“Dieta Denuncia Risco”de Desnutrição, proposta de um questionário de avaliação.

Juliana C Machado, Leticia Bizari, Vanessa Balbino, Fernanda Zapata, Fabiano Sadaiuki, Luciana D Martins, Carla B Nonino-Borges, Julio S Marchini, Vivian MM Suen

Abstract


Objective: To assess the adequacy of nutritional therapy offered to hospitalized.

Method: It was a descriptive cross-sectional study conducted in the Clinical Hospital of Ribeirão Preto and the Emergency Unit. Data were analyzed from medical records that could indicate the patients at risk of hospital malnutrition and assess the adequacy of nutritional therapy prescribed to patients. We analyzed anthropometric measures of weight, height and body mass index. All patients had their nutritional risk assessed by DIET DENOUNCES RISK. Two groups were created: Group 1 comprised of patients in total parenteral nutrition and group 2 comprised of those with oral diet.

Results: Fifty eight patients were evaluated; all of them had risk factors for hospital malnutrition Only 36% of the medical prescriptions of diets were in agreement with the estimated energy expenditure. Inadequacy was also found; 38% of prescribed diets were overestimating and 17% were underestimating the energy needs of the patients; and in 7% of the prescriptions it was not possible to assess the adequacy of them, because of missing data of weight and height.

Conclusion: The inadequacy of the nutritional therapy prescription is frequent in hospital services, exposing patients to nutritional risks that may contribute to an increased mortality. Training is needed to enable the health team to identify patients at nutritional risk by using tools that may help in diagnosis of malnutrition. 


Keywords


adequacy of diet, nutritional therapy, hospital malnutrition

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DOI: http://dx.doi.org/10.22565/ijn.v4i2.25

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