Therapeutic outcome of patients at nutritional risk upon admission to a university hospital

Detalhes bibliográficos
Autor(a) principal: Jansen, Ann Kristine
Data de Publicação: 2013
Outros Autores: Silveira, Ana Letícia Malheiros, Oliveira, Marcella Amorim Braga de, Pimenta, Adriano Marçal
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Reme (Online)
Texto Completo: https://periodicos.ufmg.br/index.php/reme/article/view/50219
Resumo: OBJECTIVE: to investigate the influence of nutritional risk, detected upon being admitted to a hospital, on therapeutic outcomes in patients. METHODS: This prospective cohort study was conducted with 495 patients admitted to the emergency clinic of a public hospital, where they were screened for nutritional risk based on the Nutritional Risk Screening 2002. At the end of hospitalization, the outcome, complications, and the presence of nutritional therapy were evaluated based on the medical records. RESULTS: Of the total patients, 53.9% were female, 71.3% were less than 60 years of age, and 11.7% had the therapeutic outcome of palliative care / death. According to Body Mass Index (BMI), 15.5% of the patients were classified as malnourished. Nutritional risk was found in 54.5%, which correlated strongly with the therapeutic outcome of palliative care/death (HR: 5.92, 95% CI: 2.68 to 13.08) as well as their components of increased nutritional requirements (HR: 3.33, 95% CI: 1.61 to 6.86) and impaired nutritional status (HR = moderate: 3.24, 95% CI: 1.31 to 8.00, severe = HR: 6.45, 95% CI: 2.36 to 17.63) after adjustment for potential confounding factors. CONCLUSION: The prevalence of nutritional risk detected in the sample was high, and its presence was related to a poor therapeutic outcome.
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spelling Therapeutic outcome of patients at nutritional risk upon admission to a university hospitalDesenlace terapéutico de pacientes en riesgo de desnutrición ingresados en un hospital universitarioDesfecho terapêutico de pacientes em risco nutricional admitidos em um hospital universitárioNutritional AssessmentOutcomeInpatientsRiskScreeningEvaluación NutricionalEvaluación de Resultado (Atención de Salud)Pacientes InternosRiesgoTriajeAvaliação NutricionalDesfechoPacientes InternadosRiscoTriagemOBJECTIVE: to investigate the influence of nutritional risk, detected upon being admitted to a hospital, on therapeutic outcomes in patients. METHODS: This prospective cohort study was conducted with 495 patients admitted to the emergency clinic of a public hospital, where they were screened for nutritional risk based on the Nutritional Risk Screening 2002. At the end of hospitalization, the outcome, complications, and the presence of nutritional therapy were evaluated based on the medical records. RESULTS: Of the total patients, 53.9% were female, 71.3% were less than 60 years of age, and 11.7% had the therapeutic outcome of palliative care / death. According to Body Mass Index (BMI), 15.5% of the patients were classified as malnourished. Nutritional risk was found in 54.5%, which correlated strongly with the therapeutic outcome of palliative care/death (HR: 5.92, 95% CI: 2.68 to 13.08) as well as their components of increased nutritional requirements (HR: 3.33, 95% CI: 1.61 to 6.86) and impaired nutritional status (HR = moderate: 3.24, 95% CI: 1.31 to 8.00, severe = HR: 6.45, 95% CI: 2.36 to 17.63) after adjustment for potential confounding factors. CONCLUSION: The prevalence of nutritional risk detected in the sample was high, and its presence was related to a poor therapeutic outcome.El objetivo del presente estudio fue investigar la influencia del riesgo de nutrición detectado al inicio de la hospitalización en el desenlace terapéutico de pacientes. Se trata de un estudio de cohorte prospectivo llevado a cabo con 495 pacientes ingresados en el Servicio de Urgencias de un hospital universitario. Los pacientes fueran evaluados sobre el riesgo de desnutrición en base al Nutritional Risk Screening 