Validez de la valoración subjetiva global como método de despistaje de desnutrición hospitalaria. Prevalencia de desnutrición en un hospital terciario

Moriana, Miriam; Civera, Miguel; Artero, Ana; Real, José T.; Caro, Juan; Ascaso, Juan F.; Martínez-Valls, José Francisco

doi:10.1016/j.endonu.2013.10.006

Cited by 15 publications

(9 citation statements)

References 14 publications

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“…The average stay of malnourished patients was longer than that of patients at risk of malnutrition and normonutrients, 13.5, 12.1 and 6.97 days respectively. The GSA correlated significantly with anthropometric and biochemical parameters of malnutrition 40 .…”

Section: Discussionmentioning

confidence: 87%

Development, validation and implementation of a program to detect malnutrition with NRS-2002 screening tool in patients of the oncology and hematology service

Perez

Soriano

Merino-Torres

2020

Preprint

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Background: Hospital malnutrition is an increasingly prevalent situation, which involves both an increase in health costs, a decrease in the life quality of those who suffer from it, and greater morbimortality. Nutritional screening is essential to detect malnutrition early and avoid these complications.Methods: NRS-2002 was performed on all patients admitted to the oncohaematology service, followed by the complete nutritional assessment (VN) to check its validity, which is repeated weekly to determine the degree of malnutrition during the hospital stay. Data were summarized using mean (standard deviation) and median (1st, 3rd quartile) for numerical variables, and absolute frequency (relative) for qualitative variables. To measure agreement between the two diagnoses, Cohen's Kappa was calculated for each visit. The level of association between the variables was measured using the Goodman and Kruskal measure.Results: 573 patients were admitted to the oncohaematology service, of which: 34.4% malnutrition, 44.7% risk of malnutrition and 20.9% good nutritional condition, on admission to hospital according to the NRS-2002. In patients admitted for more than a week, NRS-2002 was performed weekly and found that, upon discharge, they suffered: 34.4% malnutrition, 50.8% risk of malnutrition and 14.76% good nutritional status; also 12.3% worsen their nutritional status, 68.9% maintain it and only 18.9% improve it. 78.8% of patients with longer admissions require a VN. Conclusions:Our results suggest that the NRS-2002 is a simple and effective method for early malnutrition detection. It's important a nutritional monitoring during the hospitalization period, because the patients are susceptible to worsening of their nutritional status.

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Section: Discussionmentioning

confidence: 87%

Development, validation and implementation of a program to detect malnutrition with NRS-2002 screening tool in patients of the oncology and hematology service

Perez

Soriano

Merino-Torres

2020

Preprint

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“…The prevalence of malnutrition is highly variable, depending on the type of population studied, with rates ranging from 19.2% 57 63 In contrast, other studies have reported evidence of similar prevalence rates among patients in both types of ward (53% vs. 47%). 64 Among patients with arteriopathies, there is considerable variation in the prevalence of malnutrition between different populations of patients with vascular disease. While Westvik et al found a prevalence of 55% among patients in postoperative recovery after open vascular surgery, 65 in another study investigating elderly patients, 73% were already malnourished at admission 1 and, in a third study, around 90% of patients admitted for transtibial amputation were malnourished.…”

Section: Nutritional Status and Its Diagnosismentioning

confidence: 99%

Evidências para o uso da avaliação nutricional subjetiva global nos pacientes com doença arterial periférica

et al. 2016

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Resumo A desnutrição é uma doença extremamente prevalente em pacientes internados, chegando a acometer 50% deles, 47% dos pacientes cirúrgicos e entre 39 e 73% dos portadores de doença arterial periférica, com grande impacto na morbimortalidade desses pacientes. A desnutrição possui grande relevância no desfecho clínico desses pacientes durante a internação, estando associada a maior incidência de infecções, demora na cicatrização das feridas, diminuição do status de deambulação, maior tempo de internação e mortalidade. Entretanto, o diagnóstico de desnutrição ou risco nutricional desses pacientes tem sido um desafio. A avaliação nutricional subjetiva global revelou-se, até o momento, o padrão ouro como método de triagem de pacientes cirúrgicos internados devido à sua praticidade e acurácia. O objetivo deste trabalho é revisar métodos utilizados na avaliação do estado nutricional e da triagem nutricional de pacientes internados e caracterizar a importância dessa avaliação nos desfechos clínicos dos pacientes com arteriopatias.

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“…Such status leads to diminished physical and mental function and impaired clinical outcomes from disease. [ 1 ]…”

Section: Introductionmentioning

confidence: 99%

Nutrition screening tools for risk of malnutrition among hospitalized patients

Cortes¹,

Bennasar‐Veny

Castro‐Sánchez

et al. 2020

Medicine

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Background: Malnutrition is a clinical problem with a high prevalence in hospitalized adult patients. Many nutritional screening tools have been developed but there is no consensus on which 1 is more useful. The purpose of this review protocol is to provide an overview of which nutritional screening tool is most valid to identify malnutritional risk in hospitalized adult patients and to analyze the sensitivity and specificity of the different tools. Methods: The protocol of this systematic review and meta-analysis was registered on the INPLASY website ( https://inplasy.com/inplasy-2020-9-0028/ ) and INPLASY registration number is INPLASY202090028. We will perform a systematic literature search of main databases: PubMed, EMBASE, CINAHL and Web of Science and the Cochrane database. Also, grey literature will be search. Peer-reviewed studies published in English, Portuguese or Spanish language will be selected. Screening of titles, abstract and full text will be assessed for eligibility by 2 independent blinded reviewers and any discrepancies will be resolved via consensus. After screening the studies, a meta-analysis will be conducted, if it is possible. Results: Results from this systematic review will help health professionals to identify malnutrition in hospitalized patients and to make decisions to prevent or treat it as well as provide new clues to researchers. Conclusion: Our systematic review will provide aknowledge about the most valid malnutrition risk screening tool in hospitalized adult patients.

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Validez de la valoración subjetiva global como método de despistaje de desnutrición hospitalaria. Prevalencia de desnutrición en un hospital terciario

Cited by 15 publications

References 14 publications

Development, validation and implementation of a program to detect malnutrition with NRS-2002 screening tool in patients of the oncology and hematology service

Development, validation and implementation of a program to detect malnutrition with NRS-2002 screening tool in patients of the oncology and hematology service

Evidências para o uso da avaliação nutricional subjetiva global nos pacientes com doença arterial periférica

Nutrition screening tools for risk of malnutrition among hospitalized patients

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