Comparison of nutritional risk screening tools for predicting clinical outcomes in hospitalized patients

Autor(es)

Raslan, Mariana ^[1] ; Gonzalez, Maria Cristina ^[2] ; Goncalves Dias, Maria Carolina ^[1] ; Nascimento, Mariana ^[1] ; Castro, Melina ^[1] ; Marques, Patricia ^[1] ; Segatto, Sabrina ^[1] ; Torrinhas, Raquel Susana ^[1] ; Cecconello, Ivan ^[1] ; Waitzberg, Dan Linetzky ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sch Med, Dept Gastroenterol, Sao Paulo - Brazil

^[2] Univ Catolica Pelotas, Dept Gastroenterol, Div Surg, Pelotas, Rio Grande Sul - Brazil

• Tipo de documento: Artigo Científico
• Fonte: NUTRITION; v. 26, n. 7-8, p. 721-726, JUL-AUG 2010.
• Citações Web of Science: 83

Resumo

Objective: International nutritional screening tools are recommended for screening hospitalized patients for nutritional risk, but no tool has been specifically evaluated in the Brazilian population. The aim of this study was to identify the most appropriate nutritional screening tool for predicting unfavorable clinical outcomes in patients admitted to a Brazilian public university hospital. Methods: The Nutritional Risk Screening 2002 (NRS 2002), Mini-Nutritional Assessment-Short Form (MNA-SF), and Malnutrition Universal Screening Tool (MUST) were administered to 705 patients within 48 h of hospital admission. Tool performance in predicting complications, very long length of hospital stay (LOS), and death was analyzed using receiver operating characteristic curves. Results: NRS 2002, MUST, and MNA-SF identified nutritional risk in 27.9%, 39.6%, and 73.2% of the patients, respectively. NRS 2002 (complications: 0.6531; very long LOS: 0.6508; death: 0.7948) and MNA-SF(complications: 0.6495; very long LOS: 0.6197; death: 0.7583) had largest areas under the ROC curve compared to MUST (complications: 0.6036; very long LOS: 0.6109; death: 0.6363). For elderly patients, NRS 2002 was not significantly different than MNA-SF (P>0.05) for predicting outcomes. Conclusion: Considering current criteria for nutritional risk, NRS 2002 and MNA-SF have similar performance to predict outcomes but NRS 2002 seems to provide a best yield. (C) 2010 Elsevier Inc. All rights reserved. (AU)

• Processo FAPESP: 07/58049-4 - Aplicabilidade de metodos de rastreamento nutricional no paciente hospitalizado.
• Beneficiário: Dan Linetzky Waitzberg
• Modalidade de apoio: Auxílio à Pesquisa - Regular