Scored patient-generated Subjective Global Assessment: Length of hospital stay and mortality in cancer patients

Autores/as

  • Alexsandro Ferreira dos SANTOS Universidade Federal do Maranhão
  • Antonio Aragão RABELO JUNIOR Faculdade Santa Terezinha
  • Fernanda Larissa Brito CAMPOS Faculdade Santa Terezinha
  • Rosângela Maria Lopes de SOUSA Universidade Ceuma
  • Helma Jane Ferreira VELOSO Universidade Federal do Maranhão
  • Maria Bethânia da Costa CHEIN Universidade Federal do Maranhão

Palabras clave:

Death, Length, Malnutrition, Neoplasms, Nutrition assessment

Resumen

Objective
To determine the association of a scored patient-generated Subjective Global Assessment with mortality and length of hospital stay in cancer patients.

Methods
Cross-sectional study carried out between July and September 2014 using secondary data collection using data from 366 medical records of patients admitted to a hospital recognized as a cancer center of excellence. The present study included patients with hospital stay over than or equal three days and minimum age of 20 years. The patient-generated Subjective Global Assessment scores were calculated and compared with the patients’ clinical and anthropometric characteristics and outcomes (death and long length of stay in hospital).

Results
Of the 366 patients evaluated, 36.0% were malnourished. The presence of malnutrition, according to the scored patient-generated Subjective Global Assessment, was statistically associated with the presence of metastasis (52.4%). On the other hand, malnutrition, according to the body mass index in adults (55.8%) and in older elderly patients (54.2%), was associated with death (55.0%). The adjusted logistic regression model showed that the following factors were associated with prolonged hospitalization: early nutritional screening, presence of severe malnutrition, radiotherapy and chemotherapy, and surgical procedures. As for mortality, the associated factors were: male reproductive system tumor, presence of metastasis, clinical treatment, prolonged
hospitalization, and the presence of some degree of malnutrition.

Conclusion
The patient-generated Subjective Global Assessment score is an important risk marker of prolonged hospitalization and mortality rates. It is a useful tool capable of circumventing significant biases in the nutritional evaluation of cancer patients.

Citas

Instituto Nacional de Câncer. Inquérito brasileiro de nutrição. Rio de Janeiro: INCA; 2013.

Cunha CM, Sampaio EJ, Varjão ML, Factum CS, Ramos LB, Barreto-Medeiros JM. Nutritional assessment in surgical oncology patients: A comparative analysis between methods. Nutr Hosp. 2015;31(2):916-21. https://doi.org/10.3305/nh.2015.31.2.7715

Miranda AAM. Influence of nutritional status and body composition in morbidity and mortality of patients eligible for major surgery. Nutrire. 2013;38(1):67-82. https//:doi.org/10.4322/nutrire.2013.008

Fragas RFM, Oliveira MC. Risk factors associated with malnutrition in hospitalized patients. Rev Nutr. 2016;29(3):329-36. https://doi.org/10.1590/1678-98652016000300003

Silva FRM, Oliveira MGOA, Souza ASR, Figueroa JN, Santos CS. Nutritional assessment in surgical oncology patients: A comparative analysis between methods. Nutr Hosp. 2015;14:123. https://doi.org/10.1186/s12937-015-0113-1

Silva TL, Pretto ADB, Gonzalez MC, Pastore CA. Association between nutritional subjective global assessment and manual dynamometry in cancer patients of a chemotherapy service in Southern Brazil. Rev Bras Oncol Clin. 2015;11(40):66-70.

Vigano AL, Di Tomasso J, Kilgour RD, Trutschnigg B, Lucar E, Morais JA, et al. The abridged patientgenerated subjective global assessment is a useful tool for early detection and characterization of cancer cachexia. J Acad Nutr Diet. 2014;114(7):1088-98. https://doi.org/10.1016/j.jand.2013.09.027

Ordoñez AM, Schieferdecker MEM, Cestonaro T, Cardoso Neto J, Campos ACL. Nutritional status influences the length of stay and clinical outcomes in hospitalized patients in internal medicine wards. Nutr Hosp. 2013;28(4):1313-20. https://doi.org/10.3305/nh.2013.28.4.6609

Gonzalez MC, Borges LR, Silveira DH, Assunção MCF, Orlandi SP. Validação da versão em português da avaliação subjetiva global produzida pelo paciente. Rev Bras Nutr Clin. 2010;25(2):102-8.

Correia MITD, Campos ACL, ELAN Cooperative Study. Prevalence of Hospital Malnutrition in Latin America: The Multicenter ELAN Study. Nutrition. 2003;19(10):823-5. https://doi.org/10.1016/S0899-9007(03)00168-0

Bauer J, Capra S, Ferguson M. Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur J Clin Nutr. 2002;56(8):779-85. https://doi.org/10.1038/sj.ejcn.1601412

Lenders CM, Deen DD, Bistrian B, Edwards MS, Seidner DL, McMahon MM, et al. Residency and specialties training in nutrition: A call for action. Am J Clin Nutr. 2014;99(5):1174S-83S. https://doi.org/10.3945/ajcn.113.073528

Correia MITD, Perman MI, Waitzberg DL. Hospital malnutrition in Latin America: A systematic review. Clin Nutr. 2016. pii: S0261-5614(16)30160-1. https://doi.org/10.1016/j.clnu.2016.06.025

Caccialanza R, Pedrazzoli P, Cereda E, Gavazzi C, Pinto C, Paccagnella A, et al. Nutritional support in cancer patients: A position paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE). J Cancer. 2016;7(2):131-5. https://doi.org/10.7150/jca.13818

Santos CA, Ribeiro AQ, Rosa COB, Ribeiro RCL. Depressão, déficit cognitivo e fatores associados à desnutrição em idosos com câncer. Ciênc Saúde Coletiva. 2015;20(3):751-60. https://doi.org/10.1590/1413-81232015203.06252014

Karateke F, Ikiz GZ, Kuvvetli A, Menekse E, Das K, Ozyazici S, et al. Evaluation of nutritional risk screening – 2002 and subjective global assessment for general surgery patients: A prospective study. J Pak Med Assoc. 2013;63(11):1405-8.

Tappenden KA, Quatrara B, Parkhurst ML, Malone AM, Fanjiang G, Ziegler TR. Critical role of nutrition in improving quality of care: An interdisciplinary call to action to address adult hospital malnutrition. J Parenter Enteral Nutr. 2013;37(4):482-97. https://doi.org/10.1177/0148607113484066

Lopes JP, Pereira PMCC, Vicente AFRB, Bernardo A, Mesquita MF. Nutritionstatus assessment in colorectal cancer patients. Nutr Hosp. 2013;28(2):412-8. https://doi.org/10.3305/nh.2013.28.2.6173

Prado CD, Campos JADB. Nutritional status of patients with gastrointestinal cancer receiving care in a public hospital, 2010-2011. Nutr Hosp. 2013;28(2):405-11. https://doi.org/10.3305/nh.2013. 28.2.6305

Descargas

Publicado

2023-03-21

Cómo citar

Ferreira dos SANTOS, A. ., Aragão RABELO JUNIOR, A., Brito CAMPOS, F. L. ., Lopes de SOUSA, R. M. ., Ferreira VELOSO, H. J. ., & da Costa CHEIN, M. B. (2023). Scored patient-generated Subjective Global Assessment: Length of hospital stay and mortality in cancer patients. Revista De Nutrição, 30(5). Recuperado a partir de https://seer.sis.puc-campinas.edu.br/nutricao/article/view/7890

Número

Sección

ARTIGOS ORIGINAIS