How important is malnutrition? A prospective study in internal medicine

Venzin, Reto; Kamber, Niklaus; Keller, W; Pm, Suter; Reinhart, Walter H.

doi:10.1038/sj.ejcn.1602948

Cited by 38 publications

(28 citation statements)

References 32 publications

(31 reference statements)

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“…Muitas questões necessitam treinamento do aplicador (como antropometria) ou implicam em julgamentos subjetivos. A MNA -SF almeja preservar a sensibilidade, a especificidade e o diagnóstico confiável da MNA original, enquanto minimiza tempo e treinamento necessários para a aplicação 3,21 .…”

Section: é T O D O Sunclassified

Aplicabilidade dos métodos de triagem nutricional no paciente hospitalizado

et al. 2008

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A prevalência de desnutrição energético-protéica em ambiente hospitalar varia de 20% a 50%, conforme critérios utilizados. O risco nutricional se refere ao risco aumentado de morbimortalidade em decorrência do estado nutricional. A triagem nutricional identifica indivíduos desnutridos ou em risco de desnutrição, almejando determinar se existe risco nutricional e se é necessária avaliação nutricional mais detalhada. Já a avaliação nutricional, além de detectar desnutrição, classifica seu grau e permite coleta de informações que auxiliem em sua correção. Foram revisadas as ferramentas de triagem nutricional mais citadas na literatura atual. Para obtenção dos artigos de triagem nutricional foram feitas pesquisas nos websites científicos. Dentre as ferramentas citadas, ressalta-se a Nutritional Risk Screening 2002, que pode ser aplicada a todos os pacientes internados em hospitais, independentemente da doença que apresentem ou da idade, sem custo adicional ao serviço e que pode ser efetuada por diferentes profissionais. Cabe a cada profissional desenvolver senso crítico para determinar sua técnica de preferência. Termos de indexação:Assistência hospitalar. Desnutrição. Programas de rastreamento. Triagem.

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Aplicabilidade dos métodos de triagem nutricional no paciente hospitalizado

et al. 2008

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“…A number of studies showed similar results. 8,9,11,[25][26][27] On the contrary, some studies indicated no significant relationship between the length of stay and the nutritional status. [28][29][30] When we analyzed the food choices of patients in this study, we found that malnourished and at risk patients consumed significantly less amounts of meat, poultry, fish, eggs, lentils, fruits and vegetables compared to the patients with normal nutritional status.…”

Section: Discussionmentioning

confidence: 93%

“…8,9,11,[18][19][20][21] Only a few studies assessed nutritional status of elderly hospitalized patients in Turkey. Korfalı and colleagues 22 found malnutrition risk as 25% using Nutritional Risk Screening 2002 (NRS-2002) in their study which included 62 hospitals and 10,325 patients 60 years and older.…”

Section: Discussionmentioning

confidence: 99%

“…7 Malnutrition increases length of hospital stay and mortality while it decreases the quality of life. [8][9][10][11][12] Cardiac patients with moderate or severe protein-energy malnutrition has twice or more mortality risk. 13 Therefore, it is important to identify malnutrition at admission to hospital, in order to prevent complications of malnutrition and to improve progress in the treatment.…”

Section: K Ke Ey Y Wmentioning

confidence: 99%

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Assessment of Nutritional Status and Its Association with Length of Hospital Stay and Food Consumption in Elderly Cardiovascular Patients

