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http://hdl.handle.net/1843/66236| Type: | Artigo de Periódico |
| Title: | Nutritional risk in emergency - 2017' (nre - 2017): a new simplified proposal for a nutritional screening tool |
| Authors: | Aline Marcadenti Larissa Loures Mendes Jaqueline da Silva Fink Estela Iraci Rabito Flávia Moraes Silva |
| Abstract: | There are many nutrition screening tools currently being applied in hospitals to identify risk of malnutrition. However, multivariate statistical models are not usually employed to take into account the importance of each variable included in theinstrument’s development. To develop and evaluate the concurrent and predictive validities of a new screening tool ofnutrition risk. A prospective cohort study was developed, in which 4 nutrition screening tools were applied to all patients.Length of stay in hospital and mortality were considered to test the predictive validity, and the concurrent validity was tested bycomparing the Nuritional Risk in Emergency (NRE)-2017 to the other tools. A total of 748 patients were included. Thefinal NRE-2017 score was composed of 6 questions (advanced age, metabolic stress of the disease, decreased appetite, changingof food consistency, unintentional weight loss, and muscle mass loss) with answers yes or no. The prevalence of nutrition risk was 50.7% and 38.8% considering the cutoff points 1.0 and 1.5, respectively. The NRE-2017 showed a satisfactory power to indentifyrisk of malnutrition (area under the curve>0.790 for all analyses). According to the NRE-2017, patients at risk of malnutritionhave twice as high relative risk of a very long hospital stay. The hazard ratio for mortality was 2.78 (1.03–7.49) when the cutoffadopted by the NRE-2017 was 1.5 points. NRE-2017 is a new, easy-to-apply nutrition screening tool which uses 6 bi-categoric features to detect the risk of malnutrition, and it presented a good concurrent and predictive validity. |
| Subject: | Serviços Médicos de Emergência Tempo de Internação Desnutrição Mortalidade Programas de Rastreamento |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | ENF - DEPARTAMENTO DE NUTRIÇÃO |
| Rights: | Acesso Restrito |
| metadata.dc.identifier.doi: | 10.1002/jpen.1147 |
| URI: | http://hdl.handle.net/1843/66236 |
| Issue Date: | 13-Mar-2018 |
| metadata.dc.url.externa: | https://aspenjournals.onlinelibrary.wiley.com/doi/10.1002/jpen.1147 |
| metadata.dc.relation.ispartof: | Journal of Parenteral and Enteral Nutrition |
| Appears in Collections: | Artigo de Periódico |
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