How Reliable Are The Screening Tools As A Triage Element For The Application Of The Global Leadership Initiative On Malnutrition (Glim)? Prospective Multicenter Observational Study

Página do item simplificado
dc.contributor.authorLopes, G.G.
dc.contributor.authorPiovacari, S. M. F.
dc.contributor.authorMoraes, J. R.
dc.contributor.authorSantos, H. B. C.
dc.contributor.authorRakovicius, A. K. Z.
dc.contributor.authorANDRE FILIPE DE MORAES BATISTA
dc.contributor.authorPereira, A.J.
dc.creatorLopes, G.G.
dc.creatorPiovacari, S. M. F.
dc.creatorMoraes, J. R.
dc.creatorSantos, H. B. C.
dc.creatorRakovicius, A. K. Z.
dc.creatorPereira, A.J.
dc.date.accessioned2024-11-19T23:09:51Z
dc.date.available2024-11-19T23:09:51Z
dc.date.issued2023
dc.description.abstractRationale: The international GLIM guideline recommends on the use of nutritional screening for the diagnosis of hospital malnutrition. However, as clinical outcomes were not included in the original validation of these instruments and their sensitivity (true positive rate) is unknown, it is not possible to report a chance of a truly at nutritional risk patient not being identified by screening and consequently not being evaluated by the GLIM. Methods: Multicenter, prospective observational trial in 3 Brazilian tertiary hospitals, carried out between December/21 to February/22. A convenience sample was used based on patients with expected length of stay at hospital longer than 48 hours. Pregnant women, under 18 years old, palliative care, lymphedema and muscle atrophy of neurological causes patients were excluded. NRS 2002, MNA-SF and ESPEN 2019 tools were applied to the specific populations (following international guidelines) by trained and validated Dietitians. Hospital mortality data were extracted from the local electronic medical records. Results: 676 patients were included, 54% male, 90% white with a mean age of 63 years (SD: ±21) and BMI of 27.50 kg/m2 (SD: ±4.72), hospitalized in the wards (68%). The most used nutritional screening was NRS 2002 (52%). In the sample, 39% were at nutritional risk, of these 5.6% died. An overview of nutritional screening tools’ performance are shown in the Table. In addition, accuracy found was 0.59 and area under the curve was 0,69 for predicting in-hospital deaths.pt
dc.formatDigital
dc.format.extentp. 485 - 486
dc.identifier.doi10.1016/j.clnesp.2022.09.088
dc.identifier.issn2405-4577
dc.identifier.urihttps://repositorio.insper.edu.br/handle/11224/7227
dc.language.isoInglês
dc.relation.ispartofClinical Nutrition ESPEN
dc.titleHow Reliable Are The Screening Tools As A Triage Element For The Application Of The Global Leadership Initiative On Malnutrition (Glim)? Prospective Multicenter Observational Study
dc.typejournal article
dspace.entity.typePublication
local.identifier.sourceUrihttps://www.sciencedirect.com/science/article/pii/S2405457722005885?via%3Dihub
local.publisher.countryNão Informado
local.subject.cnpqCIENCIAS DA SAUDE
local.subject.cnpqCIENCIAS DA SAUDE::NUTRICAO
local.subject.cnpqCIENCIAS DA SAUDE::SAUDE COLETIVA
local.subject.cnpqCIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO
local.subject.cnpqCIENCIAS EXATAS E DA TERRA::PROBABILIDADE E ESTATISTICA
local.typeArtigo Científico
publicationvolume.volumeNumber54
relation.isAuthorOfPublicationb10d272e-98b2-4953-8e51-37aea3fde20c
relation.isAuthorOfPublication.latestForDiscoveryb10d272e-98b2-4953-8e51-37aea3fde20c
Arquivos
Pacote Original
Agora exibindo 1 - 2 de 2
Imagem de Miniatura
Nome:
Primeira_Pagina_Artigo_2023_How Reliable_are_the_screening_tools_TC.pdf
Tamanho:
45.91 KB
Formato:
Adobe Portable Document Format
Baixar
N/D
Nome:
ACESSO_RESTRITO_Artigo_2023_How Reliable_are_the_screening_tools_TC.pdf
Tamanho:
80.47 KB
Formato:
Adobe Portable Document Format
Baixar
Licença do Pacote
Agora exibindo 1 - 1 de 1
N/D
Nome:
license.txt
Tamanho:
236 B
Formato:
Item-specific license agreed upon to submission
Descrição:
Baixar
Coleções
Coleção de Artigos Acadêmicos