迷你营养评估-简表在预测超重住院患者的临床结果方面比营养风险筛查-2002更有效。

IF 2.7 4区 医学 Q3 NUTRITION & DIETETICS
Ana Jessica Pereira Bertini de Oliveira, Cassiana Regina de Goes, Carla Gonçalo Domiciano, Nathália Luíza Ferreira, Lívia Garcia Ferreira
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引用次数: 1

摘要

对住院超重患者营养风险与临床结果之间关系的了解仍处于早期阶段。鉴于缺乏针对超重患者的特定工具,本研究的目的是比较两种主要的通用筛查工具,以评估营养风险,预测住院超重患者的临床结果。在巴西一家中型医院进行了一项回顾性研究,2017年7月至2019年12月期间入院的患者年龄≥20岁。研究对象为有营养风险筛查-2002 (NRS-2002)和迷你营养评估-短表(MNA-SF)记录的超重患者。获得临床结果数据(更长的住院时间、研究期间的再入院以及研究结束前或住院期间的死亡率)。Kappa系数评估两种工具之间的一致性,并使用特征接收者工作曲线(ROC)分析其预测结果的性能。数据来自643名患者。根据NRS-2002和MNA-SF,营养风险患病率分别为17.7%和36.1% (k = 0.390;p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Mini Nutritional Assessment-Short Form is more effective in predicting clinical outcomes among hospitalised patients with overweight than the Nutritional Risk Screening-2002.

Understanding of the association between nutritional risk and clinical outcomes in hospitalised patients with overweight is still at an early stage. Given the lack of specific tools for the patient with overweight, the objective of this study was to compare two of the main general screening instruments for assessing nutritional risk in predicting clinical outcomes in a population of hospitalised patients with overweight. A retrospective study was carried out in a medium-sized hospital in Brazil, with patients ≥20 years old admitted between July 2017 and December 2019. Patients who were overweight and had records of Nutritional Risk Screening-2002 (NRS-2002) and Mini-Nutritional Assessment-Short Form (MNA-SF) in their medical files were included in the study. Clinical outcomes data (longer length of stay, readmission during the study period and mortality before the end of study or during hospitalisation) were obtained. The Kappa coefficient assessed agreement between both tools, and their performance for predicting outcomes was analysed using characteristic receiver operating curves (ROC). Data were collected from 643 patients. The prevalence of nutritional risk was 17.7% and 36.1% according to the NRS-2002 and MNA-SF (k = 0.390; p < 0.001), respectively. According to both tools, all clinical outcomes were significantly more common among individuals at nutritional risk (p < 0.05). Only the MNA-SF showed a significant percentage of predictions for readmission (57.2%) and death during hospitalisation (65.7%). For mortality until the end of the study, the area under the ROC curve was similar for MNA-SF (60.5%) and NRS-2002 (60.7%; p = 0.057). The MNA-SF detected a greater proportion of nutritional risk among hospitalised patients with overweight and better predicted all clinical outcomes compared to the NRS-2002 and should be used to screen patients with overweight for nutritional risk.

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来源期刊
Nutrition Bulletin
Nutrition Bulletin NUTRITION & DIETETICS-
CiteScore
4.50
自引率
12.10%
发文量
58
期刊介绍: The Nutrition Bulletin provides accessible reviews at the cutting edge of research. Read by researchers and nutritionists working in universities and research institutes; public health nutritionists, dieticians and other health professionals; nutritionists, technologists and others in the food industry; those engaged in higher education including students; and journalists with an interest in nutrition.
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