scholarly journals Prevalence of Nutritional Risk at Admission in Internal Medicine Wards in Portugal: The Multicentre Cross-Sectional ANUMEDI Study

2021 ◽  
Vol 34 (6) ◽  
pp. 420
Author(s):  
Ricardo Marinho ◽  
Ana Pessoa ◽  
Marta Lopes ◽  
João Rosinhas ◽  
João Pinho ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Nutritional Risk ◽  
Charlson Comorbidity Index Score ◽  
Cross Sectional ◽  
Risk Screening ◽  
Internal Medicine Wards ◽  
Nutritional Risk Screening 2002 ◽  
Nutritional Risk Screening

Introduction: Disease-related undernutrition is highly prevalent and requires timely intervention. However, identifying undernutrition often relies on physician judgment. As Internal Medicine wards are the backbone of the hospital setting, insight into the prevalence of nutritional risk in this population is essential. We aimed to determine the prevalence of nutritional risk in Internal Medicine wards, to identify its correlates, and to assess the agreement between the physicians’ impression of nutritional risk and evaluation by Nutritional Risk Screening 2002.Material and Methods: A cross-sectional multicentre study was performed in Internal Medicine wards of 24 Portuguese hospitals during 2017. Data on demographics, previous hospital admissions, primary diagnosis, and Charlson comorbidity index score were collected. Nutritional risk at admission was assessed using Nutritional Risk Screening 2002. Agreement between physicians’ impression of nutritional risk and Nutritional Risk Screening 2002 was tested by Cohen’s kappa.Results: The study included 729 participants (mean age 74 ± 14.6 years, 51% male). The main reason for admission was respiratory disease. Mean Charlson comorbidity index score was 5.8 ± 2.8. Prevalence of nutritional risk was 51%. Nutritional risk was associated with admission during the previous year (odds ratio = 1.65, 95% confidence interval: 1.22 - 2.24), solid tumour with metastasis (odds ratio = 4.73, 95% confidence interval: 2.06 - 10.87), any tumour without metastasis (odds ratio = 2.04, 95% confidence interval:1.24 - 3.34), kidney disease (odds ratio = 1.83, 95% confidence interval: 1.21 - 2.75), peptic ulcer (odds ratio = 2.17, 95% confidence interval: 1.10 - 4.25), heart failure (odds ratio = 1.51, 95% confidence interval: 1.11 - 2.04), dementia (odds ratio = 3.02, 95% confidence interval: 1.96 - 4.64), and cerebrovascular disease (odds ratio = 1.62, 95% confidence interval: 1.12 - 2.35). Agreement between physicians’ evaluation of nutritional status and Nutritional Risk Screening 2002 was weak (Cohen’s kappa = 0.415, p < 0.001).Discussion: Prevalence of nutritional risk in the Internal Medicine population is very high. Admission during the previous year and multiple comorbidities increase the odds of being at-risk. Subjective physician evaluation is not appropriate for nutritional screening.Conclusion: The high prevalence of at-risk patients and poor subjective physician evaluation suggest the need to implement mandatory nutritional screening.

scholarly journals Factores asociados a desnutrición en pacientes hospitalizados en el servicio de cirugía de emergencia de un hospital del seguro social peruano

2020 ◽  
Vol 37 (3) ◽  
Author(s):  
Paola A. Zeña-Huancas ◽  
Denissa Pajuelo-García ◽  
Cristian Díaz-Vélez
Keyword(s):  
Odds Ratio ◽  
Nutritional Risk ◽  
Risk Screening ◽  
Nutritional Risk Screening 2002 ◽  
Nutritional Risk Screening

