Almendra Antonio Alberto Rodrigues, Leandro-Merhi Vânia Aparecida, Aquino José Luis Braga de
Pontifícia Universidade Católica de Campinas, Faculdade de Medicina, Bolsista de Iniciação Científica, Campinas, SP, Brasil.
Pontifícia Universidade Católica de Campinas, Programa de Pós-Graduação em Ciências da Saúde, Campinas, SP, Brasil.
Arq Gastroenterol. 2022 Jan-Mar;59(1):145-149. doi: 10.1590/S0004-2803.202200001-24.
The prevalence of hospitalized elderly patients has grown substantially and has impacted the hospital health services. Thus, it is believed that an investigation of the nutritional status associated with different clinical situations in elderly patients could contribute to multidisciplinary hospital intervention and nutritional care actions suitable for this population.
To investigate the relationship between two nutritional screening instruments in hospitalized older patients and to compare clinical variables between these two instruments.
Retrospective study with hospitalized older patients (n=277), investigating the agreement between two nutritional screening instruments. The data were analyzed using the McNemar, chi-square, Fisher, Mann-Whitney tests and the kappa coefficient for the agreement assessment.
There was a significant difference (P=0.0002) between the nutritional risk classifications of the two nutritional screening instruments and moderate agreement (k=0.5430) between them. The association between nutritional risk screening and age (P=0.0255), length of hospital stay (P<0.0001), gender (P=0.0365) and illness (P=0.0001) were assessed. There was an association between Mini Nutritional Assessment and length of stay (P<0.0001), illness (P=0.0001) and body weight evolution (P=0.0479).
The nutritional risk screening and Mini Nutritional Assessment showed moderate agreement in the assessment of elderly patients.
住院老年患者的患病率大幅上升，对医院医疗服务产生了影响。因此，人们认为对老年患者不同临床状况下的营养状况进行调查，有助于开展多学科医院干预以及适合该人群的营养护理行动。
研究两种营养筛查工具在住院老年患者中的关系，并比较这两种工具之间的临床变量。
对住院老年患者（n = 277）进行回顾性研究，调查两种营养筛查工具之间的一致性。使用麦克尼马尔检验、卡方检验、费舍尔检验、曼-惠特尼检验以及用于一致性评估的kappa系数对数据进行分析。
两种营养筛查工具的营养风险分类之间存在显著差异（P = 0.0002），且它们之间存在中度一致性（k = 0.5430）。评估了营养风险筛查与年龄（P = 0.0255）、住院时间（P < 0.0001）、性别（P = 0.0365）和疾病（P = 0.0001）之间的关联。简易营养评估与住院时间（P < 0.0001）、疾病（P = 0.0001）和体重变化（P = 0.0479）之间存在关联。
营养风险筛查和简易营养评估在老年患者评估中显示出中度一致性。