Arikbuka¹,

Yücecan²,

Karaağaoğlu³

2013

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Elderly hospitalized patients have increased risks for malnutrition, long hospital stay and complications. The objectives of this study were to assess the nutritional status of elderly (65 years and older) cardiovascular patients and to reveal its association with length of stay and food intake. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A total of 211 patients (119 males and 92 females) were included in the study. Anthropometric measurements were done, full MNA® form was applied to assess nutritional status, and food consumption was questioned after admission to the hospital. The days following the admission, the patients' food consumptions were assessed, and this assessment was repeated during their stay in hospital. Full MNA® form was applied again at discharge. R Re es su ul lt ts s: : Out of total, 48.4 % of patients were well nourished, while 43.10 % were at risk of malnutrition and 8.50 % were malnourished. Malnourished and at risk patients consumed less amounts of meat, poultry, fish (p=0.010), eggs, lentils (p=0.032), fruits and vegetables (p=0.024), and had longer lengths of stay (p<0.001) at hospital compared to well-nourished patients. The analysis of food consumption revealed that micronutrient intake was significantly more inadequate in patients with malnutrition and at risk for malnutrition when compared to the patients with normal nutritional status. C Co on n--c cl lu us si io on n: : In this study, risk and prevalence of malnutrition among elderly cardiac patients was found high (51.6%). In addition to this, micronutrient intake was significantly more inadequate in patients with malnutrition and at risk of malnutrition, and these patients had longer lengths of stay compared to the patients with a normal nutritional status. It could be recommended that nutritional status of elderly people should be assessed and monitored at home, on their admission to hospital and during their stay in hospital.K Ke ey y W Wo or rd ds s: : Malnutrition; aged; length of stay; food Ö ÖZ ZE ET T A Am ma aç ç: : Hastaneye yatan yaşlı bireylerde malnutrisyon riskinin, komplikasyonların ve hastanede kalış süresinin arttığı bilinmektedir. Bu araştırmada kardiyovasküler hastalığı nedeniyle hastaneye yatan 65 yaş üstü bireylerin beslenme durumunun değerlendirilmesi, ve beslenme durumu ile hastanede kalış süresi ve besin tüketimi arasındaki ilişkinin belirlenmesi amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu çal-ışmaya toplam 211 hasta birey (92 kadın, 119 erkek) dahil edilmiştir. Hastaneye yatarken hastaların antropometrik ölçümleri ve bir günlük besin tüketimleri alınarak, tam Mini Nutrisyonel Değerlendirme (MND) testi yüz yüze uygulanmıştır. Hastanede kaldıkları süre boyunca besin tüketimi sorgulaması yapılmış ve hastaneden çıkışta da tam MND testi tekrarlanmıştır. B Bu ul lg gu ul la ar r: : Hastaneye yatış sırasında MND ile hastaların %48,40'ının beslenme durumunun iyi olduğu, %43,10'unun malnutrisyon riski olduğu, % 8,5...

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“…Drug utilization analysis offered us further insights into the significant dynamics of NRS-2002 outputs to creatinine, which in our study was not related to weight loss due to eventual overuse of diuretics. There were no significant differences or correlations of percentage WLH with studied biochemistry diagnostics [28]. …”

Section: Discussionmentioning

confidence: 99%

Heart Surgery Stems Increased Nutritional Risk, Expressed during the Course of Stationary Rehabilitation

Boban¹,

Peršić²,

Miletić³

et al. 2013

Ann Nutr Metab

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Background: Cardiovascular diseases are a vast global health burden. Despite common prevalence, current knowledge and investigations concerning nutritional aspects are limited. Characteristics and dynamics of nutritional risk are not entirely known for most of the entities, disease stages or treatment-induced fluctuations. This study assessed the effects of heart surgery on unintentional weight loss and nutritional risk using the NRS-2002. Methods: A noninterventional study that included patients scheduled for rehabilitation 1-6 months after heart surgery was performed. Evaluation included routine cardiovascular diagnostics and review of medical histories. Documented baseline weight was available for >85% of the patients. Nutritional risk screening was performed with the standardized NRS-2002 questionnaire. Results: A total of 145 patients were involved, with a mean age of 65.3 ± 11.5 years in a range of 23-84 years. The male to female ratio was 121:24 (83.4%:16.6%), respectively. Coronary artery bypass graft surgery (CABG) was performed in 89 patients (61.4%), valvular surgery (VS) in 34 (23.4%) and combined operations (CABG + VS) in 22 (15.2%). Percentage weight loss history was 11.1 ± 3.4% in a range of 0-20.1%, while NRS-2002 was 4.77 ± 1.05 in a range of 1-6. Increased nutritional risk (NRS-2002 ≥3) was found in nearly all patients. Combined ischemic and valvular etiology displayed the highest values of NRS-2002 (5.0 ± 1.2). Patient age and creatinine showed significant correlations with NRS-2002 (Rho = 0.521, p < 0.001 and Rho = 0.335, p < 0.001, respectively). Conclusion: Increased nutritional risk was found to be frequently prevalent in patients scheduled for rehabilitation after heart surgery. Risk was found to be in relation with underlying coronary artery disease as well as with the age of patients and parameters of renal function. Routine application of nutritional risk screening appears to be a valuable clinical tool for detecting this relevant comorbidity, particularly since no connection was found with traditional anthropometrics.

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How important is malnutrition? A prospective study in internal medicine

Abstract: We found a low prevalence (10%) of malnourished patients on admission. Clinical judgment and to some extent anthropometrical measurement were helpful for assessing the nutritional status, laboratory values were not.

Cited by 38 publications

References 32 publications

Aplicabilidade dos métodos de triagem nutricional no paciente hospitalizado

Aplicabilidade dos métodos de triagem nutricional no paciente hospitalizado

Assessment of Nutritional Status and Its Association with Length of Hospital Stay and Food Consumption in Elderly Cardiovascular Patients

Heart Surgery Stems Increased Nutritional Risk, Expressed during the Course of Stationary Rehabilitation

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