scholarly journals Nutrition Screening, Reported Dietary Intake, Hospital Foods, and Malnutrition in Critical Care Patients in Malawi

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1170
Author(s):  
Grace C. Barcus ◽  
Peggy C. Papathakis ◽  
Andrew Schaffner ◽  
Bernadette Chimera
Keyword(s):  
Critical Care ◽  
Dietary Intake ◽  
Low Income ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Low Income Countries ◽  
Severe Malnutrition ◽  
Nutrition Screening ◽  
Hospital Malnutrition ◽  
Few Data

In low-income countries there are few data on hospital malnutrition. Reduced food intake combined with nutrient-poor foods served in hospitals contribute to nutritional risk. This study investigated whether reported dietary intake and disease state of hospitalized adults in critical care units was related to malnutrition determined by mid-upper arm circumference (MUAC). Adult in-patients (n = 126) in tuberculosis, burn, oncology, and intensive care units in two public tertiary hospitals in Malawi were screened for nutritional status using MUAC and a question on current dietary intake. The hospital menu was reviewed; portion sizes were weighed. The prevalence of moderate and severe malnutrition was 62%. Patients with organ-related diseases and infectious diseases had the highest rates of reduced reported dietary intake, 71.4% and 57.9%, respectively; however, there was no association between reported dietary intake and MUAC. In those unable to eat, however, the rate of severe malnutrition was 50%. The menu consisted of porridge and thickened corn-based starch with fried cabbage; protein foods were provided twice weekly. There was a nutrient gap of 250 calories and 13 gm protein daily. The findings support the need for increasing dietetic/nutrition services to prevent and treat malnutrition in hospitals using simple screening tools.

scholarly journals Omitting the First Step of GLIM Framework Yielded Better Accordance With PG-SGA in Chinese Ambulatory Cancer Patients: a Prospective Cross-sectional Study

2021 ◽  
Author(s):  
Yanfei Wang ◽  
Ziqi Liu ◽  
yunyi Wang ◽  
Xiaoyan Chen ◽  
Zhongfen Liu ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Screening Tool ◽  
Cross Sectional Study ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Severe Malnutrition ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nutrition Screening ◽  
Predictive Values

Abstract Background and Aims: The Global Leadership Initiative on Malnutrition (GLIM) criteria is a new framework for diagnosing malnutrition in combination of phenotypic and etiologic criteria after nutrition screening using validated screening tools. The aim of this study was to evaluate the efficacy of malnutrition screening tool (MST), malnutrition universal screening tool (MUST) and nutritional risk screening 2002 (NRS2002) as the first step of GLIM framework in comparison to Patients-Generated Subjective Global Assessment (PG-SGA) in Chinese ambulatory cancer patients.Methods: A single-center prospective cross-sectional study was conducted. Nutritional screening and assessment were performed within 4h after admission to the hospital using a structured questionnaire including MST, MUST, NRS2002, PG-SGA and GLIM, with supplement information of calf circumference (CC) measurement and body composition measurement using bioelectrical impedance analysis (BIA). Malnutrition diagnosis made by GLIM framework using MST, MUST or NRS2002 as the first step or without screening step were compared to PG-SGA separately. Sensitivity, specificity, positive (PPV) and negative (NPV) predictive values and κ values were used to evaluate performance of the screening tools.Results: Of the 562 included patients, Of the participants 62.8% (355/562) were male and 37.2% (210/562) were female, with a male to female radio of 1.69:1. The median age of the patients was 59.0 years (range, 21-82y; interquels range 52.0-65.0y). From the 562 patients included in the study, 41.8% of patients were evaluated as malnutrition (PG-SGA≥4) and 11.9% were diagnosed as severe malnutrition (PG-SGA D). For GLIM criteria, omitting the screening step yielded fair accordance with PG-SGA in diagnosing malnutrition (κ=0.623) and severe malnutrition (κ=0.515). Using MUST as the first step of GLIM framework has better performance (κ=0.614; κ=0.515) than using MST (κ=0.504, κ=0.496) or NRS2002 (κ=0.363, κ=0.503) as the screening tool regardless of severity gradings.Conclusions: Using PG-SGA as the standard, GLIM framework omitting first step has better performance compared with using MST, MUST or NRS2002 as the screening tool. Among the screening tools validated to be used in the first step of GLIM framework, MUST may be the better choice for ambulatory cancer patients.

