Estimación del índice de masa corporal con base en la circunferencia braquial, para pacientes con discapacidad permanente o transitoria

Mill-Ferreyra, E.; Cameno-Carrillo, V.; Saúl-Gordo, H.; Camí-Lavado, M.C.

doi:10.1016/j.semerg.2017.08.002

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…Porém, essa medida sofre menos viés relacionado ao edema, uma vez que os membros superiores são mais raramente acometidos. Além disso, a mensuração da CB é mais fácil de ser realizada que a do IMC em pacientes acamados 23 . Estudos internacionais demonstraram que a CB teve forte correlação matemática com o IMC 23,24 .…”

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“…Além disso, a mensuração da CB é mais fácil de ser realizada que a do IMC em pacientes acamados 23 . Estudos internacionais demonstraram que a CB teve forte correlação matemática com o IMC 23,24 . Diferentemente desses, o nosso estudo apresentou baixo grau de concordância entre os dois métodos (Tabela 5).…”

Section: Discussionunclassified

“…Isso pode ter ocorrido pela diferença entre as formas de classificar os pacientes e entre as características das populações estudadas. No estudo espanhol, utilizou-se uma fórmula diferente para a correção da CB [CB(cm) × 30) / 32] em uma amostra selecionada na atenção primária à saúde 23 . Já no estudo camaronês, eram classificados como desnutridos pacientes hospitalizados com a CB inferior a 25 cm 24 .…”

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Perfil nutricional dos pacientes internados em um hospital universitário da Paraíba

Medeiros,

Temóteo,

Dantas

et al. 2021

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Introduction: Malnutrition or subnutrition are conditions related to the increase in morbidity and mortality in hospitalized patients and are associated with prolonged hospitalization, higher cost, higher incidence of complications, harder recovery and quality of life for the patient, as well as possible changes in the operation of various systems in the patient’s body. The purpose of this study is to evaluate the nutritional and epidemiological profile of the hospitalized patients. Methods: Transversal observational analytical study, gathering the data of 125 hospitalized patients in the Medical Clinic infirmary of Lauro Wanderley University Hospital, João Pessoa/PB, between August 2018 and May 2019. The analysis consists of a review of the patient’s medical records, interview using the Subjective Global Nutritional Assessment (SGNA) and measurement of brachial circumference (BC), in all patients older than 18 years old, up until 3 days of admission. Results: The sample consist of 52 (41.6%) male and 73 (58.4%) female patients. The presence of malnutrition varied according to the method used, being of 10.2% by body mass index (BMI), 43.1% by BC and 25.6% by SGNA. Regarding gender, BC appointed a prevalence on men. By age analysis, malnutrition was more common above 50 years old. Conclusion: Hospital environment presents an important association with malnutrition, which demands attention on patient care by the healthcare staff, in particular to the ones above 50 years old.

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Section: Discussionunclassified

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Perfil nutricional dos pacientes internados em um hospital universitário da Paraíba

Medeiros,

Temóteo,

Dantas

et al. 2021

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Evaluation of different screening tools for detection of malnutrition in hospitalised patients

Cortes,

Yañez,

Capitán‐Moyano

et al. 2024

Journal of Clinical Nursing

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Aims and ObjectivesTo assess the prevalence of malnutrition in hospitalised adult patients, and to evaluate the accuracy of the most commonly used nutritional screening tools for identifying individuals at risk of malnutrition.MethodsA prospective cross‐sectional study was conducted on a total of 248 hospitalised patients in internal medicine wards (mean age: 75.2 years; 39.5% females). Nutritional screening was performed within 48 h of admission using the following tools: Malnutrition Universal Screening Tool (MUST), Nutrition Risk Screening Tool (NRS‐2002), Malnutrition Screening Tool (MST), Short Nutritional Assessment Questionnaire (SNAQ), and Mini Nutritional Assessment Short Form (MNA‐SF). The criteria of the European Society for Clinical Nutrition and Metabolism (ESPEN) were used as the gold standard for defining malnutrition. Patients were also evaluated using the Subjective Global Assessment (SGA) and the Global Leadership Initiative on Malnutrition (GLIM) criteria. Accuracy was determined by examining sensitivity, specificity, and positive and negative predictive values, and diagnostic agreement was determined by calculation of Cohen's kappa (κ). The study is reported as per the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.ResultsThe ESPEN criteria classified 20.2% of the hospitalised patients as malnourished. Overall, the MUST had the highest sensitivity (80.0%), specificity (74.7%) and positive predictive value (44.4%). For the subgroup of patients aged >65 years, the MNA‐SF had high sensitivity (94.4%) but low specificity (39.0%). Based on Cohen's κ, the SGA and GLIM criteria showed low agreement with the ESPEN criteria.ConclusionThe MUST was the most accurate nutritional screening tool, through the MST is more easily applied in many clinical settings. A comprehensive assessment of malnutrition that considers muscle mass is crucial for the reliable diagnosis of malnutrition.Implications for the profession and/or patient careThe present findings underscore the importance of accurate assessment of the malnutrition status of hospitalised patients and the need for a reliable screening tool.No patient or public contribution.

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Herramientas diagnósticas nutricionales en pacientes con discapacidad. Artículo de revisión

Igua-Ropero¹

2022

Rev Medicas UIS

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Los pacientes con discapacidad tienen limitaciones para ejecutar las actividades básicas cotidianas de la vida diaria y la participación social. Además, son diagnosticadas con patologías asociadas de forma tardía como la malnutrición. El objetivo de la presente revisión es proporcionar herramientas diagnósticas nutricionales en pacientes con discapacidad; dando a conocer las técnicas disponibles de evaluación subjetivas, como instrumentos y encuestas, y objetivas como la antropometría. La búsqueda en la literatura se realizó en bases de datos Pubmed y Scopus, en el buscador Google Scholar y Uptodate, adicionalmente se incluyeron guías internacionales, resoluciones, tesis y capítulos de nutrición descritos. Las medidas antropométricas, en especial las circunferencias (braquial, cintura y pantorrilla), son de fácil implementación en los diferentes tipos de discapacidad, de acuerdo con el entorno donde se encuentra el paciente (ambulatorio, hospitalizado o institucionalizado), además, proporcionan información que permite el manejo integral de acuerdo con el diagnóstico nutricional.

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Estimación del índice de masa corporal con base en la circunferencia braquial, para pacientes con discapacidad permanente o transitoria

Cited by 4 publications

References 7 publications

Perfil nutricional dos pacientes internados em um hospital universitário da Paraíba

Perfil nutricional dos pacientes internados em um hospital universitário da Paraíba

Evaluation of different screening tools for detection of malnutrition in hospitalised patients

Herramientas diagnósticas nutricionales en pacientes con discapacidad. Artículo de revisión

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