2016, Number 2
<< Back Next >>
Rev Acta Médica 2016; 17 (2)
The diagnosis process of nutritional disorders in hospitalized patients
Barreto PJ, Barceló AM, Martínez GC, Espinosa BA, Núñez VM
Language: Spanish
References: 34
Page:
PDF size: 397.78 Kb.
ABSTRACT
An improvement in the total quality of patient care requires the organization of a
system of early detection of malnutrition for all patients admitted. An evaluative review
is made, aiming at offering specific tools on etiological, pathogenic, diagnostic and
clinical aspects that constitute the basis for the recognition and treatment of nutritional
disorders associated with diseases, with the objective of identifying the relevant
known, unknown, and controversial aspects on this subject that still today require new
approaches and agreement. Nutritional status assessment is considered the first link of
nutritional treatment and aims to identify those patients both undernourished or at risk
of developing malnutrition who may benefit from an early nutritional treatment. The
procedures for screening, evaluation, diagnosis and classification of nutritional
disorders proposed by the Clinical Nutrition Service of the Hermanos Ameijeiras
Surgical-Clinical Hospital are presented in light of the new concepts and their own
practical experience. The correct classification and registration of nutritional disorders
contributes to the enrichment of hospital registration and information systems, and it
becomes a consultation tool that allows internal assessment in different stages and
with hospitals of similar characteristics to establish benchmarks.
REFERENCES
Planas Vilá M, Montejo JC. Metodología aplicada en la valoración del estado nutricional. Libro blanco de la desnutrición clínica en España. Madrid: Editorial Medicina; 2004.
Chima CS, Barco K, Dewitt MLA, Maeda M, Teran JC y Mullen KD: Relationship of nutritional status of lenght of stay hospitals cost and discharge status of patients hospitalized in the medicine service. J Am Diet Assoc.1997;97(9):975-8.
Villamayor Blanco L, Llimera Rausell G, Jorge Vidal C, González Pérez-Crespo C, Iniesta Navalón C, Mira Sirvent MC, et al. Valoración nutricional al ingreso hospitalario: iniciación al estudio entre distintas metodologías. Nutr Hosp. 2006;21:163-72.
Jensen GL, Hsiao PY, Wheeler D. Adult nutrition assessment tutorial. JPEN J Parenter Enteral Nutr. 2012;36:267-74.
Liang X, Jiang ZM, Nolan MT, Efron DT, Kondrup J. Comparative survey on nutritional risk and nutritional support between Beijing and Baltimore teaching hospitals. Nutrition. 2008;24(10):969-76.
Nicolo M, Compher CW, Still C, Huseini M, Dayton S, Jensen GL. Feasibility of accessing data in hospitalized patients to support diagnosis of malnutrition by the Academy-A.S.P.E.N. malnutrition consensus recommended clinical characteristics JPEN J Parenter Enteral Nutr. 2014 Nov;38(8):954-9.
León Pérez DO, Molina Ricardo Y, Gutiérrez Rojas ÁR, Larrondo Muguercia H. Evaluación del estado nutricional de pacientes críticos. Acta Médica. 2013;14(1). Disponible en: http://bvs.sld.cu/revistas/act/vol14_1_13/act030113.htm
León Pérez DO, Molina Ricardo Y. Evaluación del estado nutricional. En: León Pérez DO, Silvariño NC, eds. Medicina Intensiva. Nutrición del paciente crítico. La Habana: ECIMED; 2014. p. 17-22.
American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors and Clinical Practice Committee. Definition of terms, style, and conventions used in A.S.P.E.N. Board of Directors-approved documents. American Society for Parenteral and Enteral Nutrition. Published July, 2010. Accessed July 8, 2016. Disponible en: http://www.nutritioncare.org/Library.aspx
Ukleja A, Freeman KL, Gilbert K, Kochevar M, Kraft MD, Russell MK, et al. Standards for nutrition support: adult hospitalized patients. Nutr Clin Pract. 2010;25:403-14.
Joint Commission International Accreditation Standars for Hospitals. Including Standards for Academical Medical Center Hospitals 5th Edition Healthcare Organizations 2014. ISBN: 978-1-59940-787-6. Library of Congress Control Number: 20139486. Disponible en: www.jointcommissioninternational.org
Sistema Nacional de Certificación de Establecimientos de Atención Médica. Estándares para certificar hospitales 2015. Consejo de Salubridad General, Ciudad de México. 2015. Disponible en: www.csg.gob.mx/descargas/pdfs/certificacion/capce/Estandares_2015_CAPCE.pdf
Mueller C, Compher C, Ellen DM, and the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors. JPEN. 2011;35:16-24.
