dostęp otwarty

Tom 19 (2024): Continuous Publishing
Praca badawcza (oryginalna)
Wysłany: 2023-10-17
Zaakceptowany: 2023-12-11
Opublikowany online: 2024-03-12
Pobierz cytowanie

Analysis of NRS-2002 and SNAQ results of patients in selected wards of a clinical hospital

Mateusz Chwesiuk1, Sylwia Małgorzewicz2
DOI: 10.5603/pżk.97702
·
Postępy Żywienia Klinicznego 2024;19:13-19.
Afiliacje
  1. Clinical Nutrition, Students’ Scientific Circle, Medical University of Gdansk, Gdansk, Poland
  2. Department of Clinical Nutrition, Medical University of Gdansk, Gdansk, Poland

dostęp otwarty

Tom 19 (2024): Continuous Publishing
Artykuły
Wysłany: 2023-10-17
Zaakceptowany: 2023-12-11
Opublikowany online: 2024-03-12

Streszczenie

Background: Malnutrition is a common problem in patients admitted to and staying in hospital wards, occurring in 30–50% of patients. Malnutrition is also often associated with longer hospital stays, more complications and higher treatment costs. The purpose of the study is to assess the effectiveness of the NRS-2002 (Nutrition Risk Screening) and SNAQ (Simplified Nutritional Appetite Questionnaire) in checking the risk of malnutrition and significant weight loss in patients in selected hospital wards.

Methods: The analysis included 100 patients from hospital wards (nephrology and geriatric). The differences between the NRS-2002 carried out at admission to the hospital and the repeated NRS-2002 during hospitalisation, the prevalence of malnutrition and the risk of losing 5% of body weight over 6 months depending on the ward were assessed.

Results: Out of all participants in the study, 51 patients (51%) had the NRS 2002 result indicating malnutrition. Also, 51 patients had a SNAQ score ≤ 14 indicating a significant risk of losing at least 5% of their body weight within the next 6 months. The analysis of the correlation between the NRS-2002 and the SNAQ showed a negative relationship (R = (–0.2425); p = 0.017). Malnourished patients are older (p < 0.0001), have a lower body weight (p = 0.002) and lower body mass index (BMI) (p = 0.05), patients with risk of malnutrition occurred almost equally in both wards (25 patients in geriatric vs. 26 patients in nephrology). Malnourished patients may also be more likely to have lower food intake (p = 0.005).

Conclusion: Malnutrition is very common in hospitalized patients with an emphasis on geriatric and nephrology patients. Correlation analysis showed a correlation of NRS with age and a negative correlation of SNAQ with CRP level. Unfortunately, on admission to hospital, the nutritional status is underestimated and fewer patients than expected are at risk of malnutrition. Correct identification of malnourished patients and those at risk of significant weight loss is the basis for appropriate treatment and should be carried out by a member of the nutrition team.

Streszczenie

Background: Malnutrition is a common problem in patients admitted to and staying in hospital wards, occurring in 30–50% of patients. Malnutrition is also often associated with longer hospital stays, more complications and higher treatment costs. The purpose of the study is to assess the effectiveness of the NRS-2002 (Nutrition Risk Screening) and SNAQ (Simplified Nutritional Appetite Questionnaire) in checking the risk of malnutrition and significant weight loss in patients in selected hospital wards.

Methods: The analysis included 100 patients from hospital wards (nephrology and geriatric). The differences between the NRS-2002 carried out at admission to the hospital and the repeated NRS-2002 during hospitalisation, the prevalence of malnutrition and the risk of losing 5% of body weight over 6 months depending on the ward were assessed.

Results: Out of all participants in the study, 51 patients (51%) had the NRS 2002 result indicating malnutrition. Also, 51 patients had a SNAQ score ≤ 14 indicating a significant risk of losing at least 5% of their body weight within the next 6 months. The analysis of the correlation between the NRS-2002 and the SNAQ showed a negative relationship (R = (–0.2425); p = 0.017). Malnourished patients are older (p < 0.0001), have a lower body weight (p = 0.002) and lower body mass index (BMI) (p = 0.05), patients with risk of malnutrition occurred almost equally in both wards (25 patients in geriatric vs. 26 patients in nephrology). Malnourished patients may also be more likely to have lower food intake (p = 0.005).

Conclusion: Malnutrition is very common in hospitalized patients with an emphasis on geriatric and nephrology patients. Correlation analysis showed a correlation of NRS with age and a negative correlation of SNAQ with CRP level. Unfortunately, on admission to hospital, the nutritional status is underestimated and fewer patients than expected are at risk of malnutrition. Correct identification of malnourished patients and those at risk of significant weight loss is the basis for appropriate treatment and should be carried out by a member of the nutrition team.

