy, dysphagia, depression, low functional capacity, eating-related problems and lowered cognitive function. Malnutrition or risk of malnutrition were prevalent at baseline (59–98%) and follow-up (30–88%). The baseline, follow-up and transitional agreements ranged from slight to moderate. NRS-2002 and MNA-SF yielded the highest agreement (kappa: 0.31 (95% Confidence Interval (CI) 0.18–0.44) to 0.57 (95%CI 0.42–0.72)). Prevalence of risk factors ranged from 17–68%. Applying ESPEN 2015 diagnostic criteria, 15% had malnutrition at baseline and 13% at follow-up. In conclusion, malnutrition, risk of malnutrition and risk factors hereof are prevalent in older medical patients. MNA-SF and NRS-2002 showed the highest agreement at baseline, follow-up, and transitionally.

show abstract

“…A multicentre longitudinal study involving 564 063 patients admitted to Dutch hospitals also demonstrated a 1.4‐day longer hospital stay in patients with nutritional risk compared to those without nutritional risk (also according to the original MUST) . In addition, a prospective Brazilian study of 234 patients from the emergency unit of a general hospital showed that, for every 10 patients at nutritional risk, four stayed >10 days in the hospital . Another prospective observational study involving 537 patients with stroke also showed a positive association between the presence of nutritional risk according to the original MUST and mortality; in patients with high nutritional risk, the risk of death was 5.6‐fold higher (95% CI = 3.23–9.96) than in patients with low nutritional risk .…”

Section: Discussionmentioning

confidence: 94%

Predictive and concurrent validity of the Malnutrition Universal Screening Tool using mid‐upper arm circumference instead of body mass index

Gottschall

Tarnowski

Machado

et al. 2019

J Human Nutrition Diet

View full text Add to dashboard Cite

Background Considering the difficulty in obtaining weight and height measurements of patients at hospital admission, the Malnutrition Universal Screening Tool (MUST) proposes the use of mid‐upper arm circumference (MUAC) instead of body mass index (BMI) as an alternative for screening of malnutrition risk. The present study aimed to evaluate the performance of MUST with MUAC in place of BMI to identify nutritional risk and predict prolonged hospitalisation and mortality in hospitalised patients. Methods The prospective cohort study involved ambulant patients aged ≥18 years who were admitted to the emergency department of a public hospital. A questionnaire concerning clinical and socio‐demographic data was applied and anthropometric measurements were performed (weight, height, BMI and MUAC). Nutritional risk screening was performed using the original MUST (BMI) and MUST‐MUAC tools. The outcomes were length of hospital stay and death. Results Seven hundred and fifty‐two patients were included and followed‐up for 13.5 (interquartile range 3.00–19.00) days. The frequency of patients at nutritional risk was higher according to MUST‐MUAC (48.9%) compared to the original MUST (37.1%). MUST‐MUAC showed concurrent validity, demonstrating good agreement with the original MUST (k = 0.690), high sensitivity (95.3%) and accuracy (area under the curve = 0.868; 95% confidence interval = 0.841–0.895) with respect to identifying nutritional risk. The presence of nutritional risk detected by the MUST‐MUAC increased the chance of prolonged hospital stay by 1.9 (95% CI. 1.4–2.7)‐fold and mortality by 3.2 (95% CI. 1.1–9.4)‐fold. Conclusions MUST‐MUAC showed satisfactory concurrent and predictive validity. Considering that MUAC measurement is easier to perform than BMI, the MUST‐MUAC should be used for screening of nutritional risk in hospitalised patients.

show abstract

Nutrition Risk Screening in Patients Admitted to an Adult Emergency Department of a Brazilian University Hospital

Abstract: The prevalence of nutrition risk in emergency patients was high and its profile associated with worse clinical, laboratory, and anthropometric outcomes. The use of other laboratory and clinical variables may also be a good strategy for predicting adverse outcomes in emergency units.

Cited by 8 publications

References 39 publications

Nutritional Risk Screening 2002, Short Nutritional Assessment Questionnaire, Malnutrition Screening Tool, and Malnutrition Universal Screening Tool Are Good Predictors of Nutrition Risk in an Emergency Service

Nutritional Risk Screening 2002, Short Nutritional Assessment Questionnaire, Malnutrition Screening Tool, and Malnutrition Universal Screening Tool Are Good Predictors of Nutrition Risk in an Emergency Service

Risk of Malnutrition upon Admission and after Discharge in Acutely Admitted Older Medical Patients: A Prospective Observational Study

Predictive and concurrent validity of the Malnutrition Universal Screening Tool using mid‐upper arm circumference instead of body mass index

Contact Info

Product

Resources

About