RESUMO
Hospital malnutrition remains a significant public health issue, particularly in developing countries. The Global Leadership Initiative on Malnutrition (GLIM) proposed homogenizing criteria to standardize malnutrition diagnosis. This study aimed to retrospectively determine the prevalence of nutritional risk and malnutrition diagnoses among hospitalized patients using the Nutritional Risk Screening (NRS)-2002 screening instrument and the GLIM criteria, respectively. We conducted a retrospective, cross-sectional study from nutritional records of patients hospitalized in a single centre 2021. Nutrition data from records included medical diagnosis, gender, length of stay, age, weight, height, body mass index, weight loss, calf circumference, and middle upper arm circumference. Nutritional risk and malnutrition were evaluated using NRS-2002 and GLIM criteria. Its concordance was further evaluated by using a Kappa test. The study included 616 records of patients; 52.3% (n = 322) of the population were male. The prevalence of nutritional risk, according to NRS-2002, was 69.5% (n = 428). Nutritional risk as well as malnutrition diagnosis according to GLIM criteria was observed in 87.8% (n = 374) of patienttritional risk and malnutrition were evaluated using NRS-2002 and GLIM criteria. Its concordance was further evaluated by using a Kappa test. Ws. Tools showed a strong concordance (κ= 0.732). All anthropometric data, except for height, were found to be significantly different between patients with moderate and severe malnutrition (p < 0.05). Our findings highlight a high prevalence of malnutrition in this group of hospitalized patients in Mexico. NRS-2002 demonstrated good agreement with the diagnosis of malnutrition according to GLIM criteria and could be considered part of the straightforward two-step approach for malnutrition; however, further studies are needed.
Assuntos
Hospitalização , Desnutrição , Avaliação Nutricional , Estado Nutricional , Humanos , Masculino , Desnutrição/epidemiologia , Desnutrição/diagnóstico , Estudos Transversais , Estudos Retrospectivos , Feminino , Prevalência , Pessoa de Meia-Idade , Idoso , Adulto , Fatores de Risco , Programas de Rastreamento/métodos , Índice de Massa Corporal , Idoso de 80 Anos ou maisRESUMO
OBJECTIVE: Hospitalized patients have high risk of malnutrition, specially those with cancer. There are some screening tools that lead to the detection of malnutrition in hospitalized patients, as Nutritional Risk Screening 2002 (NRS-2002), which we used in Mexican population with cancer at the moment of hospital admission to determine the prevalence of malnutrition risk, and to determine as well as the best predictive item to measuring nutritional risk in our population. METHODOLOGY: Nutritional status in cancer patients with NRS 2002 during hospital admission was assessed. To the analysis of variable non statistical parametric tests, student-t test, Pearson and Spearman test, as well as ANOVA test were used. To determine the best item for predicting nutritional risk in Mexican population with cancer, a logistic regression test was applied. RESULTS: Of our population, 50.2% of were classified as patients in nutritional risk at hospital admission. Gender, age, normal levels of IMC lower than 20.5, food intake, weight loss and hematological cancer were associated with nutritional risk (p < 0.05). The best model of logistic regression for predicting nutritional risk were the same used by NRS-2002 questionnaire (p < 0.05). CONCLUSION: Malnutrition prevalence is high in cancer patients and NRS-2002 is a reliable tool for predicting nutritional risk in Mexican population with cancer.
