Nutritional Assessment of Adult Cancer Patients admitted  at the Philippine General Hospital using the Scored Patient  Generated Subjective Global Assessment Tool (PG-SGA)

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.

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Subjective global assessment: A reliable nutritional assessment tool to predict outcomes in critically ill patients

Clinical Nutrition ◽

10.1016/j.clnu.2013.05.004 ◽

2014 ◽

Vol 33 (2) ◽

pp. 291-295 ◽

Cited By ~ 65

Author(s):

Daniel Fontes ◽

Simone de Vasconcelos Generoso ◽

Maria Isabel Toulson Davisson Correia

Keyword(s):

Critically Ill ◽

Critically Ill Patients ◽

Global Assessment ◽

Assessment Tool ◽

Nutritional Assessment ◽

Subjective Global Assessment

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The Nutritional Status Sensitivity of the Assessment of Nutritional Status Based on Mini Nutritional Assessment (MNA) Was Compared with Patient-Generated Subjective Global Assessment (PG-SGA) in Cancer Patients Undergoing Chemotherapy in RSUP Dr Wahidin Sudirohusoda Makassar

NurseLine Journal ◽

10.19184/nlj.v4i2.11234 ◽

2020 ◽

Vol 4 (2) ◽

pp. 76

Author(s):

Khoirul Anam ◽

Takdir Tahir ◽

Ilkafah Ilkafah

Keyword(s):

Body Mass Index ◽

Nutritional Status ◽

Cancer Patients ◽

Body Mass ◽

Global Assessment ◽

Nutritional Assessment ◽

Subcutaneous Fat ◽

Mini Nutritional Assessment ◽

Subjective Global Assessment ◽

Cross Sectional

Background: Chemotherapy is highly recommended for cancer treatment, however can cause some side effects such as nausea and vomiting. This will affect food intake and nutritional status in cancer patients who undergo chemotherapy. Aim: To describe nutritional status based on anthropometry Body Mass Index (BMI), hemoglobin (Hb), Patient-Generated Subjective Global Assessment (PG-SGA) and Mini Nutritional Assessment (MNA) in cancer patients undergoing chemotherapy in RSUP. Dr. Wahidin sudirohusodo Makassar. Methode: This experiment uses a quantitative non-experimental research method with cross sectional approach on 1010 patients, nonprobability sampling with purposive sampling technique on 70 respondents, data collection with interview and observation techniques. Results: Nutritional status based on Body Mass Index (BMI) shows that 39 people (55.7%) had normal BMI values. About 37 people (52.9%) had good / normal nutritional status based on Patient-Generated Subjective Global Assessment (PG-SGA) while Mini Nutritional Assessment (MNA) reveals 100% of respondents experienced nutritional status problems. Conclusion: Mini Nutritional Assessment (MNA) is the best tool to identify nutritional status of cancer patients that undergo chemotherapy since this instrument is very sensitive and practical. Patient-Generated Subjective Global Assessment (PG-SGA) is good to assess nutritional status in subject who have lost weight drastically and shows signs of subcutaneous fat loss and muscle mass loss. Keyword: Cancer, chemotherapy, body mass index (BMI), Patient-Generated Subjective Global Assessment (PG-SGA), Mini Nutritional Assessment (MNA).

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