Triagem nutricional em adultos hospitalizados
Palavras-chave:
Avaliação nutricional, Desnutrição, Epidemiologia nutricional, Métodos epidemiológicos, TriagemResumo
Em hospitais, o objetivo de um procedimento de triagem nutricional é identificar indivíduos desnutridos ou em risco de desnutrição, possibilitando intervenção nutricional precoce e melhor alocação de recursos. Diferentes métodos são apresentados na literatura para esta finalidade: Malnutrition Screening Tool, Short Nutritional Assessment Questionnaire, Nutritional Risk Index, Nutrition Risk Score, Nutritional Risk Screening, Mini Nutritional Assessment, Malnutrition Universal Screening Tool, Nutritional Screening Tool, Nutritional Screening Equation. No entanto, o emprego de muitos destes instrumentos está limitado pela inadequada metodologia empregada na derivação e/ou validação, pela seleção de grupos específicos de pacientes, pela pouca praticidade ou por necessidade de um especialista para seu emprego. Na ausência de um padrão de referência para emitir o diagnóstico nutricional, desfechos clínicos relevantes devem balizar a derivação e a validação de novos instrumentos. Este trabalho descreve os instrumentos de triagem nutricional acima referidos e apresenta considerações quanto ao seu emprego para adultos hospitalizados não selecionados.
Referências
Mello ED, Teixeira LB, Beghetto MG, Luft VC. Desnutrição hospitalar cinco anos após o IBRANUTRI. Rev Bras Nutr Clin. 2003; 18(2):65-9.
Waitzberg DL, Caiaffa WT, Correia MI. Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients. Nutrition. 2001; 17(7-8):573-80.
Naber TH, Schermer T, Bree A, Nusteling K, Eggink L, Kruimel JW, et al. Prevalence of malnutrition in nonsurgical hospitalized patients and its association with disease complications. Am J Clin Nutr. 1997; 66(5):1232-9.
Symreng T, Anderberg B, Kagedal B, Norr A, Schildt B, Sjodahl R. Nutritional assessment and clinical course in 112 elective surgical patients. Acta Chir Scand. 1983; 149(7):657-62.
Correia MI, Campos AC, ELAN Cooperative Study. Prevalence of hospital malnutrition in Latin America: the multicenter ELAN study. Nutrition. 2003; 19(10):823-5.
Edington J, Boorman J, Durrant ER, Perkins A, Giffin CV, James R, et al. Prevalence of malnutrition on admission to four hospitals in England. Clin Nutr. 2000; 19(3):191-5.
Reilly JJ Jr, Hull SF, Albert N, Waller A, Bringardener S. Economic impact of malnutrition: a model system for hospitalized patients. JPEN J Parenter Enteral Nutr. 1988; 12(4):371-6.
Larsson J, Akerlind I, Permerth J, Hornqvist JO. The relation between nutritional state and quality of life in surgical patients. Eur J Surg. 1994; 160(6-7): 329-34.
Akner G, Cederholm T. Treatment of proteinenergy malnutrition in chronic nonmalignant disorders. Am J Clin Nutr. 2001; 74(1):6-24.
Boog MCF, Silva JB. Percepções de enfermeiras sobre o processo de cuidado nutricional. Rev Bras Nutr Clin. 2001; 16(1):17-22.
Roubenoff R, Roubenoff RA, Preto J, Balke CW. Malnutrition among hospitalized patients. A problem of physician awareness. Arch Intern Med. 1987; 147(8):1462-5.
Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. ESPEN guidelines for nutrition screening 2002. Clin Nutr. 2003; 22(4):415-21.
Identifying patients at risk: ADA’s definitions for nutrition screening and nutrition assessment. Council on Practice (COP) Quality Management Committee. J Am Diet Assoc. 1994; 94(8):838-89.
Barrocas A, Belcher D, Champagne C, Jastram C. Nutrition assessment practical approaches. Clin Geriatr Med. 1995; 11(4):675-713.
Ferguson M, Capra S, Bauer J, Banks M. Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition. 1999; 15(6):458-64.
Kruizenga HM, Seidell JC, Vet HC, Wierdsma NJ, van Bokhorst-de van der Schueren MA. Development and validation of a hospital screening tool for malnutrition: the short nutritional assessment questionnaire (SNAQ). Clin Nutr. 2005; 24(1):75-82.