scholarly journals Cribado de la desnutrición hospitalaria en la admisión: la desnutrición aumenta la mortalidad y la duración de la estancia hospitalaria

2017 ◽  
Vol 34 (4) ◽  
Author(s):  
Elisabet Leiva Badosa ◽  
Maria Badia Tahull ◽  
Núria Virgili Casas ◽  
Gema Elguezabal Sangrador ◽  
Concepción Faz Méndez ◽  
...  
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Critical Care ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Screening Tests ◽  
Severe Malnutrition ◽  
Critical Care Units ◽  
Factors Associated ◽  
Oncologic Patients

Introduction: Malnutrition is common in patients admitted to hospital and is associated with morbidity and mortality. We conducted a study to assess the prevalence of nutritional risk, risk factors associated and its consequences in a third-level hospital.Methods: This is a prospective nutritional screening study of hospitalized patients evaluated within the first 72 hours of admission, by Malnutrition Universal Screening Tool (MUST) and Short Nutritional Assessment Questionnaire (SNAQ) screening tests. The variables recorded included demographic, anthropometric, hospitalization and clinical data.Results: Out of 409 patients, 12.7% and 15.3% were nutritionally at risk according to MUST and SNAQ, respectively, with the highest prevalence in critical care units (33.3%; 25.5%), amongst oncologic patients (17.5%; 28.4%) and those with higher Charlson Comorbidity Indices (CCI). Length of stay (LOS) was longer in patients at severe malnutrition risk (15.4 vs 9.9 days for MUST; 13.3 vs 9.9 days for SNAQ). Mortality was higher in those with high malnutrition risk (66.7% vs 10.9% for MUST; 50.0% vs 14.2% for SNAQ). Multivariate analysis showed that malnutrition was associated with CCI and mortality. Risk factors associated with LOS were admission as emergencies for both MUST and SNAQ tests. Conclusions: The prevalence of malnutrition is high in patients on admission to a third-level hospital, with a higher prevalence in critical care units, amongst oncologic patients and those with a higher CCI. Malnutrition is associated with longer LOS and higher mortality. The systematic clinical use of screening tools enables to detect patients at risk of malnutrition and take appropriate action.

scholarly journals Métodos de triagem nutricional em pacientes ginecológicas hospitalizadas

2021 ◽  
Vol 4 (35) ◽  
pp. 345-350
Author(s):  
Amanda da Silva Paiva ◽  
Larissa Gens Guilherme ◽  
Maria Goretti Pessoa de Araújo Burgos
Keyword(s):  
Public Health Problem ◽  
The Elderly ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Cross Sectional ◽  
Nutrition Screening ◽  
Hospital Malnutrition ◽  
Significant Public Health ◽  
Nrs 2002 ◽  
The Individual

Introduction: Hospital malnutrition is characterized as a significant public health problem, so nutrition screening stands out as a prior tool to identify the individual at nutritional risk or malnourished, enabling a more appropriate intervention. Methods: Cross-sectional descriptive study, where three nutritional screening tools were used: ASG, Nutritional Risk Screening-2002 (NRS-2002), Malnutrition Universal Screening Tool (MUST), applied in the first 48 hours of hospital admission by the same researcher. Results: 150 women aged 42,69 ±11,84 years (20 - 83 years) were evaluated, in adults the major diagnosis was myomatosis (70%) and elderly, gynecological malignancies (50%). Most adults did not have associated comorbidities (80%), while arterial hypertension was the most prevalent in the elderly (30%). MUST detected 41.3% nutritional risk, while NRS-2002 only 21.3%. Comparing the MUST and NRS-2002 with the ASG as gold standard, the greatest sensitivity occurred with the MUST (42.4%), Kappa 3,4%. Conclusion: MUST showed greater sensitivity to detect nutritional risk in this population and had significantly shorter application time.