Objetivo: identificar los factores asociados a desnutrición en pacientes hospitalizados en el Servicio de Cirugía de Emergencia del Hospital Nacional Guillermo Almenara Irigoyen. Materiales y métodos: estudio analítico donde se realizó un tamizaje inicial mediante el Nutritional Risk Screening 2002, posteriormente una evaluación nutricional al ingreso y egreso mediante la Valoración global subjetiva en 206 pacientes adultos y adultos mayores. Se analizaron variables clínicas mediante regresión logística y un valor de p<0,05 fue considerado como significativo. Resultados: el 16% de pacientes agravó su estado nutricional durante la hospitalización. Los factores asociados fueron alguna comorbilidad (odds ratio [OR] 2,32; intervalo de confianza [IC]95%:1,07-5,01); neoplasias (OR: 2,83; IC95%:1,21-6,63), enfermedades del sistema nervioso (OR: 5,66; IC95%: 1,24-25,82); ausencia del registro de peso y talla (OR: 4,18; IC95%: 1,29-13,41); cirugía abdominal (OR: 6,67; IC95%: 3,08-14,89); apendicitis aguda disminuía 85%; colecistitis aguda disminuía 91%; reintervención quirúrgica (OR: 13,91; IC95%: 4,82-40,06); consumo regular dieta indicada (OR: 8,78; IC 95%: 3,01-25,63); no consumir dieta indicada (OR: 39,97; IC95%: 11,39-140,23); uso de soporte nutricional disminuía la exposición en un 83%. La desnutrición incrementaba 6 veces el riesgo de mortalidad. El número de días de ayuno, (OR: 1,73; IC95%: 1,31-2,27). La mortalidad fue 8,7%. Conclusiones: existen una serie de factores asociados a la desnutrición durante la hospitalización, por lo que es necesario realizar un tamizaje para la detección temprana de desnutrición al ingreso de los pacientes que serán hospitalizados y posteriormente una evaluación nutricional en aquellos que estén en riesgo.

Nutritional Risk Screening 2002: sinnvolles Messinstrument in der Pneumologie?

Pneumologie ◽  
2011 ◽  
Vol 65 (S 01) ◽  
Author(s):  
C Priegnitz ◽  
I Kietzmann ◽  
K Richter ◽  
M Treml ◽  
WJ Randerath ◽  
...  
Keyword(s):  
Nutritional Risk ◽  
Risk Screening ◽  
Nutritional Risk Screening 2002 ◽  
Nutritional Risk Screening

Prognostic Value of the Nutritional Risk Screening 2002 Scale in Patients With Acute Myocardial Infarction

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Fanghui Li ◽  
Dongze Li ◽  
Jing Yu ◽  
Yu Jia ◽  
Ying Jiang ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Prognostic Value ◽  
Nutritional Risk ◽  
Risk Screening ◽  
Nutritional Risk Screening 2002 ◽  
Nutritional Risk Screening

β-Blockers, Tachycardia, and Survival Following Sepsis: An Observational Cohort Study

2021 ◽  
Author(s):  
Dmitri Guz ◽  
Shira Buchritz ◽  
Alina Guz ◽  
Alon Ikan ◽  
Tania Babich ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Cohort Study ◽  
Mortality Rate ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Observational Cohort Study ◽  
Observational Cohort ◽  
Internal Medicine Wards ◽  
Β Blockers

Abstract Background Sepsis is associated with excessive release of catecholamines, which causes tachycardia and is correlated with poor clinical outcome. β-Blockers (BBs) may blunt this effect on heart rate (HR). The objective of this study is to assess whether long-term BB therapy is associated with better clinical outcomes in patients with sepsis admitted to internal medicine wards. Methods We performed a single-center, observational cohort study. We included adult patients who were hospitalized in medicine departments due to sepsis. A propensity score model for BB therapy was used to match patients. The primary outcome was the 30-day all-cause mortality rate. A multivariate analysis was performed to identify risk factors for an adverse outcome. Patients were stratified according to absolute tachycardia (HR ≥100/min) or relative tachycardia at presentation (tachycardia index above the third quartile, with tachycardia index defined as the ratio of HR to temperature). Results A total of 1186 patients fulfilled the inclusion criteria. In the propensity-matched cohort patients given BB treatment were younger (median age [interquartile range], 74 [62–82] vs 81 [68–87] years; P ≤ .001). BB treatment was associated with reduction in 30-day mortality rates for patients with absolute tachycardia (odds ratio, 0.406; 95% confidence interval, .177–.932). Final model with interaction variable of BB treatment with HR was associated with short-term survival (odds ratio, 0.38; 95% confidence interval, .148–.976). Selective BB therapy had a stronger protective effect than nonselective BB therapy. Conclusions Long-term BB therapy was associated with decreased mortality rate in patients hospitalized with sepsis in internal medicine wards exhibiting absolute and relative tachycardia.

Nutrition Risk in Critically Ill Versus the Nutritional Risk Screening 2002: Are They Comparable for Assessing Risk of Malnutrition in Critically Ill Patients?

2018 ◽  
Vol 43 (1) ◽  
pp. 81-87 ◽  
Author(s):  
Cecilia Canales ◽  
Ali Elsayes ◽  
D. Dante Yeh ◽  
Donna Belcher ◽  
Anna Nakayama ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Nutritional Risk ◽  
Risk Screening ◽  
Nutrition Risk ◽  
Nutritional Risk Screening 2002 ◽  
Nutritional Risk Screening
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