scholarly journals Associação entre ferramenta de triagem e avaliação nutricional entre pacientes hospitalizados no município de Porto Alegre

2020 ◽  
Vol 2 (35) ◽  
pp. 144-148
Author(s):  
Camila Weschenfelder ◽  
Luciane Vieira Figueira ◽  
Talita Sthephanie Scotta Cabral ◽  
Jacqueline Schaurich dos Santos
Keyword(s):  
Predictive Value ◽  
Screening Tool ◽  
Nutritional Assessment ◽  
Cross Sectional Study ◽  
The Body ◽  
Assessment Tools ◽  
Nutritional Risk ◽  
Porto Alegre ◽  
Cross Sectional ◽  
Hospital Malnutrition

Introduction: Hospital malnutrition is associated with the worsening of the patient’s general condition and its early diagnosis allows the reduction of related complications. The aim of this study was to verify the agreement of the Short Nutritional Assessment Questionnaire (SNAQ) screening tool and the Subjective Global Assessment (SGA). Methods: Cross-sectional study, carried out in a general hospital in the city of Porto Alegre (RS). The SNAQ was applied by previously trained nutritionists and nurses, and the patient was considered at nutritional risk when the score was ≥2. SGA was applied by nutritionists in all patients and considered the gold standard for comparison. The Kappa coefficient was used to assess the degree of agreement between the screening and nutritional assessment tools. Kappa values between 0.21-0.60 were considered as low agreement, 0.61-0.8 as moderate agreement and greater than 0.81, as strong agreement. Results: Between January and March 2017, 186 patients were evaluated, of them 115 (62%) were women. The mean age was 65.7 ± 16.6 years and the body mass index (BMI) mean was 26.5 ± 5.5 kg/ m². According to SGA classification, 73.7% of the sample was considered to be well nourished, 14% moderately malnourished and 12.4% severely malnourished. Low agreement was observed between the nutritional risk diagnosed by nursing vs. nutrition through SNAQ (Kappa=0.58) and good agreement of SNAQ applied by the nutrition team with the nutritional diagnosis of SGA (Kappa=0.73). The SNAQ presented sensitivity of 85.7% (95% CI 73.3 - 92.9) and specificity of 90.5% (95% CI 84.4 - 94.4); positive predictive value of 76.4% (95% CI 65.7 - 84.5) and negative predictive value of 94.7% (95% CI 90 - 97.2). Conclusion: We conclude that the screening tool SNAQ when conducted by nutritionists can be used for early detection of hospital malnutrition.

scholarly journals The importance of dysphagia screening and nutritional assessment in hospitalized patients

2018 ◽  
Vol 16 (2) ◽  
Author(s):  
Patrícia Amaro Andrade ◽  
Carolina Araújo dos Santos ◽  
Heloísa Helena Firmino ◽  
Carla de Oliveira Barbosa Rosa
Keyword(s):  
Nutritional Status ◽  
Global Assessment ◽  
Assessment Tool ◽  
Nutritional Assessment ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
The Body ◽  
Subjective Global Assessment ◽  
Cross Sectional ◽  
Knee Height

ABSTRACT Objective: To determine frequency of dysphagia risk and associated factors in hospitalized patients as well as to evaluate nutritional status by using different methods and correlate the status with scores of the Eating Assessment Tool (EAT-10). Methods: This was a cross-sectional study including 909 inpatients of a philanthropic hospital. For the diagnosis of dysphagia we used an adapted and validated Brazilian version of the Eating Assessment Tool (EAT-10). The nutritional status was evaluated through the subjective global assessment, and anthropometric measurements included weight, calf and arm circumference, and knee height. The Mann-Whitney test, associations using the Pearson’s χ2 and Spearman’s correlation were used to verify differences between the groups. Results: The prevalence of dysphagia risk was 10.5%, and aging was the associated factor with this condition. Patients at risk presented lower values of arm and calf circumference, variables that correlated inversely with the Eating Assessment Tool (EAT-10) score. Malnutrition was observed in 13.2% of patients based on the subjective global assessment and in 15.2% based on the Body Mass Index. Conclusion: Screening for dysphagia and malnutrition should be introduced in hospitals routine to avoid or minimize damages caused by dysphagia or malnutrition, especially among older people.

