Variação na prevalência de risco nutricional em indivíduos hospitalizados conforme cinco protocolos de triagem nutricional

Pereira, Duarte, Juliane; Vallandro, Juliana Paludo; Lemos, Joana; Moreira, Thaís Rodrigues

doi:10.15448/1980-6108.2014.1.15319

Cited by 7 publications

(7 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…SGA classifies the patients as well- nourished, moderately malnourished, and severely malnourished; on the other hand, the Nutritional Risk Screening classifies the priority of nutritional intervention. 8 For this study, we chose to work with SGA, since it is considered the gold-standard procedure in nutritional assessment of inpatients. 9 However, adequate training of all observers who desire to use it is crucial, because its precision depends on the capacity of the observer to detect significant nutritional alterations by means of subjective evaluation.…”

Section: Introductionmentioning

confidence: 99%

“…ASG classifica os pacientes como bem-nutridos, moderadamente desnutridos e gravemente desnutridos; já a Nutritional Risk Screening classifica a prioridade de intervenção nutricional . 8 Para este estudo, optou-se por trabalhar com a ASG, por ser um procedimento considerado padrão-ouro na avaliação nutricional de pacientes hospitalizados, 9 mas faz-se indispensável o treinamento adequado de todos os observadores que desejam praticá-la, pois sua precisão depende da capacidade do observador detectar as alterações nutricionais significativas por meio da avaliação subjetiva. 10 …”

Section: Introductionunclassified

See 1 more Smart Citation

Thickness of the adductor pollicis muscle in nutritional assessment of surgical patients

Valente

Silva

Faioli

et al. 2016

Einstein (São Paulo)

View full text Add to dashboard Cite

Objective To evaluate the correlation between thickness of the muscle adductor pollicis and anthropometric measurements, body mass index and Subjective Global Assessment in the nutritional assessment of surgical patients.Methods The study population comprised patients admitted to the general and reconstructive surgery unit of a university hospital in the city of Vitória (ES), Brazil. The inclusion criteria were patients evaluated in the first 48 hours of admission, aged ≥20 years, hemodynamically stable, with no edema or ascites. Data analysis was performed using the software Statistical Package for Social Science 21.0, significance level of 5%.Results The sample consisted of 150 patients that were candidates to surgery, mean age of 42.7±12.0 years. The most common reasons for hospitalization were surgical procedures, gastrintestinal diseases and neoplasm. Significant association was observed between thickness of adductor pollicis muscle and Subjective Global Assessment (p=0.021) and body mass index (p=0.008) for nutritional risk. Significant correlation was found between thickness of adductor pollicis muscle and arm muscle circumference, corrected arm muscle area, calf circumference and body mass index. There were no significant correlations between thickness of adductor pollicis muscle and triceps skinfold and age.Conclusion The use of thickness of adductor pollicis muscle proved to be an efficient method to detect malnutrition in surgical patients and it should be added to the screening process of hospitalized patients, since it is easy to perform, inexpensive and noninvasive.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionunclassified

Thickness of the adductor pollicis muscle in nutritional assessment of surgical patients

Valente

Silva

Faioli

et al. 2016

Einstein (São Paulo)

View full text Add to dashboard Cite

show abstract

“…The prevalence of nutritional risk in hospitalised patients identified by the original MUST varies among the studies reported in the literature . A cohort study conducted in Israel involving 215 elderly patients who underwent hip surgery identified nutritional risk in 20.4% of the sample .…”

Section: Discussionmentioning

confidence: 99%

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

“…Silva 19 Um estudo desenvolvido com 52 idosos hospitalizados, em Minas Gerais, obteve 38% de idosos com desnutrição. 20 A frequência elevada de idosos com desnutrição e risco de desnutrição é comum em várias populações, em especial os idosos internados ou institucionalizados, isso se deve as patologias, que muitas vezes levam à perda ponderal pela redução da ingestão de alimentos.…”

Section: Discussionunclassified

Estado nutricional e risco de quedas em idosos hospitalizados

Annes

Marchi

Urbanetto

et al. 2017

PAJAR

View full text Add to dashboard Cite

RESUMoO objetivo deste estudo é verificar a relação entre o estado nutricional e o risco de quedas em idosos hospitalizados. Trata-se de um estudo transversal, com amostra composta por idosos (≥60 anos), admitidos na unidade de internação geriátrica, de um hospital de ensino, no período de maio de 2014 a setembro de 2015. As variáveis avaliadas foram dados demográficos (sexo e idade), estado nutricional pela Mini Avaliação Nutricional ® e risco de quedas através da Morse Fall Scale. Participaram 96 pacientes, com média de idade de 82,9±7,9anos, (61 a 101 anos) sendo 67,7% (65) do sexo feminino. Referente à Mini Avaliação Nutricional ® , 53,2% (41) encontravam-se desnutridos, 35,1% (27) com risco de desnutrição e 11,7% (9) com estado nutricional normal. Quanto à Morse Fall Scale, 68,8% (66) dos pacientes encontravam-se com risco elevado de quedas, 26% (25) com risco moderado e 5,2% (5) com risco baixo. Não foi identificada associação entre o estado nutricional e o risco de quedas (p=0,339), embora observou-se que 59,6% dos idosos desnutridos tinham risco elevado de quedas e 47,6% daqueles com risco nutricional tinham risco moderado de quedas. Os idosos apresentaram risco elevado de quedas, além do alto índice de desnutrição e risco de desnutrição. Não houve associação entre estado nutricional e risco de quedas.Palavras-chave: Idoso; Nutrição do idoso; Quedas; Estado nutricional. AbStRActThe aim of this study is to investigate the relationship between nutritional status and the risk of falls in hospitalized elderly. This is a cross-sectional study with a sample of elderly (≥60 years), admitted to the geriatric inpatient unit of a teaching hospital, from May 2014 to September 2015. The variables were demographic data (gender and age), nutritional status the Mini Nutritional Assessment ® and risk of fall through the Morse Fall Scale. There were 96 inpatients in this study, the average age was between 82.9±7.9 years (61 to 101 years), being 67.7% (65) from the female gender. According to the Mini Nutritional Assessment ® , 53.2% (41) were malnourished, 35.1% (27) were at risk and 11.7% (9) were eutrophic. According to the Morse Fall Scale, 68.8% (66) of the patients had high risk of falling, 26% (25) had moderate risk and 5.2% (5) were at low risk. There was no association between the nutritional status and the risk of fall, although it was observed that 59.6% of the malnourished elderly had high risk of falling and 47.6% at nutritional risk had also medium risk of falling. The elderly presented high risk of falls, besides high incidence of malnourishment. Despite that, there was no association between nutritional status and risk of fall.

show abstract

Variação na prevalência de risco nutricional em indivíduos hospitalizados conforme cinco protocolos de triagem nutricional

Cited by 7 publications

References 28 publications

Thickness of the adductor pollicis muscle in nutritional assessment of surgical patients

Thickness of the adductor pollicis muscle in nutritional assessment of surgical patients

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

Estado nutricional e risco de quedas em idosos hospitalizados

Contact Info

Product

Resources

About