Clinical nutritional and diet profile of hospitalized patients
DOI:
https://doi.org/10.34019/1982-8047.2021.v47.33898Keywords:
Screening, Nutritional Therapy, Malnutrition, Oral Supplementation, HospitalizationAbstract
Introduction: The prevalence of hospital malnutrition has been increasing in hospitalized patients, being that most of them are already malnourished at the time of hospitalization. It is recommended the use of nutritional screening in order to diagnosis the patients at nutritional risk, then, those will be classified and subject to a nutritional assessment, adjusting their caloric intake, nutrient intake and oral supplementation. Objective: To analyze the clinical, nutritional and dietary profile of hospitalized patients, as well as to relate to sociodemographic and clinical data. Material and Methods: Retrospective observational clinical study with a semi-structured protocol review used by the Nutrition Service to provide nutritional care to patients admitted to a private hospital in Juiz de Fora. Statistical analysis was performed using the SPSS Statistics 21.0 Software. Results: A total of 759 medical records were analyzed, being 58.1% female with a mean age of 55.09 ± 22.95 years. It was found that 44.3% of patients had nutritional risk on admission. Regarding the pathologies, those of cardiological etiology were more prevalent in hospitalization 22.1%. Regarding dietary prescription, 75.9% had alterations after nutritional assessment. Regarding the evolution of patients, 68.1% remained hospitalized. Conclusion: Higher prevalence of female hospitalizations, more than half of the patients had nutritional risk on admission, regardless of gender and age. More than 70% of the patients had a change in the dietary prescription by the nutritionist, emphasizing the importance of intervention and nutritional monitoring, since it favors the nutritional status of the patient.
Downloads
References
Oliveira TC, Albuquerque IZ, Stringhini MLF, Mortoza AS, Morais BA. Estado nutricional de crianças e adolescentes hospitalizados: comparação entre duas ferramentas de avaliação nutricional com parâmetros antropométricos. Rev Paul Pediatr. 2017; 35(3):273-80.
Osta NE, Arab HE, Saad H, Khabbaz LR, Fakhouri J, Papazian T, Osta LE. Assessment of nutritional status of older patients attending a tertiary hospital in Middle Eastern country. Clinical Nutrition ESPEN. 2019;(33):105-10.
Santos, AAR, Campos FLB, Sousa RML, Veloso HJF, Chein MBC. Scored patient-generated Subjective Global Assessment: length of hospital stay and mortality in câncer patients. Rev Nutr. 2017; 30(5):545-53.
Roediger MA, Marucci MFN, Latorre MRDO, Hearst N, Oliveira CM, Duarte YAO. Validation, reliability and operational equivalency of the nutritional screening method “Determine The Nutritional Health Of The Elderly”. Rev Bras Geriatra Gerontol. 2018; 21(3):272-82.
Toledo DO, Piovacari SMF, Horie LM, Matos LBN, Castro MG, Ceniccola GD et al. Campanha “Diga não à desnutrição”: 11 passos importantes para combater a desnutrição hospitalar. BRASPEN J. 2018; 33(1):86-100.
Danis K, Kline M, Munson M, Nickleach J, Hardik H, Valladares AF et al. Identifying and managing malnourished hospitalized patients utilizing the malnutrition quality improvement initiative: the UPMC Experience. J Acad Nutr Diet. 2019; 119(9S2):40-3.
Zhang XY, Zhang XL, Zhu YX, Tao J, Zhang Z, Zhang Y et al. Low calf circumference predicts nutritional risks in hospitalized patients aged more than 80 years. Biomed Environm Scienc. 2019; 32(8):571-7.
Costa C, Matos C, Cândido C, Gaspar E. Avaliação do risco nutricional e caracterização do estado nutricional de crianças internadas. Acta Port Nutr. 2017; 10:18-22.
Nascimento T, Moreira DF, Carvalho RCR, Pereira EAA, Vilela BS. Aceitabilidade das dietas orais de um hospital do Sul de Minas. Rev UIIPS. 2017; 5(5):141-8.
Navarro DA, Boaz M, Krause I, Elis A, Chernov K, Giabra M et al. Improved meal presentation increases food intake and decreases readmission rate in hospitalized patients. Clin Nutr. 2016; 35(5):1153-8.
Dixon J, Channell W, Arkley J, Eardley W. Nutrition in hip fracture units: contemporary practices in preoperative supplementation. Geriatr Orthop Surg Rehabil. 2019; 10:1-5.
Mahan LK, Raymond JL. Krause: alimentos, nutrição e dietoterapia. 14. ed. Rio de Janeiro: Elsevier; 2018.
Volpato S, Custureri R, Puntoni M et al. Effects of oral amino acid supplementation on Multidimensional Prognostic Index in hospitalized older patients: a multicenter randomized, double-blind, placebo-controlled pilot study. Clin Interv Aging. 2018; 13:633-40. doi:10.2147/CIA.S154998.
Lipschitz DA. Screening for nutritional status in the elderly. Prim Care. 1994; 21:55-67.
Lucena AM, Santos CT, Pereira AGS, Almeida MA, Dias VLM, Friedrich MA. Perfil clínico e diagnósticos de enfermagem de pacientes em risco para úlcera por pressão. Rev Latino-Am Enfermagem. 2011; 19(3):[08 telas].
Oliveira JG, Damasceno KG, Souza LP, Lima MG. Perfil clínico epidemiológico e os principais rótulos diagnósticos de enfermagem aos pacientes internados com acidente vascular cerebral em um hospital de grande porte na região sul da Amazônia legal. Revista Amazônia Science & Health. 2016; 4(3);3-11.
Sousa JCS, Oliveira CM, Araújo ASM, Santos RD, Silva DCP, Fernandes LL et al. Avaliação do estado nutricional de pacientes hospitalizados: uso de métodos convencionais e não convencionais. Demetra; 2018; 13(1):195-208.
Ferreira; Szwarcwald; Damacena. Prevalência e fatores associados da obesidade na população brasileira: estudo com dados aferidos da Pesquisa Nacional de Saúde, 2013. Ver Bras Epidemiol. 2019; 22:e190024.
Correia MITD, Perman MI, Waitzberg DL. Desnutrição hospitalar na América Latina: uma revisão sistemática. Clin Nutr. 2016; 36(4):958-67.
Leandro-Merhi VA, Costa CL, Saragiotto L, Aquino JLB. Nutritional indicators of malnutrition in hospitalized patients. Arq Gastroenterol. 2019; 56(4):447-50.
World Health Organization. Global status report on non communicable diseases 2010. Geneva: World Health Organization; 2011.
Pedroso CGT, Sousa AA, Salles RK. Cuidado nutricional hospitalar: percepção de nutricionistas para atendimento humanizado. Ciênc Saúde Coletiva. 2011; 16(Suppl 1):1155-62.
Ballesteros-Pomar MD, Martínez LD, Goates S, Sanz Barriuso R, Sanz-Paris A. Cost-effectiveness of a specialized oral nutritional supplementation for malnourished older adult patients in Spain. Nutrients. 2018; 10:246.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Francielle Dias Carvalho, Luana Aparecida da Costa Melo, Elisa Mendonça Grossi, Lívia Botelho da Silva Sarkis, Gilce Andrezza de Freitas Folly Zocateli
This work is licensed under a Creative Commons Attribution 4.0 International License.
Cessão de Primeira Publicação à HU Revista
Os autores mantém todos os direitos autorais sobre a publicação, sem restrições, e concedem à HU Revista o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento irrestrito do trabalho, com reconhecimento da autoria e crédito pela citação de publicação inicial nesta revista, referenciando inclusive seu DOI.