Wolinsky FD, Coe RM, Chavez MN, Prendergast JM, Miller DK. Further assessment of the reliability and validity of a Nutritional Risk Index: analysis of a three-wave panel study of elderly adults. Health Serv Res. 1986; 20(6 Pt 2):977-90.
Buzby GP, Williford WO, Peterson OL, Crosby LO, Page CP, Reinhardt GF, et al. A randomized clinical trial of total parenteral nutrition in malnourished surgical patients: the rationale and impact of previous clinical trials and pilot study on protocol design. Am J Clin Nutr. 1988; 47(Suppl 2):357-65.
Prendergast JM, Coe RM, Chavez MN, Romeis JC, Miller DK, Wolinsky FD. Clinical validation of a nutritional risk index. J Comm Health. 1989; 14(3): 125-35.
Schneider SM, Veyres P, Pivot X, Soummer AM, Jambou P, Filippi J, et al. Malnutrition is an independent factor associated with nosocomial infections. Br J Nutr. 2004; 92(1):105-11.
Kyle UG, Schneider SM, Pirlich M, Lochs H, Hebuterne X, Pichard C. Does nutritional risk, as assessed by Nutritional Risk Index, increase during hospital stay? A multinational population-based study. Clin Nutr. 2005; 24(4):516-24.
The Veterans Affairs Total Parenteral Nutrition Cooperative Study Group. Perioperative total parenteral nutrition in surgical patients. N Engl J Med. 1991; 325(8):525-32.
Reilly HM, Martineau JK, Moran A, Kennedy H. Nutritional screening: evaluation and implementation of a simple Nutrition Risk Score. Clin Nutr. 1995; 14(5):269-73.
Wolinsky FD, Coe RM, McIntosh W, Kubena KS, Prendergast JM, Chavez MN, et al. Progress in the development of a Nutritional Risk Index. J Nutr. 1990; 120(Suppl 11):1549-53.
Corish CA, Flood P, Kennedy NP. Comparison of nutritional risk screening tools in patients on admission to hospital. J Hum Nutr Diet. 2004; 17(2):133-9.
Kondrup J, Rasmussen HH, Hamberg O, Stanga Z, Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003; 22(3):321-36.
Guigoz Y, Vellas B, Garry PJ. Mini nutritional assessment: a practical assessment tool for grading the nutritional state of ederly patients. Facts Res Gerontol. 1994; 1(Suppl 2):S15-S59.
Guigoz Y, Vellas B, Garry PJ. Assessing the nutritional status of the elderly: the Mini Nutritional Assessment as part of the geriatric evaluation. Nutr Rev. 1996; 54(1 Pt 2):S59-65.
Van Nes MC, Herrmann FR, Gold G, Michel JP, Rizzoli R. Does the Mini Nutritional Assessment predict hospitalization outcomes in older people? Age Ageing. 2001; 30(3):221-6.
Stratton RJ, Hackston A, Longmore D, Dixon R, Price S, Stroud M, et al. Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the ‘malnutrition universal screening tool’ (‘MUST’) for adults. Br J Nutr. 2004; 92(5):799-808.
Laporte M, Villalon L, Payette H. Simple nutrition screening tools for healthcare facilities: development and validity assessment. Can J Diet Pract Res. 2001; 62(1):26-34.
Laporte M, Villalon L, Thibodeau J, Payette H. Validity and reliability of simple nutrition screening tools adapted to the elderly population in healthcare facilities. J Nutr Health Aging. 2001; 5(4):292-4.
Mackintosh MA, Hankey CR. Reliability of a nutrition screening tool for use in elderly day hospitals. J Hum Nutr Diet. 2001; 14(2):129-36.
Burden ST, Bodey S, Bradburn YJ, Murdoch S, Thompson AL, Sim JM et al. Validation of a nutrition screening tool: testing the reliability and validity. J Hum Nutr Diet. 2001; 14(4):269-75.
Elmore MF, Wagner DR, Knoll DM, Eizember L, Oswalt MA, Glowinski EA et al. Developing an effective adult nutrition screening tool for a community hospital. J Am Diet Assoc. 1994; 94(10):1113-8.
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Copyright (c) 2023 Mariur Gomes BEGHETTO, Bibiana MANNA, Andréia CANDAL, Elza Daniel de MELLO, Carisi Anne POLANCZYK
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