2002. Al final de la hospitalización se buscaron los registros médicos para evaluar el desenlace, las complicaciones y la terapia nutricional. El 53,9% de los pacientes era del sexo femenino, el 71,3% menor de 60 años, un 11,7% evolucionó con cuidados paliativos o falleció. De acuerdo con el índice de masa corporal, el 15,5% de los pacientes fue clasificado como desnutrido. Se detectó riesgo nutricional en un 54,5%, bastante asociado al desenlace terapéutico, derivado en cuidados paliativos u óbito (HR: 5,92, IC del 95%: 2,68 a 13,08), así como sus componentes, estrés metabólico de la enfermedad (HR: 3,33, IC del 95%: 1,61 a 6,86) y estado nutricional alterado (moderado = HR: 3,24, IC del 95%: 1,31 a 8,00; HR = grave: 6,45, IC del 95%: 2,36 a 17,63), después del ajuste por posibles factores de confusión. La prevalencia de riesgo de nutrición detectada fue alta y su presencia asociada al peor desenlace terapéutico.OBJETIVO: investigar a influência do risco nutricional, detectado ao início da internação, no desfecho terapêutico de pacientes. MÉTODOS: estudo de coorte prospectiva com 495 pacientes admitidos no pronto-atendimento de um hospital universitário, submetidos à triagem de risco nutricional com base no Nutritional Risk Screening, 2002. Ao final da internação, buscaram-se os prontuários para avaliação do desfecho, complicações e presença da terapia nutricional. RESULTADOS: do total de pacientes, 53,9% eram do sexo feminino, 71,3% tinham idade inferior a 60 anos e 11,7% evoluíram com cuidados paliativos/óbito. Segundo o índice de massa corporal, 15,5% dos pacientes foram classificados como desnutridos. O risco nutricional foi encontrado em 54,5% e associou-se fortemente ao desfecho terapêutico cuidados paliativos/óbito (HR: 5,92; IC 95%: 2,68-13,08), assim como seus componentes, estresse metabólico da doença (HR: 3,33; IC 95º%: 1,61-6,86) e estado nutricional prejudicado (moderado = HR: 3,24; IC 95º%: 1,31-8,00; grave = HR: 6,45; IC 95%: 2,36-17,63), após o ajuste por potenciais fatores de confusão. CONCLUSÃO: a prevalência de risco nutricional detectada foi alta e sua presença estava relacionada a pior desfecho terapêutico.Universidade Federal de Minas Gerais2013-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/plainapplication/pdfapplication/pdfhttps://periodicos.ufmg.br/index.php/reme/article/view/5021910.5935/1415-2762.20130048REME-Revista Mineira de Enfermagem; Vol. 17 No. 3 (2013)REME-Revista Mineira de Enfermagem; Vol. 17 Núm. 3 (2013)REME-Revista Mineira de Enfermagem; v. 17 n. 3 (2013)2316-93891415-2762reponame:Reme (Online)instname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGporenghttps://periodicos.ufmg.br/index.php/reme/article/view/50219/41571https://periodicos.ufmg.br/index.php/reme/article/view/50219/41572https://periodicos.ufmg.br/index.php/reme/article/view/50219/41573Copyright (c) 2013 Reme: Revista Mineira de Enfermageminfo:eu-repo/semantics/openAccessJansen, Ann KristineSilveira, Ana Letícia MalheirosOliveira, Marcella Amorim Braga dePimenta, Adriano Marçal2024-01-24T13:28:10Zoai:periodicos.ufmg.br:article/50219Revistaremeufmg@gmail.comPUBhttps://periodicos.ufmg.br/index.php/reme/oairemeufmg@gmail.com2316-93891415-2762opendoar:2024-01-24T13:28:10Reme (Online) - Universidade Federal de Minas Gerais (UFMG)false
dc.title.none.fl_str_mv Therapeutic outcome of patients at nutritional risk upon admission to a university hospital
Desenlace terapéutico de pacientes en riesgo de desnutrición ingresados en un hospital universitario
Desfecho terapêutico de pacientes em risco nutricional admitidos em um hospital universitário
title Therapeutic outcome of patients at nutritional risk upon admission to a university hospital
spellingShingle Therapeutic outcome of patients at nutritional risk upon admission to a university hospital
Jansen, Ann Kristine
Nutritional Assessment
Outcome
Inpatients
Risk
Screening
Evaluación Nutricional
Evaluación de Resultado (Atención de Salud)
Pacientes Internos
Riesgo
Triaje
Avaliação Nutricional
Desfecho