scholarly journals Malnutrition and cachexia among cancer out-patients in Nairobi, Kenya

2017 ◽  
Vol 6 ◽  
Author(s):  
L. U. Kaduka ◽  
Z. N. Bukania ◽  
Y. Opanga ◽  
R. Mutisya ◽  
A. Korir ◽  
...  
Keyword(s):  
At Risk ◽  
Screening Tool ◽  
Point Of Care ◽  
Cross Sectional Study ◽  
Fat Free Mass ◽  
Assessment Tools ◽  
Correct Identification ◽  
Cross Sectional ◽  
Cancer Management ◽  
Patients At Risk

AbstractCancer is the third leading cause of death in Kenya. However, there is scarce information on the nutritional status of cancer patients to guide in decision making. The present study sought to assess the risk of malnutrition, and factors associated with malnutrition and cachexia, among cancer out-patients, with the aim of informing nutrition programmes for cancer management in Kenya and beyond. This was a facility-based cross-sectional study performed at Kenyatta National Hospital and Texas Cancer Centre in Nairobi, Kenya. The risk of malnutrition was assessed using the Malnutrition Universal Screening Tool (MUST). Diagnoses of malnutrition and cachexia were done using the European Society of Clinical Nutrition and Metabolism (ESPEN) and Fearon criteria, respectively. A total of 512 participants were assessed. Those at risk of malnutrition were 33·1 % (12·5 % at medium risk, 20·6 % at high risk). Prevalence of malnutrition was 13·4 %. The overall weight loss >5 % over 3 months was 18·2 % and low fat-free mass index was 43·1 %. Prevalence of cachexia was 14·1 % compared with 8·5 % obtained using the local criteria. Only 18·6 % participants had received any form of nutrition services. Age was a predictor of malnutrition and cachexia in addition to site of cancer for malnutrition and cigarette smoking for cachexia. The use of the MUST as a screening tool at the first point of care should be explored. The predictive value of current nutrition assessment tools, and the local diagnostic criteria for malnutrition and cachexia should be reassessed to inform the development of appropriate clinical guidelines and future capacity-building initiatives that will ensure the correct identification of patients at risk for timely care.

Early Dementia Questionnaire (EDQ): A Screening Instrument for early Dementia among elderly in Cairo governorate

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Aya Ashraf Sayed ◽  
Nayera Samy Mostafa ◽  
Salma Mohamed Samir El Said
Keyword(s):  
Predictive Value ◽  
Assessment Tool ◽  
Nutritional Assessment ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Early Dementia

Abstract Objectives To screen elderly participants for early Dementia in primary care in Egypt using a newly developed Early Dementia Questionnaire (EDQ) and comparing it with standard assessment tool, Mini Mental State Examination (MMSE). Design A cross-sectional study. Setting and Participants The study included 220 elder adults (both men and women) recruited from a primary healthcare center, the outpatient geriatric clinic at Ain Shams University hospitals and elderly clubs (Community dwelling) in Cairo Governorate, Egypt. Methods A cross-sectional study was conducted on a group of elderly patients using systematic random sampling. Elderly depression was excluded using the Geriatric Depression Scale (GDS). Diagnosed cases of dementia and other mental or psychiatric disorders and illiterate participants were excluded from the study. A face-to-face interview was done using EDQ with the participants to elicit symptoms of early dementia. The participants were then assessed with MMSE using variable cut-off points according to age and educational level. Results Prevalence of dementia among the study participants was 81.4% by EDQ and 19.5% by MMSE. The EDQ demonstrated a sensitivity of 97.7% with specificity of 22.6%. Positive predictive value of EDQ was 23.5% with the negative predictive value of 97.6%. A significant association was found between possible dementia, hypertension, Mini Nutritional Assessment and urinary incontinence. Conclusion The EDQ is more sensitive than MMSE for screening of early dementia.

