Systematic assessment of the nutritional risk of hospitalized patients with oncohematologic pathology
DOI:
https://doi.org/10.31877/on.2023.47.07Keywords:
Nursing, Nutrition Status, Nutrition Assessment, Malnutrition, Hematology, NeoplasmsAbstract
Introduction: the structured and systematic assessment of malnutrition in cancer patients will make it possible to provide personalized nutritional support. Objective: to assess the nutritional risk of patients admitted to the Oncohematology service of an Oncology Portuguese Institute. Methodology: a descriptive quantitative study was conducted, with assessment at admission and on the 7th day of hospitalization, in a sample of 72 patients and 145 episodes of hospitalization, between April and
June 2021, using the MUST scale. Results: the majority of the sample was male (54.2%). Regarding the predominance of oncohematological pathology: Lymphoma (65%), Leukemia (25.3%) and Multiple Myeloma (6.9%). On admission, regardless
of the hematological diagnosis, the mean nutritional risk was 1,94 and on the 7th
day of hospitalization was 2,09, both values representing high nutritional risk,
with readmission increasing the prevalence of higher nutritional risk. Conclusion:
malnutrition is a risk for oncohematological patients, when detected early, through systematic evaluation, adequate transdisciplinary care plans can be implemented.
keywords: Nursing, Nutrition Status, Nutrition Assessment, Malnutrition, Hematology, Neoplasms.
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References
Sanz EA, Abilés J, Siles MG, Ruíz FR, Goitia BT, Domínguez, AR. Evaluation of a protocol to detect
malnutrition and provide nutritional care for cancer patients undergoing chemotherapy. Sci Rep [Internet]. 2020 Mar [cited 2022 Aug 24]; 10 (21186). Available from: https://www.nature.com/articles/s41598-020-78246-w DOI: 10.1038/s41598-020-78246-w.
Bargetzi L, Brack C, Herrmann J, Bargetzi A, Hersberger L, Bargetzi M, et al. Nutritional support during the hospital stay reduces mortality in patients with different types of cancers: secondary analysis of a
prospective randomized trial. Ann Oncol [Internet]. 2021 Aug [cited 2022 Aug 24]; 32 (8), 1025-1033.
Available from: https://pubmed.ncbi.nlm.nih.gov/34022376/ DOI: 10.1016/j.annonc.2021.05.793.
Stauder R, Augschoell J, Hamaker ME, Koinig KA. Malnutrition in Older Patients With Hematological
Malignancies at Initial Diagnosis: association With Impairments in Health Status, Systemic Inflammation
and Adverse Outcome. HemaSphere [Internet]. 2020 Feb [cited 2022 Aug 24]; 4 (1). Available
from: https://journals.lww.com/hemasphere/Fulltext/2020/02000/Malnutrition_in_Older_Patients_
With_Hematological.13.aspx DOI:10.1097/HS9.0000000000000332
Sánchez ES, López-Aliaga I, Alférez MJM. Analysis of three methods of nutritional screening in oncologic patients. Nutri Hosp [Internet]. 2018 Dec 3 [cited 2022 Aug 24]; 35 (6), 1324-1330. Available from: https://pubmed.ncbi.nlm.nih.gov/30525846/ DOI: 10.20960/nh.1878
Holanda RL, Oliveria EC, Nunes GS, Galvão CEP, Silva INR, Nunes GSS. Perfil nutricional de pacientes
Onco-Hematológicos internados em um Hospital especializado em câncer em São Luís. Rev Bras Cien
Med Saúde [Internet]. 2020 Sept 25 [cited 2022 Aug 24]; 24 (3), 65-474. Available from: https://periodicos.ufpb.br/index.php/rbcs/article/view/51138
DOI:10.22478/ufpb.2317-6032.2020v24n3.51138
Fiol-Martínez L, Calleja-Fernández A, Pintor de la Maza B, Vidal-Casariego A, Villar-Taibo R, Urioste-Fondo A, et al. Comparison of two nutritional screening tools to detect nutritional risk in hematologic inpatients. Nutri Hosp [Internet]. 2017 Fev [cited 2022 Aug 24]; 34, 97-100. Available from: https://pubmed.ncbi.nlm.nih.gov/28063519/ DOI: 10.1016/j.nut.2016.09.009
Clemente G, Gallo M, Giogini M. Modalities for assessing the nutritional status in patients with diabetes and cancer. Diabetes [Internet]. 2018 Aug [cited 2022 Aug 24]; 142, 162-172. Available from: https://pubmed.ncbi.nlm.nih.gov/29857095/ DOI: 10.1016/j.diabres.2018.05.039
Yalcin S, Gumus M, Oksuzoglu B, Ozdemir F, Evrensel T, Sarioglu AA, et al. Nutritional Aspect of Cancer Care in Medical Oncology Patients. Clin Med Ther [Internet]. 2019 Nov [cited 2022 Sept 10]; 41 (11), 2382-2396. Available from: https://pubmed.ncbi.nlm.nih.gov/31699437/ DOI:10.1016/j.clinthera.2019.09.006
PORTUGAL.Direção Geral da Saúde-Rastreio Nutricional: Documento de apoio à implementação da avaliação do risco nutricional [Internet]. Lisboa: Direção Geral da Saúde; 2019 [cited 2022 Aug 16]. Available from: https://alimentacaosaudavel.dgs.pt/activeapp2020/wp-content/uploads/2020/01/Rastreio-nutricional.pdf
Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff SC, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutri [Internet]. 2017 [cited 2022 Sept 11]; 36, 49-64. Available from: https://pubmed.ncbi.nlm.nih.gov/27642056/ DOI:10.1016/j.clnu.2016.09.004
Despacho nº 6634/2018. Diário da República nº 129, Série II de 06-07-2018.
