Abstract

Author(s): Do Nascimento, Nayana Cavassim1; Sostisso, Caroline Finger1; Madalozzo Schieferdecker, Maria Eliana2; Rabito, Estela Iraci2; Vilela, Regina Maria2

Objective: Compare the diagnosis of malnutrition in hospitalized patients by means of the Subjective Global Assessment (ASG) and the consensus of malnutrition proposed by American Society for Parenteral and Enteral Nutrition (ASPEN)

Methods: Retrospective study, observational, the sample consisted of patients with age above 18 years admitted in the period 2011 to 2014 in medical and surgical clinics of a tertiary public hospital. Patients included were identified as nutritional risk by means of screening of nutritional risk (NRS2002). To verify the concordance between the tools were applied the Kappa Coefficient

Results: The sample totaled in 963 patientes, in most adults (52,6%) and male (56,2%). To check the concordance between the tools it was obtained the kappa value=0,392 thus showing that there was no concordance between the classifications of malnutrition. Best concordance was found when comparing the instruments considering the presence or absence of malnutrition (kappa=0,513).

Conclusions: The tools analyzed didn´t agree in the identification of degrees of malnutrition. It must be highlighted the importance of analysis of diagnostics methods to be used sensitive instruments in the identification of malnourished patients for which the early nutritional intervention can be performed.