scholarly journals SHORT-FORM MINI NUTRITIONAL ASSESSMENT AS A TOOL FOR NUTRITION EVALUATION IN ELDERLY INDIVIDUALS WITH CANCER IN BRAZIL

2014 ◽  
pp. 1-7
Author(s):  
G. Marques Rodrigues ◽  
J.F. Santos da Silva ◽  
D. Bittencourt Ferreira ◽  
L.M. Santiago ◽  
L. Lima Luz ◽  
...  
Keyword(s):  
At Risk ◽  
Nutritional Assessment ◽  
Short Form ◽  
Statistical Significance ◽  
Mini Nutritional Assessment ◽  
Normal Weight ◽  
The Body ◽  
Nutritional Risk ◽  
Cross Sectional ◽  
Elderly Individuals

Objective: To analyze to role of the Short-Form Mini Nutritional Assessment in the nutritional assessment of elderly individuals with cancer. Study Design: Cross-sectional epidemiological study. Location: Outpatient services at eight cancer hospitals in the cities of Campo Grande and Rio de Janeiro, in Brazil. Participants: 333 individuals, aged 60 or older, with prostate cancer, interviewed in the period before the definition of cancer treatment. Methods: The nutritional profile was assessed with the Short Form Mini Nutritional Assessment (MNA-SF) and with the Body Mass Index (BMI), according to Lipschitz’s classification. Socio-demographic and clinical variables were also considered. We analyzed the distribution of elderly individuals by MNA-SF items according to MNA-SF and BMI categories and the Fisher’s exact test was applied for testing the statistical significance of the observed differences (p≤0.05). Results: Based on the MNA-SF, 235 (73.0%) individuals had an adequate nutritional status; 74 (23.0%) were at risk for malnutrition and 13 (4.0%) were considered malnourished. Based on the BMI, 49 elders (15.2%) were classified as low weight; 150 (46.4%) as normal weight and 124 (38.4%) as overweight. For each item in the MNS-SF, the frequency of answers corresponding to deficiencies was high among elderly individuals at risk for malnutrition, with statistical significance. With respect to the BMI, only “Food intake declined over the past 3 months” and “BMI” had statistically significant differences. Conclusion: MNA-SF showed a good relationship between its component items and proved to be an adequate tool to describe nutritional risk in elderly cancer patients. Early detection of this risk paves the way for an early nutritional approach and for preventing undesirable outcomes with respect to the health of those individuals. As other advantages, MNA-SF is easy to interpret, demands a short time for application and is well accepted by the elders.

scholarly journals Six simple questions to detect malnutrition or malnutrition risk in elderly women

PeerJ ◽  
2015 ◽  
Vol 3 ◽  
pp. e1316 ◽  
Author(s):  
Tranquilina Gutiérrez-Gómez ◽  
Ernesto Cortés ◽  
Antonio Palazón-Bru ◽  
Isabel Peñarrieta-de Córdova ◽  
Vicente Francisco Gil-Guillén ◽  
...  
Keyword(s):  
Physical Activity ◽  
Living Arrangements ◽  
Elderly Women ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Psychological Problems ◽  
Nutritional Risk ◽  
Cross Sectional

Of the numerous instruments available to detect nutritional risk, the most widely used is the Mini Nutritional Assessment (MNA), but it takes 15–20 min to complete and its systematic administration in primary care units is not feasible in practice. We developed a tool to evaluate malnutrition risk that can be completed more rapidly using just clinical variables. Between 2008 and 2013, we conducted a cross-sectional study of 418 women aged ≥60 years from Mexico. Our outcome was positive MNA and our secondary variables included were: physical activity, diabetes mellitus, hypertension, educational level, dentition, psychological problems, living arrangements, history of falls, age and the number of tablets taken daily. The sample was divided randomly into two groups: construction and validation. Construction: a risk table was constructed to estimate the likelihood of the outcome, and risk groups were formed. Validation: the area under the ROC curve (AUC) was calculated and we compared the expected and the observed outcomes. The following risk factors were identified: physical activity, hypertension, diabetes, dentition, psychological problems and living with the family. The AUC was 0.77 (95% CI [0.68–0.86],p< 0.001). No differences were found between the expected and the observed outcomes (p= 0.902). This study presents a new malnutrition screening test for use in elderly women. The test is based on six very simple, quick and easy-to-evaluate questions, enabling the MNA to be reserved for confirmation. However, it should be used with caution until validation studies have been performed in other geographical areas.

