Complementarity of Subjective Global Assessment (SGA) and Nutritional Risk Screening 2002 (NRS 2002) for predicting poor clinical outcomes in hospitalized patients

Raslan, Mariana; Gonzalez, Maria Cristina; Torrinhas, Raquel Susana; Ravacci, Graziela Rosa; Pereira, Júlio César Rodrigues; Waitzberg, Dan Linetzky

doi:10.1016/j.clnu.2010.07.002

Cited by 101 publications

(95 citation statements)

References 31 publications

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“…Many studies have investigated the nutritional status of hospitalized patients and its relationship with the risk factors associated with clinical intercurrences during hospital stay (3,(22)(23)(24)27,28,31) . These studies have found strong associations between the nutritional status of these patients and the presence of complications, death, and a lengthy hospital stay, and many have established these associations with logistic regression analyses (24,22,28,31) . The current study differs from other studies because it used MCA to investigate the relationship between nutritional status and clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Vânia Aparecida LEANDRO-MERHI 1 and José Luiz Braga de AQUINO 2 assessment (22,28,29,34) , biochemical parameters (24,29) , and anthropometry (3,22,24,29) to investigate the relationship between poor nutritional status and bad clinical outcomes, and many of these methods have been considered good predictors of bad clinical outcomes during hospital stay (24,28) . Yet, other studies have suggested the combination of subjective and objective methods (29) for nutritional status assessment.…”

Section: Relationship Between Nutritional Status and The Clinical Outmentioning

confidence: 99%

“…For many years, many studies have reported undesirable outcomes that may occur during the hospital stay of patients diagnosed with malnutrition or even at some nutritional risk (28,31) . These findings have been observed in patients with neoplasms, digestive tract diseases, and other clinical situations (22,24,31) .…”

Section: Introductionmentioning

confidence: 99%

“…Hence, malnutrition, nutritional risk, recent weight loss, and low energy intake are considered risk factors for poor clinical outcomes in hospitalized patients, regardless of the underlying disease (3,4,14,22,28,31,32) .…”

Section: Introductionmentioning

confidence: 99%

“…Given this hospital setting reality, many studies (3,4,22,28,29,34) have used different nutritional status assessment methods, especially the nutritional risk screening (NRS-2002) (28,29,34) , subjective global…”

Section: Introductionmentioning

confidence: 99%

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Relationship Between Nutritional Status and the Clinical Outcomes of Patients With and Without Neoplasms According to Multiple Correspondence Analysis

Leandro-Merhi

Aquino

2017

Arq. Gastroenterol.

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-Background -For many years, many studies have reported undesirable outcomes that may occur during the hospital stay of patients diagnosed with malnutrition or even at some nutritional risk. Objective -To investigate the relationship between nutritional status and clinical outcomes during hospital stay using the multiple correspondence analysis technique. Methods -This cross-sectional study included 600 patients with and without neoplasms. The following data were collected: subjective global assessment, nutritional indicators, nutritional risk screening, anthropometric data (body mass index (BMI), mid-upper arm circumference (MUAC), mid-upper arm muscle circumference (MUAMC), triceps skinfold thickness (TST), recent weight loss (RWL)), and habitual energy intake (HEI/ER <75%). The clinical outcomes of interest were complications, length of hospital stay (LOHS), and death. The data were analyzed by the chi-square or Fisher's exact test at a significance level of 5%. Multiple correspondence analysis was used for the multivariate data analysis. Results -The multiple correspondence analysis map for the patients with neoplasms showed that the following characteristics were associated and represented by death, complications, and a greater likelihood of LOHS ≥7 days: underweight according to BMI; TST, MUAC, and MUAMC ≤15th percentile; malnutrition according to the subjective global assessment; at nutritional risk according to the nutritional risk screening; being male; age ≥60 years; and HEI/ER <75%. The multiple correspondence analysis map for the patients without neoplasms showed that the following characteristics were associated and represented by death: underweight according to BMI; TST ≤15th percentile; malnutrition according to the subjective global assessment; and at nutritional risk according to the nutritional risk screening. Complications and LOHS ≥7 days represented the categories male, no recent weight loss, HEI/ER <75%, MUAC and MUAMC ≤15th percentile, TST between the 15th and 85th percentiles, and age <60 years. Conclusion -The results of this study confirm an association between unsatisfactory nutritional indicators and undesirable clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Relationship Between Nutritional Status and The Clinical Outmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Relationship Between Nutritional Status and the Clinical Outcomes of Patients With and Without Neoplasms According to Multiple Correspondence Analysis

Leandro-Merhi

Aquino

2017

Arq. Gastroenterol.

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Prognostic value of nutritional impairment on treatment‐related toxicity and survival in patients with nasopharyngeal carcinoma taking normal nutrition before radiotherapy

Lin

et al. 2020

Head & Neck

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Background: To investigate nutritional impairment during intensitymodulated radiotherapy (IMRT) in patients with nasopharyngeal carcinoma (NPC) taking normal nutrition before IMRT and its effect on treatment-related toxicities (TRTs) and survival. Methods: Modified nutrition index (m-NI) of 187 patients with NPC, comprised eight indicators (body mass index, circumference of upper arm muscles, total lymphocyte count, red blood cell count, levels of albumin, pre-albumin, transferrin, and hemoglobin), were evaluated before/after IMRT. Patient characteristics, m-NI, and the follow-up data for survival and TRTs were analyzed. Results: The m-NI scores of patients with NPC decreased significantly after IMRT. Severe nutritional impairment (SNI; decrease in m-NI score ≥50%) was an independent prognostic factor for overall survival (OS) and an independent risk factor for grade ≥2 oral mucositis. Classification T4 disease and smoking were SNI risk factors. Conclusions: SNI during IMRT is a risk factor for oral mucositis and a prognostic factor for worse OS in patients with NPC.

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Malnutrition Identified by Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition Is Associated With More 30‐Day Readmissions, Greater Hospital Mortality, and Longer Hospital Stays: A Retrospective Analysis of Nutrition Assessment Data in a Major Medical Center

Hudson

Chittams

Griffith

et al. 2018

J Parenter Enteral Nutr

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Complementarity of Subjective Global Assessment (SGA) and Nutritional Risk Screening 2002 (NRS 2002) for predicting poor clinical outcomes in hospitalized patients

Cited by 101 publications

References 31 publications

Relationship Between Nutritional Status and the Clinical Outcomes of Patients With and Without Neoplasms According to Multiple Correspondence Analysis

Relationship Between Nutritional Status and the Clinical Outcomes of Patients With and Without Neoplasms According to Multiple Correspondence Analysis

Prognostic value of nutritional impairment on treatment‐related toxicity and survival in patients with nasopharyngeal carcinoma taking normal nutrition before radiotherapy

Malnutrition Identified by Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition Is Associated With More 30‐Day Readmissions, Greater Hospital Mortality, and Longer Hospital Stays: A Retrospective Analysis of Nutrition Assessment Data in a Major Medical Center

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