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Identifying nutrition risk in emergency patients: What is the most appropriate screening tool?
Dos Santos, Johnny Galhano; Saueressig, Camila; Wolf, Renata; Dos Santos, Jéssica Correa; Silva, Flávia Moraes; Franzosi, Oellen Stuani; Alba, Valesca Dall'.
Afiliación
  • Dos Santos JG; Graduate Program in Food, Nutrition, and Health, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Saueressig C; Graduate Program Sciences in Gastroenterology and Hepatology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Wolf R; Nutrition Course, Faculty of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Dos Santos JC; Nutrition Course, Faculty of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Silva FM; Nutrition Department and Graduate Program in Nutrition Sciences, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil.
  • Franzosi OS; Nutrition and Dietetics Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
  • Alba VD; Graduate Program in Food, Nutrition, and Health, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Nutr Clin Pract ; 39(4): 911-919, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38575550
ABSTRACT

BACKGROUND:

The emergency department (ED) is the most frequent access route to the hospital. Nutrition risk (NR) screening allows the early identification of patients at risk of malnutrition. This study aimed to evaluate the feasibility and predictive validity of five different tools in EDs Nutritional Risk Screening 2002 (NRS-2002), Nutritional Risk Emergency 2017 (NRE-2017), Royal Free Hospital-Nutritional Prioritizing Tool (RFH-NPT), Malnutrition Universal Screening (MUST), and Malnutrition Screening Tool (MST).

METHODS:

Patients with scores ≥3 according to the NRS-2002, ≥1.5 according to the NRE-2017, and ≥2 according to the MUST, RFH-NPT, or MST were classified with NR. Prolonged length of stay (LOS) and 1-year mortality were evaluated.

RESULTS:

431 patients were evaluated (57.31 ± 15.6 years of age; 54.4% women) in a public hospital in southern Brazil. The prevalence of NR was 35% according to the NRS-2002, 43% according to the MST, 45% according to the NRE-2017 and MUST, and 49% according to the RFH-NPT. Patients with NR, had a greater risk of prolonged LOS (P < 0.001). The presence of NR was associated with an increased risk of 1-year mortality according to the NRS-2002 (hazard ratio [HR] 4.04; 95% CI, 2.513-6.503), MST (HR 2.60; 95% CI, 1.701-3.996), NRE-2017 (HR 4.82; 95% CI, 2.753-8.443), MUST (HR 4.00; 95% CI, 2.385-6.710), and RFH-NPT (HR 5.43; 95% CI, 2.984-9.907).

CONCLUSIONS:

NRE-2017 does not require objective data and presented predictive validity for all outcomes assessed, regardless of the severity of the disease, and thus appears to be the most appropriate tool for carrying out NR screening in the ED.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Evaluación Nutricional / Tamizaje Masivo / Estado Nutricional / Desnutrición / Servicio de Urgencia en Hospital / Tiempo de Internación Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: Nutr Clin Pract Asunto de la revista: CIENCIAS DA NUTRICAO / ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Evaluación Nutricional / Tamizaje Masivo / Estado Nutricional / Desnutrición / Servicio de Urgencia en Hospital / Tiempo de Internación Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: Nutr Clin Pract Asunto de la revista: CIENCIAS DA NUTRICAO / ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos