Resumo A triagem “Nutritional Risk Screening (NRS-2002)” é uma ferramenta considerada padrão ouro na análise do risco nutricional. Sendo assim, objetivou-se identificar na “NRS-2002” qual ou quais os critérios avaliados que mais contribuem para determinar o risco nutricional. Estudo descritivo transversal e quantitativo com 763 adultos e idosos hospitalizados, no ano de 2015. Aplicada a “NRS-2002” que avalia as variáveis Índice de Massa Corporal (IMC), perda de peso nos últimos 3 meses, redução da ingestão alimentar na última semana e gravidade da doença. A estatística dos dados foi descritiva e analítica por meio do método de regressão logística univariada. Observou-se que 46,4% dos pacientes apresentaram risco nutricional, com maiores chances em homens e idosos. Sendo a perda de peso o critério mais prevalente seguido da redução da ingestão alimentar, o IMC < 20,5kg/m² teve maior efeito no risco nutricional (OR = 31,0; IC 95%:14,21;67,44). Concluiu-se que o IMC < 20,5kg/m² e a perda de peso nos últimos três meses foram os fatores que mais contribuíram na determinação do risco nutricional, sendo a identificação precoce do risco nutricional de extrema importância para o direcionamento da conduta dietoterápica para a melhora da ingestão alimentar com objetivo de recuperação do peso corporal.
Objective: to analyze the use of the Adductor Pollicis Muscle Thickness (APMT) as an
anthropometric parameter and prognostic indicator in hospitalized or
ambulatory patients. Method: systematic review carried out the Web of Science, SCOPUS and Lilacs
databases. Results: Twenty-three studies were performed on critical, surgical, oncological,
nephropathic and hepatopathic patients, collecting data on bibliographic
reference, study site, objectives, number of patients, age group,
methodology, main results and conclusion. APMT proved to be a good
anthropometric parameter for evaluation of nutritional status in critical
patients without edema, and surgical, oncological and nephropathic patients,
but presented poor performance for diagnosis of malnutrition in hepatopathic
patients. It was a good prognostic indicator for mortality in critical,
nephropathic and oncological patients, and also a good predictor of
hospitalization in nephropathic patients. There was an association with
neurological complications in Hepatic Encephalopathy (HE) in the case of
hepatophatic patients, but it was not a predictor of postoperative
complications in surgical patients. Conclusion: APTM was considered a good anthropometric parameter in most clinical
conditions, except in patients with liver disease and a good prognostic
indicator for mortality in critical, oncological and nephropathic patients,
and a predictor of neurological complications in HE. Further prognostic
investigation, standardization of cutoff points and evaluation of
sensitivity and specificity are required.
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