Pacientes Internados
Risco
Triagem
title_short Therapeutic outcome of patients at nutritional risk upon admission to a university hospital
title_full Therapeutic outcome of patients at nutritional risk upon admission to a university hospital
title_fullStr Therapeutic outcome of patients at nutritional risk upon admission to a university hospital
title_full_unstemmed Therapeutic outcome of patients at nutritional risk upon admission to a university hospital
title_sort Therapeutic outcome of patients at nutritional risk upon admission to a university hospital
author Jansen, Ann Kristine
author_facet Jansen, Ann Kristine
Silveira, Ana Letícia Malheiros
Oliveira, Marcella Amorim Braga de
Pimenta, Adriano Marçal
author_role author
author2 Silveira, Ana Letícia Malheiros
Oliveira, Marcella Amorim Braga de
Pimenta, Adriano Marçal
author2_role author
author
author
dc.contributor.author.fl_str_mv Jansen, Ann Kristine
Silveira, Ana Letícia Malheiros
Oliveira, Marcella Amorim Braga de
Pimenta, Adriano Marçal
dc.subject.por.fl_str_mv Nutritional Assessment
Outcome
Inpatients
Risk
Screening
Evaluación Nutricional
Evaluación de Resultado (Atención de Salud)
Pacientes Internos
Riesgo
Triaje
Avaliação Nutricional
Desfecho
Pacientes Internados
Risco
Triagem
topic Nutritional Assessment
Outcome
Inpatients
Risk
Screening
Evaluación Nutricional
Evaluación de Resultado (Atención de Salud)
Pacientes Internos
Riesgo
Triaje
Avaliação Nutricional
Desfecho
Pacientes Internados
Risco
Triagem
description OBJECTIVE: to investigate the influence of nutritional risk, detected upon being admitted to a hospital, on therapeutic outcomes in patients. METHODS: This prospective cohort study was conducted with 495 patients admitted to the emergency clinic of a public hospital, where they were screened for nutritional risk based on the Nutritional Risk Screening 2002. At the end of hospitalization, the outcome, complications, and the presence of nutritional therapy were evaluated based on the medical records. RESULTS: Of the total patients, 53.9% were female, 71.3% were less than 60 years of age, and 11.7% had the therapeutic outcome of palliative care / death. According to Body Mass Index (BMI), 15.5% of the patients were classified as malnourished. Nutritional risk was found in 54.5%, which correlated strongly with the therapeutic outcome of palliative care/death (HR: 5.92, 95% CI: 2.68 to 13.08) as well as their components of increased nutritional requirements (HR: 3.33, 95% CI: 1.61 to 6.86) and impaired nutritional status (HR = moderate: 3.24, 95% CI: 1.31 to 8.00, severe = HR: 6.45, 95% CI: 2.36 to 17.63) after adjustment for potential confounding factors. CONCLUSION: The prevalence of nutritional risk detected in the sample was high, and its presence was related to a poor therapeutic outcome.
publishDate 2013
dc.date.none.fl_str_mv 2013-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/50219
10.5935/1415-2762.20130048
url https://periodicos.ufmg.br/index.php/reme/article/view/50219
identifier_str_mv 10.5935/1415-2762.20130048
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/50219/41571
https://periodicos.ufmg.br/index.php/reme/article/view/50219/41572
https://periodicos.ufmg.br/index.php/reme/article/view/50219/41573
dc.rights.driver.fl_str_mv Copyright (c) 2013 Reme: Revista Mineira de Enfermagem
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2013 Reme: Revista Mineira de Enfermagem
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/plain
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv REME-Revista Mineira de Enfermagem; Vol. 17 No. 3 (2013)
REME-Revista Mineira de Enfermagem; Vol. 17 Núm. 3 (2013)
REME-Revista Mineira de Enfermagem; v. 17 n. 3 (2013)
2316-9389
1415-2762
reponame:Reme (Online)
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Reme (Online)
collection Reme (Online)
repository.name.fl_str_mv Reme (Online) - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv remeufmg@gmail.com
_version_ 1797041906259066880

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