2014, Number S2
Correlation between subjective global assessment and anthropometric and biochemical values in patients with parenteral nutrition
Language: Spanish
References: 12
Page: 228-231
PDF size: 204.79 Kb.
ABSTRACT
Background: The prevalence of malnutrition in hospitalized patients is high and is associated with increased morbidity and mortality. At present there is no method of nutritional assessment considered of choice to identify nutritional risk. Results: A cross-sectional study. A total of 50 patients who started total parenteral nutrition were included in the study. The prevalence of malnutrition according to the nutritional parameters were: albumin with 39 patients (78%), lymphocyte count 36 patients (72%), body mass index (BMI) 19 patients (38%), Subjective Global Assessment (SGA) 29 patients (58%). The analysis of the subjective global assessment and objective nutritional tools (anthropometric and laboratory) showed that there is moderate agreement between SGA and BMI (Kappa = 0.53), just as SGA and lymphocyte count (k = 0.44), and poor agreement between SGA and albumin (Kappa = 0.38). Conclusions: There is poor correlation between Subjective Global Assessment and anthropometric and biochemical values in patients with parenteral nutritionREFERENCES
Asensio A, Ramos A, Nuñez S. Factores pronósticos de mortalidad relacionados con el estado nutricional en ancianos hospitalizados. Med Clin Barc. 2004;123(10):370-3. Tabla 2. Análisis de la concordancia entre la evaluación global subjetiva y las diferentes herramientas nutricionales objetivas en 50 pacientes sometidos a NPT Estudio EGS Sin desnutrición (n = 21) Con desnutrición (n = 29) Concordancia k IMC Sin desnutrición 20 11 36% 0.53 Con desnutrición 1 18 Albúmina Sin desnutrición 9 2 54% 0.38 Con desnutrición 12 27 Linfocitos Sin desnutrición 11 3 52% 0.44 Con desnutrición 10 26
Study Group of Hyperglycemia in Parenteral Nutrition; Nutrition Area of the Spanish Society of Endocrinology and Nutrition (SEEN). The subjective global assessment predicts in-hospital mortality better than other nutrition-related risk indexes in noncritically ill inpatients who receive total parenteral nutrition in Spain (prospective multicenter study). J Acad Nutr Diet. 2013;113(9):1209-18.