Nutritional assessment in the cat: Practical recommendations for better medical care

2019 ◽  
Vol 21 (5) ◽  
pp. 442-448 ◽  
Author(s):  
Angela Witzel Rollins ◽  
Maryanne Murphy
Keyword(s):  
Medical Care ◽  
Nutritional Assessment ◽  
Ideal Body Weight ◽  
Evidence Base ◽  
The Body ◽  
Assessment Tools ◽  
Nutritional Risk ◽  
Dietary Recommendations ◽  
Examination Time ◽  
Body Condition Scoring

Practical relevance: Pet owners want dietary recommendations from their veterinarian. Providing a brief nutritional assessment for every cat at every visit will result in better medical care and build trust with clients. Clinical challenges: Examination time is limited, and it can be challenging to ensure appointments are efficient, yet thorough. A range of practical assessment tools is available that can assist with this process. Patient group: Every cat can benefit from a screening nutritional evaluation as the fifth vital assessment (after temperature, pulse, respiration and pain assessment). Identifying patients with nutritional risk factors or nutrition-responsive diseases should prompt a more in-depth review of dietary needs. Audience: This article is aimed at all veterinary health professionals and is accompanied by videos demonstrating the body condition scoring process for a series of cats ranging from ideal body weight through to obese. Evidence base: Information in the review is drawn from the current scientific literature, as well as the clinical experience of the authors.

scholarly journals Is There a Better Tool to Identify Patients at Nutritional Risk in Emergency Units?

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 645-645
Author(s):  
Johnny Galhano dos Santos ◽  
Camila Saueressig ◽  
Valesca Dall'Alba
Keyword(s):  
Elderly Patients ◽  
Screening Tool ◽  
Cross Sectional Study ◽  
Nutritional Risk ◽  
Emergency Unit ◽  
Cross Sectional ◽  
Funding Sources ◽  
Kappa Test ◽  
Direct Measurements ◽  
Emergency Units

Abstract Objectives To compare nutritional risk in patients admitted to the emergency unit, by the instruments Nutritional Risk Screening-2002 (NRS), Nutritional Risk Emergency-2017 (NRE), and Malnutrition Universal Screening Tool (MUST). Methods Cross-sectional study, carried out in the emergency unit of a public hospital in Brazil. The sample consisted of adult patients (≥ 19 years old), of both sexes. Nutritional risk was assessed within 24 hours after hospital admission. Patients with a score ≥ 3 by the NRS, ≥ 1.5 by the NRE and, ≥ 2 by the MUST were classified with risk. The NRE is a tool made up of 6 subjective questions, while the NRS and MUST use objective measures of analysis. The data were expressed in absolute (n) and relative (%) frequencies and the analysis of agreement between the instruments was performed using the Kappa test. Results 432 patients were assessed (age 57.31 ± 15.6 years and 54.4% women). The prevalence of nutritional risk by NRS, NRE, and MUST tools was 36%, 45%, and 46%, respectively. There was moderate agreement between the tools, NRS and NRE (Kappa = 0.599 p &lt; 0.01), MUST and NRE (Kappa = 0.594 p &lt; 0.01), MUST and NRS (Kappa = 0.558 p &lt; 0.01). When stratifying the data for elderly patients (age ≥ 60 years), the prevalence of nutritional risk increased for all screening instruments, in particular, the NRE obtained the highest value (61%). Conclusions MUST and NRE were very similar in identifying patients at nutritional risk, however NRE was found to be superior in elderly patients. In addition, the fact that it does not require direct measurements, makes NRE the most suitable screening tool for emergency units. Funding Sources Research and Events Incentive Fund (FIPE) of Hospital de Clínicas de Porto Alegre.

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