Aziz NASA, Teng NIMF, Hamid MRA, Ismail NH. Assessing the nutritional status of hospitalized elderly. Clin Interv Aging [Internet]. 2017 Oct 4 [cited 2022 Sept 11]; 12, 1615-1625. Available from: https://pubmed.ncbi.nlm.nih.gov/29042762/ DOI: 10.2147/CIA.S140859
Schneider SM, Correia MITD. Epidemiology of weight loss, malnutrition and sarcopenia: A transatlantic view. Nutri [Internet]. 2020 Jan [cited 2022 Sept 10]; 69 (110581). Available from: https://pubmed.ncbi.nlm.nih.gov/31622908/ DOI: 10.1016/j.nut.2019.110581
Arribas L, Hurtós L, Sendrós MJ, Peiró I, Salleras N, Fort E, Sánchez-Migallón JM. NUTRISCORE: A new
nutritional screening tool for oncological outpatients. Nutri [Internet]. 2017 Jan [cited 2022 Sept 1]; 33,
-303. Available from: https://pubmed.ncbi.nlm.nih.gov/27751743/ DOI: 10.1016/j.nut.2016.07.015
Yilmaz M, Atilla FD, Sahin F, Saydam G. The effect of malnutrition on mortality in hospitalized patients with hematologic malignancy. Support Cancer Ther [Internet]. 2020 Mar [cited 2022 Aug 29]; 28 (3), 1441-1448. Available from: https://pubmed.ncbi.nlm.nih.gov/31273503/
DOI: 10.1007/s00520-019-04952-5
Magalhães B, Freitas E,Paiva I, Girão M, Gomes SM. White Paper:Rastreio e Intervenção Nutricional em Oncologia.Porto:Associação de Enfermagem Oncológica Portuguesa;2023,16p.ISBN:978-989-53475-5-1
Mendes JFG, Ruivo E, Simas A, Amaral TF. Desenvolvimento da versão em Português do
Nutriscore. Acta Port Nutri [Internet] 2020 [cited 2022 Set 18]; 21, 46-49. Available
from: https://actaportuguesadenutricao.pt/edicoes/httpsactaportuguesadenutricao-ptwp-contentuploads20200810_artigo-profissional-pdf/ DOI:10.21011/apn.2020.2110
Reber E, Schönenberger KA, Vasiloglou MF, Stanga Z. Nutritional Risk Screening in Cancer Patients: The First Step Toward Better Clinical Outcome. Front Nutr [Internet] 2021 Apr 7 [cited 2022 Sept 7]; 8. Available from:
https://www.frontiersin.org/articles/10.3389/fnut.2021.603936/full DOI: 10.3389/fnut.2021.603936
Rodrigues MENG, Belarmino AC, Custódio LL, Gomes ILV, Júnior ARF. Communication in health work during the COVID-19 pandemic. Invest Educ Enferm [Internet] 2019 Out [cited 2022 Sept 7]; 38 (3). Available from: https://pubmed.ncbi.nlm.nih.gov/33306899/ DOI: 10.17533/udea.iee.v38n3e09.
Deluche E, Girault S, Jesus P, Monzat S, Turlure P, Leobon S, et al. Assessment of the nutritional status of adult patients with acute myeloid leukemia during induction chemotherapy. Nutri [Internet] 2017 Sept [cited 2022 Sept 10]; 41, 120-125. Available from:
https://www.sciencedirect.com/science/article/abs/pii/S0899900717300886
DOI: 10.1016/j.nut.2017.04.011
Malihi Z, Kandiah M, Chan YM, Hosseinzadeh M, Azad MS, Yeganeh MZ. Nutritional status and quality of life in patients with acute leukaemia prior to and after induction chemotherapy in three hospitals in
Tehran, Iran: a prospective study. J Hum Nutr Diet [Internet] 2013 July [cited 2022 Aug 26]; 26 (1),
-131. Available from: https://pubmed.ncbi.nlm.nih.gov/23627676/ DOI: 10.1111/jhn.12043.
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