scholarly journals O impacto do envelhecimento no paciente hospitalizado: análise do risco nutricional

2020 ◽  
Vol 35 (1) ◽  
pp. 62-69
Author(s):  
Mariana Frigo de Moraes ◽  
Jaques Waisberg ◽  
Maria de Lourdes do Nascimento da Silva ◽  
Fernanda Cristina Alves de Lima ◽  
Diogo Oliveira Toledo
Keyword(s):  
Length Of Stay ◽  
Univariate Analysis ◽  
Risk Groups ◽  
Statistical Correlation ◽  
Hospitalized Patients ◽  
Nutritional Risk ◽  
Significance Level ◽  
Order Of Entry ◽  
Nrs 2002 ◽  
Elderly Hospitalized Patients

Objective: The purpose of this study was to analyze the presence of nutritional risk and their correlation with clinical outcome in elderly hospitalized patients. Methods: The study variables were weight, height, body mass index (BMI), nutritional risk, length of stay and death of hospitalized patients in a public hospital in São Paulo. These data were obtained by Sheet Nutritional Care, dietitians completed by the institution. Nutritional risk was determined by nutritional screening tool NRS-2002. To investigate the association between the presence of nutritional risk and other study variables, we used Rao & Scott test and multiple logistic regression (stepwise forward), with 5% significance level. It proceeded to univariate analysis, and variables with p <0.20, in ascending order of entry were included in multiple regression. They remained in the model the variables with p <0.05, or those set by at least 10% the value of odds ratio of other variables. Results: We evaluated the records of 2613 patients, with a mean age of 73.87 years, 54.84% female, 47.26% of the population were at nutritional risk and 37.3% undernutrition. The nutritional risk groups according to age showed that the greater the age, the prevalence greater risk for malnutrition. There was a good statistical correlation with BMI, because the risk was more prevalent in malnourished group (54.41%). It was found that 11.9% of those who had died nutritional risk, while those who did not risk, only 1.66%. Conclusion: From this study it was found that for older people studied the risk for malnutrition correlated positively with age, BMI, length of stay and the occurrence of deaths.

scholarly journals A study of nutritional status, development of malnutrition and food consumption in hospitalized patients

2019 ◽  
Vol 3 (2) ◽  
pp. 66-80
Author(s):  
Anil Evrim Gungor ◽  
Perihan Arslan ◽  
Osman Abbasoglu
Keyword(s):  
Weight Loss ◽  
Nutritional Status ◽  
Hospitalized Patients ◽  
Nutritional Risk ◽  
Food Services ◽  
Hospital Malnutrition ◽  
Arm Circumference ◽  
Nrs 2002 ◽  
Mid Upper Arm Circumference ◽  
Nutritional Risk Screening

Purpose: To investigate the nutritional status of patients on admission and during hospital stay, the factors leading to weight loss, and to evaluate patient satisfaction of hospital food. Methods: On admission, Nutritional Risk Screening (NRS-2002), weight, height, Body Mass Index (BMI), mid upper arm circumference (MAC) measurements were carried out; serum total protein and albumin levels were recorded. Upon discharge, measurements of weight, MAC were repeated, along with a food satisfaction questionnaire. Results: Patients with NRS-2002>3, BMI<20, were classified as nutrionally at risk which were 43.6% and 9.4% respectively. Of the patients, 77% lost weight (2.6±1.9 kg). Patients who were determined to be malnourished on admission by BMI and NRS-2002 stayed longer in hospital (p<0.0 and p<0.001, respectively). The relationships between weight loss and lenght of stay, use of medications and period of starvation were significant (p<0.0001, for each). Of the patients, 49.9% did not satisfy with the hospital food. Conclusions: Nutritional status of hospitalized patients should be screened with NRS-2002, assessed and monitored. Keywords: NRS-2002, hospital malnutrition, hospital food services

scholarly journals NUTRITIONAL INDICATORS OF MALNUTRITION IN HOSPITALIZED PATIENTS

2019 ◽  
Vol 56 (4) ◽  
pp. 447-450 ◽  
Author(s):  
Vânia Aparecida LEANDRO-MERHI ◽  
Caroline Lobo COSTA ◽  
Laiz SARAGIOTTO ◽  
José Luiz Braga de AQUINO
Keyword(s):  
Lymphocyte Count ◽  
Cox Regression ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Hospitalized Patients ◽  
Nutritional Risk ◽  
Calf Circumference ◽  
Significance Level ◽  
Cox Regression Analysis ◽  
Significant Difference