Fischer M, JeVenn A, Hipskind P. Evaluation of Muscle and Fat Loss as Diagnostic Criteria for Malnutrition. Nutrition in Clinical Practice. 2015;30(2):239-48.
Allard JP, Keller H, Jeejeebhoy KN, Laporte M, Duerksen DR, Gramlich L, et al. Malnutrition at Hospital Admission-Contributors and Effect on Length of Stay: A Prospective Cohort Study from the Canadian Malnutrition Task Force. JPEN. 2015;20(10):1-11.
Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373-83.
Amaral TF, Matos LC, Teixeira MA, Tavares MM, Alvares L, Antunes A. Undernutrition and associated factors among hospitalized patients. Clin Nutr. 2010;29(5):580-5.
Álvarez J, León M, Planas M, García de Lorenzo A. The importance of the coding of hospital malnutrition in the health strategy of the European Union; a Spanish contribution. Nutr Hosp. 2010;25(6):873-80.
García de Lorenzo A, Álvarez J, Burgos R, Cabrerizo L, Farrer K, García Almeida JM, et al. Modelos de gestión en nutrición clínica. Puntos débiles y puntos fuertes. Nutr Hosp. 2009;24(2):135-7.
Lucinda K. Lysen LK, Israel DA. Nutrición en el control del peso. En: Mahan LK, Escott-Stump S, Raymond JL. Krause Dietoterapia .13 ed. Elsevier España; 2013. p. 462-83.
Elia M, Zellipour L, Stratton RJ. To screen or not to screen for adult malnutrition? Clin Nutr. 2005;24(6):867-84.
Leistra E, van Bokhorst-de van der Schueren MA, Visser M, van der Hout A, Langius JA, Kruizenga HM. Systematic screening for undernutrition in hospitals: Predictive factors for success. Clinical Nutrition. 2014;33:495-501.
Álvarez J, Del Río J, Planas M, García Peris P, García de Lorenzo A, Calvo V, et al. Documento SENPE-SEDOM sobre la codificación de la desnutrición hospitalaria. Nutr Hosp. 2008;23(6):536-40.
Muscaritolia M, Anker SD, Argile J, Aversa Z, Bauer JM, Biolo G, et al. Consensus definition of sarcopenia, cachexia and pre-cachexia: Joint document elaborated by Special Interest Groups (SIG) ''cachexia-anorexia in chronic wasting diseases'' and ''nutrition in geriatrics''. Clinical Nutrition. 2010;29:154-9.
Bozzetti F, Mariani L. Defining and Classifying Cancer Cachexia: A Proposal by the SCRINIO Working Group. JPEN J Parenter Enteral Nutr. 2009;33: 361-7.
Baracos VE. Pitfalls in defining and quantifying cachexia. J Cachexia Sarcopenia Muscle. 2011;2:71-3.
White JV, Guenter P, Jensen G, Malone A, Schofield M. Academy of Nutrition and Dietetics Malnutrition Work Group; A.S.P.E.N. Malnutrition Task Force; A.S.P.E.N. Board of Directors. Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). J Acad Nutr Diet. 2012;112(5):730-8.
Ramírez MA, Camblor M, García-Peris P. Nutrición y Cáncer. En: Tratado de Nutrición. Tomo IV. A. Gil. Madrid: Ed. Médica Panamericana; 2010. pp. 547-65.
García-Luna PP, Parejo Campos JP, Aliaga Verdugo A, Pachón Ibáñez J, Serrano Aguayo P, Pereira Cunill JL. Nutrición y cáncer. Nutr Hosp Supl. 2012;5(1):17-32.
Biolo G, Cederholm T, Muscaritoli M. Muscle contractile and metabolic dysfunction is a common feature of sarcopenia of aging and chronic diseases: From sarcopenic obesity to cachexia. Clinical Nutrition. 2014;30:1-12.
Jensen GL, Mirtallo J, Compher C, Dhaliwal R, Forbes A, Figueredo Grijalba R, et al. Adult Starvation and Disease-Related Malnutrition: A Proposal for Etiology-Based Diagnosis in the Clinical Practice Setting From the International Consensus Guideline Committee. J Parenter Enteral Nutr. 2010;34:156-9.
Jensen GL. Malnutrition and Inflammation-"Burning Down the House": Inflammation as an Adaptive Physiologic Response versus Self-Destruction? JPEN. 2015;39(1): 56-62.
Phillips W. Accurate Documentation of Malnutrition Diagnosis Reflects Increased Healthcare Resource Utilization. Nutr Clin Pract. 2015 Oct;30(5):604-8. doi: 10.1177/0884533615589372. Epub 2015 Jun 17.
Giannopoulos GA, Merriman LR, Rumsey A, Zwiebel FA, Malnutrition Coding 101: Financial Impact and More. Nutr Clin Pract. 2013;28:698-709.