MON-PP141: IIER Nutritional Assessment is More Effective than Nutritional Risk Screening-2002 (NRS-2002) and BMI Itself and Correlates to LOS in HIV/AIDS Patients

A desnutrição é algo comum em pacientes em estado crítico, tais como os internados em Unidades de Tratamento Intensivo (UTIs). Essa condição deve ser tratada rapidamente para que não ocorra um agravamento do estado clínico do paciente. Entretanto, a identificação de uma possível desnutrição em pacientes hospitalizados é, por vezes, imprecisa, dada a condição dos mesmos. Diversas ferramentas e sistemas já foram propostos na literatura para a triagem de pacientes, dentre eles destacam-se a Avaliação Nutricional Subjetiva Global (ANSG), a Mini Nutritional Assessment (MNA) e a Nutritional Risk Screening 2002 (NRS 2002). O objetivo deste trabalho é aplicar essas triagens em pacientes internados na UTI de um hospital do Oeste do Paraná e analisar os resultados para uma comparação entre as diferentes ferramentas e os grupos de pacientes (idosos e adultos). Os resultados da pesquisa mostram que pacientes idosos e adultos não apresentam uma diferença estatística no nível de desnutrição. Além disso, os resultados das três triagens foram em sua maior parte diferentes, não havendo diferença estatística apenas entre o ANSG e o NRS 2002 quando considerados todos os pacientes.

Predictive Value of Nutritional Risk Screening 2002 and Mini Nutritional Assessment Short Form in Mortality in Chinese Hospitalized Geriatric Patients

Clinical Interventions in Aging ◽

10.2147/cia.s244910 ◽

2020 ◽

Vol Volume 15 ◽

pp. 441-449 ◽

Cited By ~ 3

Author(s):

Xiaoyan Zhang ◽

Xingliang Zhang ◽

Yunxia Zhu ◽

Jun Tao ◽

Zhen Zhang ◽

...

Keyword(s):

Predictive Value ◽

Geriatric Patients ◽

Nutritional Assessment ◽

Short Form ◽

Mini Nutritional Assessment ◽

Nutritional Risk ◽

Risk Screening ◽

Nutritional Risk Screening ◽

Hospitalized Geriatric Patients

Complementarity of nutritional risk screening 2002 (NRS 2002), Patient-generated subjective global assessment (PG-SGA) and multiple nutritional indicators for predicting prognosis in patients undergoing radical gastrectomy for gastric cancer

Clinical Nutrition ESPEN ◽

10.1016/j.clnesp.2020.09.245 ◽

2020 ◽

Vol 40 ◽

pp. 487-488

Author(s):

X. Bian

Keyword(s):

Gastric Cancer ◽

Global Assessment ◽

Nutritional Risk ◽

Radical Gastrectomy ◽

Subjective Global Assessment ◽

Risk Screening ◽

Nrs 2002 ◽

SUN-PP191: Relationship between the Nutritional Risk Screening 2002 (Nrs-2002) and Mean Hospital Stay, Mortality and Readmissions in Patients Hospitalized in Generalhospital (GH) of Parc Sanitari Sant Joan De Déu (PSSJD) From Sant Boi De Llobregat, Barcelona

Clinical Nutrition ◽

10.1016/s0261-5614(15)30342-3 ◽

2015 ◽

Vol 34 ◽

pp. S94

Author(s):

G. Simats Oriol ◽

C. Romagosa Vives de la Cortada ◽

J. Martínez Rodríguez ◽

G. Monroy Rodríguez ◽

A. Capella Llovera ◽

...

Keyword(s):

Hospital Stay ◽

Nutritional Risk ◽

Risk Screening ◽

Nrs 2002 ◽

Royal Free Hospital-Nutritional Prioritizing Tool improves the prediction of malnutrition risk outcomes in liver cirrhosis patients compared with Nutritional Risk Screening 2002

British Journal Of Nutrition ◽

10.1017/s0007114520002366 ◽

2020 ◽

Vol 124 (12) ◽

pp. 1293-1302

Author(s):

Yuchao Wu ◽

Yage Zhu ◽

Yali Feng ◽

Ruojing Wang ◽

Naijuan Yao ◽

...

Keyword(s):

Liver Disease ◽

Screening Tool ◽

Hepatitis Virus ◽

Nutritional Risk ◽

Royal Free Hospital ◽

Independent Predictive Factor ◽

Risk Screening ◽

Nrs 2002 ◽

AbstractThe European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines recommend the Royal Free Hospital-Nutritional Prioritizing Tool (RFH-NPT) to identify malnutrition risk in patients with liver disease. However, little is known about the application of the RFH-NPT to screen for the risk of malnutrition in China, where patients primarily suffer from hepatitis virus-related cirrhosis. A total of 155 cirrhosis patients without liver cancer or uncontrolled co-morbid illness were enrolled in this prospective study. We administered the Nutritional Risk Screening 2002 (NRS-2002), RFH-NPT, Malnutrition Universal Screening Tool (MUST) and Liver Disease Undernutrition Screening Tool (LDUST) to the patients within 24 h after admission and performed follow-up observations for 1·5 years. The RFH-NPT and NRS-2002 had higher sensitivities (64·8 and 52·4 %) and specificities (60 and 70 %) than the other tools with regard to screening for malnutrition risk in cirrhotic patients. The prevalence of nutritional risk was higher under the use of the RFH-NPT against the NRS-2002 (63 v. 51 %). The RFH-NPT tended more easily to detect malnutrition risk in patients with advanced Child–Pugh classes (B and C) and lower Model for End-stage Liver Disease scores (<15) compared with NRS-2002. RFH-NPT score was an independent predictive factor for mortality. Patients identified as being at high malnutrition risk with the RFH-NPT had a higher mortality rate than those at low risk; the same result was not obtained with the NRS-2002. Therefore, we suggest that using the RFH-NPT improves the ability of clinicians to predict malnutrition risk in patients with cirrhosis primarily caused by hepatitis virus infection at an earlier stage.

Diagnostic performance of the Minimal Eating Observation and Nutrition Form - Version II (MEONF-II) and Nutritional Risk Screening 2002 (NRS 2002) among hospital inpatients - a cross-sectional study

BMC Nursing ◽

10.1186/1472-6955-10-24 ◽

2011 ◽

Vol 10 (1) ◽

Cited By ~ 9

Author(s):

Albert Westergren ◽

Erika Norberg ◽

Peter Hagell

Keyword(s):

Diagnostic Performance ◽

Cross Sectional Study ◽

Nutritional Risk ◽

Sectional Study ◽

Cross Sectional ◽

Risk Screening ◽

Nrs 2002 ◽

Hospital Inpatients ◽

Estudio descriptivo de dos herramientas de cribado de riesgo nutricional al ingreso hospitalario en el sanatorio Allende de Argentina

Revista Española de Nutrición Humana y Dietética ◽

10.14306/renhyd.24.1.752 ◽

2020 ◽

Vol 24 (1) ◽

pp. 20

Author(s):

Victoria Carolina González ◽

María Elena Antequera ◽

Romina Álvarez Vizzoni ◽

Natalia Fernández ◽

Eugenia Iglesias

Keyword(s):

Gold Standard ◽

Nutritional Risk ◽

Risk Screening ◽

Nrs 2002 ◽

Introducción: El objetivo de este estudio fue comparar dos herramientas de cribado nutricional, Nutritional Risk Screening 2002 (NRS-2002) y Fase de Filtro Nutricional Analítico (FILNUT), sobre una muestra de pacientes al ingreso hospitalario, analizar la prevalencia de riesgo nutricional, evaluar la concordancia entre ambos y su validez para identificar pacientes en riesgo.Material y métodos: Estudio descriptivo, transversal, donde se evaluaron 271 pacientes admitidos dentro de las primeras 72 horas, con el método NRS-2002 utilizado como gold standard y la herramienta FILNUT. Se utilizó el Test de Chi2 para la asociación estadística entre los distintos métodos y la concordancia fue estudiada a través del índice kappa. La precisión se evaluó mediante sensibilidad, especificidad, valor predictivo positivo, valor predictivo negativo, y razón de verosimilitud. La validez de los test de cribado nutricional para identificar pacientes en riesgo, se analizó mediante la comparación de curvas ROC con cálculo del área bajo la curva (AUC).Resultados: La prevalencia de pacientes en riesgo nutricional fue 61% con FILNUT y 31% con NRS-2002. El método FILNUT con una alta sensibilidad (92,8%), deja un gran número de falso positivos por su baja especificidad (53,3%). La concordancia entre ambos métodos fue aceptable (Kappa=0,37). Mediante la curva ROC, se comprobó que los test de cribado fueron válidos para identificar pacientes en riesgo: FILNUT AUC = 0,999 (IC 95% 0,963-0,100); NRS-2002 AUC = 0,708 (IC 95% 0,643-0,767).Conclusiones: El método FILNUT es una herramienta de cribado válida que reveló mayor prevalencia de riesgo nutricional y con alta sensibilidad descartó apropiadamente a aquellos pacientes sin riesgo. Al comparar ambas herramientas, FILNUT incorpora el uso de prealbúmina, cuyos bajos valores deberían considerarse como potencial riesgo nutricional. Por otra parte, su escaso factor tiempo y costos directos en su realización, lo avalan como herramienta eficiente. La simplicidad y facilidad requerida para su realización contrastan con el NRS-2002 que requiere de personal capacitado.