ABSTRACT BACKGROUND: Malnutrition is associated with clinical factors, including longer hospital stay, increased morbidity and mortality and hospital costs. OBJECTIVE: To investigate the prevalence of malnutrition using different nutritional indicators and to identify factors that contribute to malnutrition in hospitalized patients. METHODS: We investigated anthropometric, laboratory standards, nutritional risk screening (NRS), subjective global assessment (SGA), mini nutritional assessment and habitual energy consumption (HEC). Chi-square, Fisher’s exact test, Mann-Whitney test and univariate and multiple Cox regression analysis were used, at 5% significance level. RESULTS: It was found 21.01% of malnourished individuals by ASG; a total of 34.78% with nutritional risk according to NRS and 11.59% with low weight (BMI). There was no statistically significant difference in the prevalence of malnutrition by ASG (P=0.3344) and nutritional risk by NRS (P=0.2286), among the types of disorders. Patients with nutritional risk were of higher median age (64.5 vs 58.0 years; P=0.0246) and had lower median values of HEC (1362.1 kcal vs 1525 kcal, P=0.0030), of calf circumference (32.0 cm vs 33.5 cm, P=0.0405) of lymphocyte count (1176.5 cell/mm3 vs 1760.5 cell/ mm3, P=0.0095); and higher percentage of low body weight according to the BMI (22.9% vs 5.6%; P=0.0096). Lymphocyte count was associated with nutritional risk (P=0.0414; HR= 1.000; IC95%= 0.999; 1.000). CONCLUSION: NRS was more sensitive than other indicators in the diagnosis of malnutrition. Patients at risk were older and had lower HEC values, calf circumference, BMI and lymphocyte count. Low lymphocyte count was considered a factor associated with nutritional risk by the NRS.

SUN-PO251: How the Nutritional Risk in Hospitalized Patients Determines the Customization Diet and Length of Stay: A Retrospective Study

2019 ◽  
Vol 38 ◽  
pp. S152
Author(s):  
C.A. Santos ◽  
A. Fonseca ◽  
A. Almeida ◽  
C. Lopes ◽  
F. Oliveira ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Length Of Stay ◽  
Hospitalized Patients ◽  
Nutritional Risk

scholarly journals Nutritional status and screening tools to detect nutritional risk in hospitalized patients with hepatic echinococcosis

Parasite ◽  
2020 ◽  
Vol 27 ◽  
pp. 74
Author(s):  
Zhan Wang ◽  
Jin Xu ◽  
Ge Song ◽  
MingQuan Pang ◽  
Bin Guo ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Nutritional Assessment ◽  
Short Form ◽  
Risk Index ◽  
Mini Nutritional Assessment ◽  
Hospitalized Patients ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Nutritional Screening ◽  
Nrs 2002

Background: Echinococcosis is a chronic consumptive liver disease. Little research has been carried out on the nutritional status of infected patients, though liver diseases are often associated with malnutrition. Our study investigated four different nutrition screening tools, to assess nutritional risks of hospitalized patients with echinococcosis. Methods: Nutritional Risk Screening 2002 (NRS 2002), Short Form of Mini Nutritional Assessment (MNA-SF), Malnutrition Universal Screening Tool (MUST), and the Nutrition Risk Index (NRI) were used to assess 164 patients with alveolar echinococcosis (AE) and 232 with cystic echinococcosis (CE). Results were then compared with European Society for Clinical Nutrition and Metabolism (ESPEN) criteria for malnutrition diagnosis. Results: According to ESPEN standards for malnutrition diagnosis, 29.2% of CE patients and 31.1% of AE patients were malnourished. The malnutrition risk rates for CE and AE patients were as follows: NRS 2002 – 40.3% and 30.7%; MUST – 51.5% and 50.9%; MNA-SF – 46.8% and 44.1%; and NRI – 51.1% and 67.4%. In patients with CE, MNA-SF and NRS 2002 results correlated well with ESPEN results (k = 0.515, 0.496). Area-under-the-curve (AUC) values of MNA-SF and NRS 2002 were 0.803 and 0.776, respectively. For patients with AE, NRS 2002 and MNA-SF results correlated well with ESPEN (k = 0.555, 0.493). AUC values of NRS 2002 and MNA-SF were 0.776 and 0.792, respectively. Conclusion: This study is the first to analyze hospitalized echinococcosis patients based on these nutritional screening tools. Our results suggest that NRS 2002 and MNA-SF are suitable tools for nutritional screening of inpatients with echinococcosis.