scholarly journals Conservative management of displaced paediatric supracondylar fractures: a systematic review

2018 ◽  
Vol 48 (4) ◽  
pp. 359-365 ◽  
Author(s):  
Daniel Yeomans ◽  
Simon M Graham ◽  
Nyengo C Mkandawire ◽  
William J Harrison ◽  
Daniel C Perry
Keyword(s):  
Systematic Review ◽  
Low Income ◽  
Closed Reduction ◽  
Distal Humerus ◽  
Low Income Countries ◽  
Supracondylar Fractures ◽  
Middle Income ◽  
Fractures In Children ◽  
Published Evidence ◽  
Few Data

In low-income countries, where surgical expertise and resources are limited, displaced supracondylar fractures of the distal humerus are routinely managed with traction or closed reduction and casting. This is in contrast to high-income nations, where percutaneous K-wire fixation forms the mainstay of treatment. The aim of our study is to present the published evidence regarding the outcome of conservatively managed displaced supracondylar fractures in children. A systematic review of the literature was performed identifying 46 studies evaluating the outcome of displaced supracondylar fractures managed non-operatively. Our results show management by traction is equivalent to percutaneous pinning, whereas outcomes following closed reduction and casting were inconsistent. Traction therefore remains a viable option in low- and middle-income countries (LMICs). However, at present there are few data from LMICs, limiting the transferability of our conclusions.

scholarly journals “I Sometimes Ask Patients to Consider Spiritual Care”: Health Literacy and Culture in Mental Health Nursing Practice

2019 ◽  
Vol 16 (19) ◽  
pp. 3589 ◽  
Author(s):  
Adwoa Owusuaa Koduah ◽  
Angela Y.M. Leung ◽  
Doris Y.L. Leung ◽  
Justina Y.W. Liu
Keyword(s):  
Mental Health ◽  
Health Literacy ◽  
Low Income ◽  
Cultural Practices ◽  
Psychiatric Hospitals ◽  
Literacy Skills ◽  
Screening Tools ◽  
Low Income Countries ◽  
Sociocultural Factors ◽  
Literacy Practice

While health literacy influences better outcomes of mental health patients, sociocultural factors shape the nature of the relationship. On this matter, little is known about how sociocultural factors affect health literacy practices of nurses, especially in low-income countries. This paper examines how local precepts, within culture and language, shape mental health nurses’ (MHNs) practice and understanding of patients’ health literacy level in Ghana. The study used a qualitative descriptive design involving 43 MHNs from two psychiatric hospitals. Conventional content analysis was used to analyze the data. Although the MHNs acknowledged the importance of health literacy associated with patients’ health outcomes, their practice was strongly attributed to patients’ substantial reliance on cultural practices and beliefs that led to misinterpretation and non- compliance to treatments. MHNs shared similar sociocultural ideas with patients and admitted that these directed their health literacy practice. Additionally, numerous health system barriers influenced the adoption of health literacy screening tools, as well as the MHNs’ low health literacy skills. These findings suggest MHNs’ direct attention to the broader social determinants of health to enhance the understanding of culture and its impact on health literacy practice.

FAMILY FOOD INSECURITY AND NUTRITIONAL RISK IN ADOLESCENTS FROM A LOW-INCOME AREA OF RIO DE JANEIRO, BRAZIL

2012 ◽  
Vol 45 (5) ◽  
pp. 661-674 ◽  
Author(s):  
TAÍS S. LOPES ◽  
ROSELY SICHIERI ◽  
ROSANA SALLES-COSTA ◽  
GLORIA V. VEIGA ◽  
ROSANGELA A. PEREIRA
Keyword(s):  
Dietary Intake ◽  
Food Insecurity ◽  
Low Income ◽  
Rio De Janeiro ◽  
Weight Status ◽  
Metropolitan Region ◽  
Nutritional Risk ◽  
Study Objective ◽  
Socioeconomic Characteristics ◽  
Validated Questionnaire

SummaryThe study objective was to analyse the association between food insecurity and the weight and height status of adolescents from a low-income area in the metropolitan region of Rio de Janeiro, Brazil. The population-based cross-sectional survey included 523 adolescents aged 12–18 years, selected by a three-stage cluster sample. Dietary intake was ascertained with a food frequency questionnaire and family food insecurity was assessed with a validated questionnaire. The analysis estimated weighted means of energy and nutrient intakes by families' socioeconomic characteristics and the association between dietary intake with overweight and stunting. The prevalence of mild family food insecurity was 36%, and 24% of the families reported moderate or severe food insecurity. Overweight prevalence was 24%, and the prevalence of stunting was 9%, with no significant differences between sex or age groups. Family food insecurity was associated with unfavourable socioeconomic characteristics, but there was no association between socioeconomic characteristics (including family food insecurity) and overweight or stunting. Moderate or severe family food insecurity was inversely associated with intake of protein and calcium. In addition, stunting was associated with low calcium and iron intake. The co-existence of family food insecurity with overweight and stunting implies a high nutritional risk for adolescents from poor areas of Rio de Janeiro. Nevertheless, the observed absence of a statistical association between family food insecurity and weight status attests to the complexity of this issue.

scholarly journals Screening for nutritional risk in hospitalized children: comparison of two instruments

2017 ◽  
Vol 57 (3) ◽  
pp. 117
Author(s):  
Dwi Novianti ◽  
Tiangsa Sembiring ◽  
Sri Sofyani ◽  
Tri Faranita ◽  
Winra Pratita
Keyword(s):  
Length Of Stay ◽  
Screening Tool ◽  
Negative Impact ◽  
Anthropometric Measurements ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Anthropometric Measurement ◽  
Hospitalized Children ◽  
Hospital Malnutrition ◽  
Level Of Agreement

Background Malnutrition in hospitalized children has negative impact on morbidity, mortality, length of stay, and health-care cost. A simple screening tool is needed to detect hospital malnutrition risk in children.Objective To compare the level of agreement of the Screening Tool for Malnutrition in Pediatrics (STAMP) and Pediatric Nutritional Risk Score (PNRS) with anthropometric measurements, as screening tools for hospital malnutrition in children.Methods A cross-sectional study was conducted from February to July 2014 in the Pediatric and Surgery Wards at H. Adam Malik Hospital, Medan, North Sumatera. Inclusion criteria were children aged 2 to 18 years who were hospitalized for more than 72 hours. Subjects were screened using STAMP and PNRS, and underwent anthropometric measurement on admission. The weight measurements were repeated on the 3rd and 7th days, and just before discharge. The STAMP and PNRS results were compared in terms of level of agreement with anthropometric measurements. Data were analyzed by Kappa value and Spearman’s correlation test.Results A total of 127 children were screened with both instruments. The PNRS had slight agreement with hospital malnutrition prevalence (κ=0.175; P=0.028), while STAMP had not  (κ=0.080; P=0.193). Both screening tools had weak positive correlations with length of stay, but the correlation was stronger for PNRS than for STAMP (r=0.218; P=0.014 vs. r=0.188; P=0.034, respectively). The prevalence of hospital malnutrition was 40.9%. Conclusions The PNRS screening tool has slight agreement with anthropometric measurement for identifying hospital malnutrition risk in children.

Sign in / Sign up

Export Citation Format

Share Document