Triagem e avaliação do estado nutricional de pacientes hospitalizados

Abstract

Malnutrition, prevalent in 30-50% of the world's hospitals, is associated with a poor prognosis for the individual. The first step in nutritional care is to perform nutritional assessment through simple tools such as Nutritional Risk Screening and Global Subjective Assessment in order to identify individuals at risk and predict the adversities associated with malnutrition, providing the best dietary management. Studies demonstrate consistent benefits of oral nutritional supplementation, especially in acute clinical settings, as it improves the immune and scarring response, improving the clinical prognosis. OBJECTIVE: To verify the prevalence of the use of nutritional assessment tools in patients admitted to a hospital unit. METHODOLOGY: Secondary data from the Clinical Nutrition Service forms of patients admitted to the Medical Clinic of the Julio Muller Universitary Hospital (JMUH) at 2017 were used. RESULTS: Of the 203 forms evaluated, nutritional assessment was not performed in 79,8% (n=162) of the patients. Of the 23 patients screened for NRS, 73.9% (n=17) were NRS + and, of the 31 patients classified by ASG, 19.4% (n = 6) were ASG B and 80.6% (n = 25) ASG C at the time of hospital admission. When considering the indication of nutritional supplementation, it was observed that the majority (n=54; 71%) of the patients who were supplemented were not nutritionally evaluated. CONCLUSION: It was concluded that there is a low prevalence of nutritional assessment at the time of admission and that for most of the patients indicated for supplementation, there is no previous nutritional assessment.