Screening of the nutritional risk in elderly hospitalized patients with different tools

2011 ◽  
Vol 58 (3) ◽  
pp. 104-111
Author(s):  
Juan José López-Gómez ◽  
Alicia Calleja-Fernández ◽  
María Dolores Ballesteros-Pomar ◽  
Alfonso Vidal-Casariego ◽  
Cristina Brea-Laranjo ◽  
...  
Keyword(s):  
Hospitalized Patients ◽  
Nutritional Risk ◽  
Elderly Hospitalized Patients

scholarly journals Length of stay in surgical patients: nutritional predictive parameters revisited

2012 ◽  
Vol 109 (2) ◽  
pp. 322-328 ◽  
Author(s):  
Ana Isabel Almeida ◽  
Marta Correia ◽  
Maria Camilo ◽  
Paula Ravasco
Keyword(s):  
Weight Loss ◽  
Length Of Stay ◽  
Nutritional Status ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Nutritional Risk ◽  
Surgical Patients ◽  
Anthropometric Parameters ◽  
Predictive Parameters ◽  
Nrs 2002

Nutritional evaluation may predict clinical outcomes, such as hospital length of stay (LOS). We aimed to assess the value of nutritional risk and status methods, and to test standard anthropometry percentilesv.the 50th percentile threshold in predicting LOS, and to determine nutritional status changes during hospitalisation and their relation with LOS. In this longitudinal prospective study, 298 surgical patients were evaluated at admission and discharge. At admission, nutritional risk was assessed by Nutritional Risk Screening-2002 (NRS-2002), Malnutrition Universal Screening Tool (MUST) and nutritional status by Subjective Global Assessment (SGA), involuntary % weight loss in the previous 6 months and anthropometric parameters; % weight loss and anthropometry were reassessed at discharge. At admission, risk/undernutrition results by NRS-2002 (P< 0·001), MUST (P< 0·001), % weight loss (P< 0·001) and SGA (P< 0·001) were predictive of longer LOS. A mid-arm circumference (MAC) or a mid-arm muscle circumference (MAMA) under the 15th and the 50th percentile, which was considered indicative of undernutrition, did predict longer LOS (P< 0·001); conversely, there was no association between depleted triceps skinfold (TSF) and longer LOS. In-hospital, there was a high prevalence of weight, muscle and fat losses, associated with longer LOS. At discharge, patients with a simultaneous negative variation in TSF+MAC+MAMA (n158, 53 %) had longer LOS than patients with a TSF+MAC+MAMA positive variation (11 (8–15)v.8 (7–12) d,P< 0·001). We concluded that at risk or undernutrition evaluated by all methods, except TSF and BMI, predicted a longer LOS. Moreover, MAC and MAMA measurements and their classification according to the 50th percentile threshold seem reliable undernutrition indicators.

Clostridium difficile Among Hospitalized Patients Receiving Antibiotics A Case-Control Study

2005 ◽  
Vol 26 (8) ◽  
pp. 685-690 ◽  
Author(s):  
Scott Modena ◽  
Dilip Bearelly ◽  
Kenneth Swartz ◽  
Frank K. Friedenberg
Keyword(s):  
Intensive Care ◽  
Clostridium Difficile ◽  
Length Of Stay ◽  
Case Control Study ◽  
Macrolide Antibiotic ◽  
Univariate Analysis ◽  
Antibiotic Use ◽  
Case Control ◽  
Hospitalized Patients ◽  
Control Study

AbstractObjectives:Clostridium difficile is the most common cause of infectious nosocomial diarrhea and can be found in up to 30% of asymptomatic hospitalized patients. Our primary aim was to compare the clinical characteristics of hospitalized patients who received antibiotics and developed C. difficile-associated diarrhea (CDAD) with those of hospitalized patients who received antibiotics and did not develop the disease.Design:Case-control study comprising inpatients at a single institution.Patients:Case-patients were defined as patients who had diarrhea and tested positive for C. difficile. Control-patients (matched 4:1 to case-patients) were defined as patients who received antibiotics for at least 5 days and did not develop CDAD.Results:On univariate analysis, nine variables were associated with CDAD. Only three of the variables, need for intensive care, length of stay, and macrolide antibiotic use, were found to be significant (P < .05) on logistic regression analysis. The odds ratios for status as a CDAD case were 3.68 (CI95, 1.44 to 9.40) for stay in the intensive care unit and 1.03 (CI95, 1.02 to 1.05) for each day of hospital stay. Receipt of macrolide antibiotics reduced risk significantly; the odds ratio was 0.23 (CI95, 0.19 to 0.87).Conclusions:We identified need for intensive care and length of stay as important risk factors for the development of CDAD. We also identified macrolide antibiotic use as protective against its development. Patients receiving intensive care may represent a population to study for targeted prophylaxis.

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