Pobierz cytowanie

Słowa kluczowe

malnutrition; NRS-2002; SNAQ; nutritional status; appetite

Informacje o artykule
Tytuł

Analysis of NRS-2002 and SNAQ results of patients in selected wards of a clinical hospital

Czasopismo

Postępy Żywienia Klinicznego

Numer

Tom 19 (2024): Continuous Publishing

Typ artykułu

Praca badawcza (oryginalna)

Strony

13-19

Opublikowany online

2024-03-12

Wyświetlenia strony

94

Wyświetlenia/pobrania artykułu

71

DOI

10.5603/pżk.97702

Rekord bibliograficzny

Postępy Żywienia Klinicznego 2024;19:13-19.

Słowa kluczowe

malnutrition
NRS-2002
SNAQ
nutritional status
appetite

Autorzy

Mateusz Chwesiuk
Sylwia Małgorzewicz

Referencje (17)
  1. Saunders J, Smith T. Malnutrition: causes and consequences. Clin Med (Lond). 2010; 10(6): 624–627.
  2. Borek P, Chmielewski M, Małgorzewicz S, et al. Analysis of outcomes of the NRS 2002 in patients hospitalized in nephrology wards. Nutrients. 2017; 9(3): 287.
  3. Carrero J, González-Ortiz A. Anorexia and appetite stimulants in chronic kidney disease. Nutritional Management of Renal Disease. 2022: 893–906.
  4. Bellanti F, Lo Buglio A, Quiete S, et al. Malnutrition in hospitalized old patients: screening and diagnosis, clinical outcomes, and management. Nutrients. 2022; 14(4): 910.
  5. Thibault R, Abbasoglu O, Ioannou E, et al. ESPEN guideline on hospital nutrition. Clin Nutr. 2021; 40(12): 5684–5709.
  6. Wilson MMG, Thomas DR, Rubenstein LZ, et al. Appetite assessment: simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents. Am J Clin Nutr. 2005; 82(5): 1074–1081.
  7. Buitrago G, Vargas J, Sulo S, et al. Targeting malnutrition: Nutrition programs yield cost savings for hospitalized patients. Clin Nutr. 2020; 39(9): 2896–2901.
  8. Mosquera C, Koutlas NJ, Edwards KC, et al. Impact of malnutrition on gastrointestinal surgical patients. J Surg Res. 2016; 205(1): 95–101.
  9. Gascón-Ruiz M, Casas-Deza D, Marti-Pi M, et al. Diagnosis of malnutrition according to GLIM criteria predicts complications and 6-month survival in cancer outpatients. Biomedicines. 2022; 10(9).
  10. Małgorzewicz S, Ciechanowski K, Kozłowska L, et al. Zasady żywienia w przewlekłej chorobie nerek : stanowisko Grupy Roboczej Polskiego Towarzystwa Nefrologicznego. Forum Nefrologiczne. 2019; 12(4): 240–278.
  11. Guenter P, Abdelhadi R, Anthony P, et al. Malnutrition diagnoses and associated outcomes in hospitalized patients: United States, 2018. Nutr Clin Pract. 2021; 36(5): 957–969.
  12. Cederholm T, Jensen GL, Correia MI, et al. GLIM Core Leadership Committee, GLIM Working Group. GLIM criteria for the diagnosis of malnutrition - a consensus report from the global clinical nutrition community. Clin Nutr. 2019; 38(1): 1–9.
  13. Kane RL, Shamliyan T, Talley K, et al. The association between geriatric syndromes and survival. J Am Geriatr Soc. 2012; 60(5): 896–904.
  14. Zhang H, Qiu Y, Zhang J, et al. The effect of oral nutritional supplements on the nutritional status of community elderly people with malnutrition or risk of malnutrition. Asia Pac J Clin Nutr. 2021; 30(3): 415–423.
  15. Volkert D, Beck AM, Cederholm T, et al. ESPEN practical guideline: Clinical nutrition and hydration in geriatrics. Clin Nutr. 2022; 41(4): 958–989.
  16. Ozemek C, Laddu DR, Arena R, et al. The role of diet for prevention and management of hypertension. Curr Opin Cardiol. 2018; 33(4): 388–393.
  17. Sami W, Ansari T, Butt NS, et al. Effect of diet on type 2 diabetes mellitus: A review. Int J Health Sci (Qassim). ; 11(2): 65–71.

Regulamin

Ważne: serwis https://journals.viamedica.pl/ wykorzystuje pliki cookies. Więcej >>

Używamy informacji zapisanych za pomocą plików cookies m.in. w celach statystycznych, dostosowania serwisu do potrzeb użytkownika (np. język interfejsu) i do obsługi logowania użytkowników. W ustawieniach przeglądarki internetowej można zmienić opcje dotyczące cookies. Korzystanie z serwisu bez zmiany ustawień dotyczących cookies oznacza, że będą one zapisane w pamięci komputera. Więcej informacji można znaleźć w naszej Polityce prywatności.

Czym są i do czego służą pliki cookie możesz dowiedzieć się na stronie wszystkoociasteczkach.pl.

Wydawcą serwisu jest VM Media Group sp. z o.o., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl