Variation in the prevalence of nutritional risk in hospitalized individuals according to five nutritional screening protocols

  • Juliane Pereira Duarte Centro Universitário Univates
  • Juliana Paludo Vallandro
  • Joana Raquel Nunes Lemos
  • Thaís Rodrigues Moreira Centro Universitário Univates
Keywords: NUTRITION ASSESSMENT, PROTEIN-ENERGY MALNUTRITION, ADULT, AGED.

Abstract

AIMS: To assess the prevalence of nutritional risk in hospitalized subjects and the agreement in nutritional diagnosis between five nutritional screening protocols. METHODS: A cross-sectional study included patients of both genders, aged 18, admitted to hospital from January to March 2013 Within the first 48 hours of admission, the following nutritional screening protocols were applied: Mini Nutrition Assessment (MNA); Mini Nutrition Assessment Short Form (MNA-S); Subjective Global Assessment (ASG); Nutritional Risk Screening (NRS 2002); and Malnutrition Universal Screening Tool (MUST). The protocols consist of questions related to weight loss, body mass index, functional capacity, food appetite and gastrointestinal disturbances. Subjects were classified into two levels: well-nourished and malnourished. RESULTS: A sample of 100 patients were evaluated, which showed 49 (49%) individuals at nutritional risk by the MNA protocol; 53 (53%) by MNA-SF; 23 (23%) by MUST; 7 (7%) by NRS; and 4 (4%) by ASG. The female and aged over 60 years prevailed in the sample. Three protocols, MNA-SF, MUST and NRS, showed a higher nutritional risk in patients over 60 years (p equal or less than 0.05). It was observed that MNA and MNA-SF protocols obtained better agreement (Kappa coefficient = 0.760, p less than 0.001). CONCLUSIONS: There was good agreement between the protocols MNA and MNA-SF, but not of those with other protocols, which also showed no correlation with each other. The protocol that ranked the highest percentage of patients at nutritional risk was the MNA-SF, and less nutritional risk was detected by ASG.

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Author Biographies

Juliane Pereira Duarte, Centro Universitário Univates
Discente do curso de Nutrição do Centro Universitário Univates.
Juliana Paludo Vallandro
Mestre em Pediatria pela Universidade Federal do Rio Grande do Sul.
Joana Raquel Nunes Lemos
Mestre em Ciências Médicas pela Universidade Federal do Rio Grande do Sul.
Thaís Rodrigues Moreira, Centro Universitário Univates
Docente do curso de Nutrição em Nutrição da Univates, Mestre em Ciências Médicas pela UFRGS.
Published
2014-05-10
How to Cite
Duarte, J. P., Vallandro, J. P., Lemos, J. R. N., & Moreira, T. R. (2014). Variation in the prevalence of nutritional risk in hospitalized individuals according to five nutritional screening protocols. Scientia Medica, 24(1), 26-32. https://doi.org/10.15448/1980-6108.2014.1.15319
Section
Original Articles