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首页> 外文期刊>Clinical nutrition >Complementarity of Subjective Global Assessment (SGA) and Nutritional Risk Screening 2002 (NRS 2002) for predicting poor clinical outcomes in hospitalized patients.
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Complementarity of Subjective Global Assessment (SGA) and Nutritional Risk Screening 2002 (NRS 2002) for predicting poor clinical outcomes in hospitalized patients.

机译：主观全球评估（SGA）与营养风险筛查2002（NRS 2002）的互补性，可预测住院患者的临床结局较差。

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BACKGROUND & AIMS: We evaluated the ability of Nutritional Risk Screening 2002 (NRS 2002) and Subjective Global Assessment (SGA) to predict malnutrition related to poor clinical outcomes. METHODS: We assessed 705 patients at a public university hospital within 48 h of admission. Logistic regression and number needed to screen (NNS) were calculated to test the complementarity between the tools and their ability to predict very long length of hospital stay (VLLOS), complications, and death. RESULTS: Of the patients screened, 27.9% were at nutritional risk (NRS+) and 38.9% were malnourished (SGA B or C). Compared to those patients not at nutritional risk, NRS+, SGA B or C patients were at increased risk for complications (p=0.03, 0.02, and 0.003, respectively). NRS+ patients had an increased risk of death (p=0.03), and SGA B and C patients had an increased likelihood of VLLOS (p=0.008 and p<0.0001, respectively). Patients who were both NRS+ and SGA C had lower estimates of NNS than patients who were NRS+ or SGA C only, though their confidence intervals did overlap. CONCLUSIONS: The concurrent application of SGA in NRS+ patients might enhance the ability to predict poor clinical outcomes in hospitalized patients in Brazil.
机译：背景与目的：我们评估了2002年营养风险筛查（NRS 2002）和主观全球评估（SGA）预测与不良临床结果相关的营养不良的能力。方法：我们在入院后48小时内评估了705名在公立大学医院的患者。计算Logistic回归和筛查所需的数量（NNS），以测试工具之间的互补性以及它们预测非常长的住院时间（VLLOS），并发症和死亡的能力。结果：在筛查的患者中，有27.9％处于营养风险（NRS +）和38.9％处于营养不良状态（SGA B或C）。与没有营养风险的患者相比，NRS +，SGAB或C患者的并发症风险更高（分别为p = 0.03、0.02和0.003）。 NRS +患者的死亡风险增加（p = 0.03），而SGA B和C患者的VLLOS可能性增加（分别为p = 0.008和p <0.0001）。 NRS +和SGA C的患者对NNS的估计均低于仅NRS +或SGA C的患者，尽管他们的置信区间确实重叠。结论：在巴西的NRS +患者中同时应用SGA可能会增强预测住院患者不良临床结局的能力。

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