Concordance of nutritional risk methods in patients of a PNP Hospital - 2019.

Abstract

Introduction: Currently there is no nutritional screening method considered to be of choice to identify the nutritional risk of hospitalized adult patients. According to evidence, the longer the period of hospital stay, the greater the risk of worsening malnutrition. The Cardona method and the NRS 2002 method are nutritional screening tools to detect Nutritional Risk that, in several studies in adults, have been shown to be the most appropriate due to their feasibility, specificity and predictive value. Objective: Compare the nutritional risk detected by the CARDONA method and NRS 2002 to identify if both tools are equivalent for clinical practice. Material and methods: A cross-sectional study was carried out with the observation technique in 30 hospitalized adults from a hospital in Lima, Peru. The CARDONA method and NRS 2002 were compared to each other to determine their agreement in detecting nutritional risk, using the Kappa index. Results: It was found that 23% have Nutritional Risk with the Cardona Method and 36.7% have Nutritional Risk with the NRS 2002 method. The age group that most frequently enters the PNP hospital is 45 to 64 years old and in mostly men. The comparison between both nutritional assessment tools showed an acceptable agreement (K=0.378), which means that the two tools are not strongly related, that is, they are different. Regarding the NRS 2002 variables, if the patient is seriously ill, if there is an association (Sig.=0.029) between the variable and the result by the NRS 2002 method. Regarding the variable deterioration of nutritional status in the final evaluation, if there is association between the characteristic deterioration of nutritional status and the result by the NRS method (Sig.=0.00). It is recommended to use either method due to its association with the results.

El consumo de β-glucano, está relacionado con la reducción de factores de riesgo asociados con la diabetes y la obesidad al disminuir la respuesta glicémica y el grado de lipoproteínas de baja densidad. La presente revisión crítica tuvo como objetivo realizar una revisión crítica sobre el efecto que tienen los betaglucanos sobre la respuesta glicémica posprandial en adultos. La pregunta clínica fue: ¿El consumo de betaglucanos (proveniente de cebada o avena) ejerce un efecto para mejorar la respuesta glicémica posprandial?. Se usó la metodología Nutrición Basada en Evidencia (NuBE). La búsqueda de datos se realizó en PUBMED, SCIENCE DIRECT, SCIELO y REDALYC, encontrando 33 artículos, siendo seleccionados 11 para ser evaluados por la herramienta para lectura crítica CASPE; y finalmente se identificó el Ensayo Clínico Aleatorizado titulado como “Efecto de agregar salvado de avena a la avena instantánea sobre la respuesta glucémica en humanos: un estudio para establecer la dosis mínima efectiva de β-glucano de avena”, el cual tiene un nivel de evidencia I y un Grado de Recomendación I, de acuerdo a la expertise del investigador. El comentario crítico permite concluir que el consumo de betaglucanos de avena tiene efectos positivos en el control de la respuesta glicémica posprandial.