OBJETIVOS: Los pacientes hospitalizados tienen un riesgo alto desnutrición, especialmente aquellos con cáncer. Existen herramientas que evalúan el estado nutricional en pacientes hospitalizados como el Nutritional Risk Screening 2002 (NRS-2002), el cual usamos en el presente trabajo en población mexicana con cáncer durante su hospitalización, para determinar la prevalencia de riesgo de desnutrición y los factores del NRS 2002 que más se asocian al riesgo nutricional. MÉTODOS: Se evaluó el estado nutricional de pacientes con cáncer con el tamizaje NRS-2002, durante su ingreso hospitalario. Se utilizó pruebas estadísticas no paramétricas, la prueba t de student, correlación de Pearson y Spearman, y ANOVA para contrastar las variables que se asocien con riesgo nutricional y por medio de modelos de regresión logística se determinó los ítems del cuestionario de mejor predicción de riesgo de desnutrición en población oncológica mexicana. RESULTADOS: El riesgo nutricional se presentó en el 50,2% de los pacientes durante su ingreso hospitalario. Los factores que más se asocia al riesgo nutricional fueron género, edad, niveles de IMC menores a 20,5, pérdida de peso e ingesta de alimentos y el cáncer hematológico (p < 0,05). El modelo que mejor predijo la presencia de riesgo de desnutrición en nuestra población fueron las mismas variables categorizadas que utiliza la presente encuesta de tamizaje NRS-2002 (p < 0,05). CONCLUSIONES: La prevalencia de desnutrición en el paciente con cáncer es alta y el NRS-2002 es una herramienta confiable en la predicción de riesgo de desnutrición en población oncológica mexicana.
Assuntos
Desnutrição/epidemiologia , Desnutrição/etiologia , Neoplasias/complicações , Idoso , Estudos Transversais , Feminino , Hospitalização , Humanos , Masculino , México , Pessoa de Meia-Idade , Estado Nutricional , Prevalência , Medição de Risco , Fatores de RiscoRESUMO
Objetivos: Los pacientes hospitalizados tienen un riesgo alto desnutrición, especialmente aquellos con cáncer. Existen herramientas que evalúan el estado nutricional en pacientes hospitalizados como el Nutritional Risk Screening 2002 (NRS-2002), el cual usamos en el presente trabajo en población mexicana con cáncer durante su hospitalización, para determinar la prevalencia de riesgo de desnutrición y los factores del NRS 2002 que más se asocian al riesgo nutricional. Métodos: Se evaluó el estado nutricional de pacientes con cáncer con el tamizaje NRS-2002, durante su ingreso hospitalario. Se utilizó pruebas estadísticas no paramétricas, la prueba t de student, correlación de Pearson y Spearman, y ANOVA para contrastar las variables que se asocien con riesgo nutricional y por medio de modelos de regresión logística se determinó los ítems del cuestionario de mejor predicción de riesgo de desnutrición en población oncológica mexicana. Resultados: El riesgo nutricional se presentó en el 50,2% de los pacientes durante su ingreso hospitalario. Los factores que más se asocia al riesgo nutricional fueron género, edad, niveles de IMC menores a 20,5, pérdida de peso e ingesta de alimentos y el cáncer hematológico (p < 0,05). El modelo que mejor predijo la presencia de riesgo de desnutrición en nuestra población fueron las mismas variables categorizadas que utiliza la presente encuesta de tamizaje NRS-2002 (p < 0,05). Conclusiones: La prevalencia de desnutrición en el paciente con cáncer es alta y el NRS-2002 es una herramienta confiable en la predicción de riesgo de desnutrición en población oncológica mexicana (AU)
Objective: Hospitalized patients have high risk of malnutrition, specially those with cancer. There are some screening tools that lead to the detection of malnutrition in hospitalized patients, as Nutritional Risk Screening 2002 (NRS-2002), which we used in Mexican population with cancer at the moment of hospital admission to determine the prevalence of malnutrition risk, and to determine as well as the best predictive item to measuring nutritional risk in our population. Methodology: Nutritional status in cancer patients with NRS 2002 during hospital admission was assessed. To the analysis of variable non statistical parametric tests, student-t test, Pearson and Spearman test, as well as ANOVA test were used. To determine the best item for predicting nutritional risk in Mexican population with cancer, a logistic regression test was applied. Results: Of our population, 50.2% of were classified as patients in nutritional risk at hospital admission. Gender, age, normal levels of IMC lower than 20.5, food intake, weight loss and hematological cancer were associated with nutritional risk (p < 0.05). The best model of logistic regression for predicting nutritional risk were the same used by NRS-2002 questionnaire (p < 0.05). Conclusion: Malnutrition prevalence is high in cancer patients and NRS-2002 is a reliable tool for predicting nutritional risk in Mexican population with cancer (AU)
