Abstract
AIMS: To determine the prevalence of nutritional risk at admission using the Nutrition Risk Screening (NRS 2002) protocol, and to identify which aspects of this protocol contributed most to the final score. METHODS: A cross-sectional study included adult and elderly patients of both sexes, admitted to clinical departments (except maternity, emergency and mental health unit) of a hospital in the city of Farroupilha, Rio Grande do Sul state, Brazil. Individuals were assessed through NRS 2002 in the first three days after admission. RESULTS : A total of 386 patients were evaluated. They had a mean age of 56.7±20.7 years, and 198 (51.3 %) were female . Nutritional risk was present in 57 (14.8 %) patients. In the first part of the nutritional screening , 315 (81.6 %) patients had at least one positive response indicating nutritional risk, being the reduction of food intake in the last week the most prevalent. In the second part it was noted that, in relation to nutritional status, the proportion of the severe condition was present in 21 patients (36.8 % of the sample at risk). In relation to severity of disease, the prevailing condition was mild disease, in 29 (50.9 %) patients. Additional score given by age over 70 years helped to characterize nutritional risk in 35 patients (61.4 %). CONCLUSIONS : There was a high proportion of patients with nutritional risk. Reduction in food intake in the previous week was the variable that contributed most to give sequence to the second stage of the nutrition screening process.
Highlights
Individuals were assessed through NRS 2002 in the first three days after admission
A total of 386 patients were evaluated. They had a mean age of 56.7±20.7 years, and 198 (51.3%) were female
In the second part it was noted that, in relation to nutritional status, the proportion of the severe condition was present in 21 patients (36.8% of the sample at risk)
Summary
Objetivos: Verificar a prevalência do risco nutricional na admissão hospitalar, utilizando o protocolo Nutrition Risk Screening (NRS 2002) e identificar quais foram os aspectos desse protocolo que mais contribuiram para o escore final. Resultados: Foram avaliados 386 pacientes, com idade média de 56,7±20,7 anos, sendo 198 (51,3%) do sexo feminino. Na primeira parte da triagem nutricional, 315 (81,6%) pacientes tiveram pelo menos uma resposta positiva indicando risco nutricional, sendo a redução de ingestão alimentar na última semana a mais prevalente. Na segunda parte observou-se que em relação ao estado nutricional, a proporção do estado grave esteve presente em 21 pacientes (36,8% da amostra em risco). A pontuação adicional, através da pontuação da variável idade acima de 70 anos, contribuiu para caracterizar o risco nutricional em 35 pacientes (61,4%). Conclusões: Observou-se elevada proporção de pacientes em risco nutricional, sendo a redução na ingestão alimentar na última semana a variável que mais contribuiu para dar sequência à segunda etapa do processo de triagem nutricional.
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