scholarly journals Comparação dos critérios da nrs-2002 com o risco nutricional em pacientes hospitalizados

2019 ◽  
Vol 24 (9) ◽  
pp. 3325-3334
Author(s):  
Adriana Aparecida de Oliveira Barbosa ◽  
Andréa Pereira Vicentini ◽  
Fernanda Ramos Langa
Keyword(s):  
Nutritional Risk ◽  
Risk Screening ◽  
Nrs 2002 ◽  
Para Determinar ◽  
Nutritional Risk Screening

Resumo A triagem “Nutritional Risk Screening (NRS-2002)” é uma ferramenta considerada padrão ouro na análise do risco nutricional. Sendo assim, objetivou-se identificar na “NRS-2002” qual ou quais os critérios avaliados que mais contribuem para determinar o risco nutricional. Estudo descritivo transversal e quantitativo com 763 adultos e idosos hospitalizados, no ano de 2015. Aplicada a “NRS-2002” que avalia as variáveis Índice de Massa Corporal (IMC), perda de peso nos últimos 3 meses, redução da ingestão alimentar na última semana e gravidade da doença. A estatística dos dados foi descritiva e analítica por meio do método de regressão logística univariada. Observou-se que 46,4% dos pacientes apresentaram risco nutricional, com maiores chances em homens e idosos. Sendo a perda de peso o critério mais prevalente seguido da redução da ingestão alimentar, o IMC < 20,5kg/m² teve maior efeito no risco nutricional (OR = 31,0; IC 95%:14,21;67,44). Concluiu-se que o IMC < 20,5kg/m² e a perda de peso nos últimos três meses foram os fatores que mais contribuíram na determinação do risco nutricional, sendo a identificação precoce do risco nutricional de extrema importância para o direcionamento da conduta dietoterápica para a melhora da ingestão alimentar com objetivo de recuperação do peso corporal.

Clinical and Seasonal Variations of Nutritional Risk Screening in Patients Scheduled for Rehabilitation after Heart Surgery

2013 ◽  
Vol 16 (6) ◽  
pp. 336
Author(s):  
Marko Boban ◽  
Viktor Persic ◽  
Zeljko Jovanovic ◽  
Niksa Drinkovic ◽  
Milan Milosevic ◽  
...  
Keyword(s):  
Weight Loss ◽  
Heart Surgery ◽  
Nutritional Risk ◽  
Risk Scores ◽  
Risk Screening ◽  
Climate Effects ◽  
Seasonal Climate ◽  
Nrs 2002 ◽  
The Impact ◽  
Nutritional Risk Screening

<p><b>Background:</b> Current knowledge on the pervasiveness of increased nutritional risk in cardiovascular diseases is limited. Our aim was to analyze the characteristics of nutritional risk screening in patients scheduled for rehabilitation after heart surgery. Prevalence and extent of nutritional risk were studied in connection with patients' characteristics and seasonal climate effects on weight loss dynamics.</p><p><b>Methods:</b> The cohort included 65 consecutive patients with an age range of 25-84 years, 2-6 months after surgical treatment for ischemic or valvular heart disease. Nutritional risk screening was appraised using a standardized NRS-2002 questionnaire. Groups were analyzed according to a timeline of rehabilitation according to the "cold" and "warm" seasons of the moderate Mediterranean climate in Opatija, Croatia.</p><p><b>Results:</b> Increased nutritional risk scores (NRS-2002) of >3 were found in 96% of studied patients. Mean NRS-2002 of patients was 5.0 � 1.0, with a percentage weight loss history of 11.7% � 2.2% (4.6-19.0). Risk was found to be more pronounced during the warmer season, with NRS-2002 scores of 5.3 � 0.7 versus 4.8 � 1.1 (<i>P</i> = 0.136) and greater loss of weight of 13.0% � 3.2% versus 10.6% � 3% (<i>P</i> = 0.005), respectively. Increased nutritional risk correlated significantly with creatinine concentrations (rho = 0.359; <i>P</i> = 0.034 versus 0.584; <i>P</i> = 0.001, respectively). Significant discordance in correlations was found between NRS-2002 and the decrease in left ventricle systolic function (rho correlation coefficient [rho-cc] = -0.428; <i>P</i> = 0.009), the increase in glucose concentrations (cc = 0.600; <i>P</i> < 0.001), and the decrease in erythrocyte counts (cc = -0.520; <i>P</i> = 0.001) during the colder season.</p><p><b>Conclusion:</b> Increased nutritional risk was found to be frequently expressed in the course of rehabilitation after heart surgery. Although seasonal climate effects influenced the weight loss dynamics, the impact on reproducibility of NRS-2002 was clinically less important. Further studies on the connection of nutritional risk with composited end points might offer improvements in overall quality of treatment.</p>

scholarly journals Aplicabilidade dos métodos de triagem nutricional no paciente hospitalizado

2008 ◽  
Vol 21 (5) ◽  
pp. 553-561 ◽  
Author(s):  
Mariana Raslan ◽  
Maria Cristina Gonzalez ◽  
Maria Carolina Gonçalves Dias ◽  
Fábio Colagrossi Paes-Barbosa ◽  
Ivan Cecconello ◽  
...  
Keyword(s):  
Nutritional Risk ◽  
Risk Screening ◽  
Para Determinar ◽  
Nutritional Risk Screening 2002 ◽  
Nutritional Risk Screening

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.

scholarly journals Nutritional Risk Screening Tools for Elderly Patients with COVID-19: A Systematic Review

2020 ◽  
Author(s):  
David Franciole de Oliveira Silva ◽  
Severina Carla Vieira Cunha Lima ◽  
Karine Cavalcanti Mauricio Sena-Evangelista ◽  
Dirce Marchioni ◽  
Ricardo Ney Cobucci ◽  
...  
Keyword(s):  
Systematic Review ◽  
Predictive Validity ◽  
High Sensitivity ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Measurement Properties ◽  
Nutritional Screening ◽  
Risk Screening ◽  
Nrs 2002 ◽  
Nutritional Risk Screening

Coronavirus disease 2019 (COVID-19) is associated with high risk of malnutrition, primarily in elderly people; assessing nutritional risk using appropriate screening tools is critical. This systematic review identified applicable tools and assessed their measurement properties. Literature was searched in the MEDLINE, Embase, and LILACS databases. Four studies conducted in China met the eligibility criteria. Sample sizes ranged from six to 182, and participants&rsquo; ages from 65 to 87 years. Seven nutritional screening and assessment tools were used: the Nutritional Risk Screening 2002 (NRS-2002), Mini Nutritional Assessment (MNA), MNA-short form (MNA-sf), Malnutrition Universal Screening Tool (MUST), Nutritional Risk Index (NRI), Geriatric NRI (GNRI), and modified Nutrition Risk in the Critically ill (mNUTRIC) score. Nutritional risk was identified in 27.5% to 100% of participants. The NRS-2002, MNA, MNA-sf, NRI, and MUST demonstrated high sensitivity; the MUST had better specificity. The MNA and MUST demonstrated better criterion validity. The MNA-sf demonstrated better predictive validity for poor appetite and weight loss; the NRS-2002 demonstrated better predictive validity for prolonged hospitalization. mNUTRIC score demonstrated good predictive validity for hospital mortality. Most instruments demonstrate high sensitivity for identifying nutritional risk, but none are acknowledged as the best for nutritional screening in elderly COVID-19 patients.

scholarly journals Häufigkeit eines Risikos für Mangelernährung bei Patienten in onkologischen Schwerpunktpraxen – eine Querschnittserhebung

2020 ◽  
Vol 41 (02) ◽  
pp. 117-125
Author(s):  
Hans Hauner ◽  
Alexandra Kocsis ◽  
Benjamin Jaeckel ◽  
Marc Martignoni ◽  
Dagmar Hauner ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Universal Screening ◽  
Screening Tool ◽  
Nutritional Risk ◽  
Risk Screening ◽  
Nrs 2002 ◽  
Statistische Auswertung ◽  
Malnutrition Universal Screening Tool ◽  
Nutritional Risk Screening

Zusammenfassung Hintergrund Daten zum Ernährungsstatus von Patienten mit Tumorerkrankungen in ambulanten Einrichtungen fehlen in Deutschland. Die durchgeführte Querschnittserhebung bei Patienten mit Tumorerkrankungen hatte daher das Ziel, die Häufigkeit eines Risikos für Mangelernährung bei Tumorpatienten in onkologischen Schwerpunktpraxen zu ermitteln. Methode Patienten mit Tumorerkrankungen wurden mittels eines standardisierten Fragebogens konsekutiv in 17 onkologischen Schwerpunktpraxen in Südbayern zwischen Juni 2017 und Mai 2018 befragt. Neben Fragen zum Gesundheitszustand und zur Ernährung wurden die validierten Screening-Fragebögen Malnutrition Universal Screening Tool (MUST) und Nutritional Risk Screening Tool-2002 (NRS-2002) zur Erfassung des Risikos für Mangelernährung (primärer Endpunkt) eingesetzt. Die statistische Auswertung erfolgte deskriptiv. Ergebnisse Insgesamt wurden Datensätze von 765 Patienten (60,9 % Frauen) ausgewertet. Die Teilnehmer waren im Mittel 63,1 ± 13,1 Jahre alt, der durchschnittliche Body-Mass-Index (BMI) betrug 25,2 ± 5,1 kg/m2. Bei Anwendung des MUST-Fragebogens hatten 15,4 % der Teilnehmer ein mittleres und 19,5 % ein hohes Risiko für eine Mangelernährung. Darunter wiesen am häufigsten Patienten mit Tumoren des Verdauungssystems ein Risiko für eine Mangelernährung auf (46,6 %). Die Kriterien für ein Mangelernährungsrisiko nach dem NRS-2002-Score (≥ 3 Punkte) erfüllten hingegen 29,1 % der befragten Patienten. Weniger als ein Drittel der Tumorpatienten hatte nach Diagnosestellung eine Ernährungsberatung erhalten (29,9 %). Schlussfolgerung Etwa jeder dritte Patient mit einer Tumorerkrankung in ambulanter Betreuung weist ein erhöhtes Risiko für eine Mangelernährung auf. Die Ergebnisse dieser Erhebung unterstreichen die Notwendigkeit für ein systematisches Screening auf Mangelernährung und ein leitliniengerechtes Ernährungsmanagement von Tumorpatienten in der ambulanten Versorgung.

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

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 ◽  
Nutritional Risk Screening 2002 ◽  
Nutritional Risk Screening

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.

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