Comparative analysis of nutritional risk classification between the Mini Nutritional Assessment-Short Form and the Nutritional Risk Screening 2002 in hospitalized patients with heart failure.
DOI:
https://doi.org/10.12873/433lopesKeywords:
Nutritional Assessment, Heart Failure, Mini Nutritional Assessment, Nutritional Status, MalnutritionAbstract
Abstract: Nutritional screening is responsible for the early selection and referral of patients at nutritional risk (RN) for more sensitive assessments. The Nutrition Risk Screening-2002 (NRS-2002) was reliable in detecting the presence or risk of developing malnutrition in a recent study. The Mini Nutritional Assessment-Short Form (MNA-SF) is intended for the elderly, but currently is widely used among other adults, and has been shown strongly correlation with the full MNA.
Objectives: assess whether the application of the MNA-SF reclassifies inpatients with similar results to those of the NRS-2002 and analyze the concordances and disagreements between the screenings, considering the classification of nutritional risk, dietary intake and weight loss.
Methodology: this is a cross-sectional study conducted with recently hospitalized patients with heart failure, where the NRS-2002 and the MNA-SF were applied in the same moment, within the first 72 hours. The continuous assessments of the results of the NRS 2002 and the MNA-SF were presented with their linear relationship, and described by Pearson's correlation coefficients. The agreement between methods was presented with 95% confidence intervals, and by Kappa coefficient.
Results: 148 patients were included, with a mean age of 63.1 ± 14.0 years, and a mean Body Mass Index (BMI) of 26.8 ± 6.6. The NRS-2002 classified 4 more patients in RN than the MNA-SF (136 vs. 132), but showed poor agreement (kappa=0.21). Food intake and weight loss showed significant disagreement. The Pearl’s correlation was -0.44.
Conclusion: The NRS-2002 classified 4 more patients into RN, where BMI and heart failure were crucial for classifying patients this way. Despite the similarity, our investigation showed poor agreement regarding RN, consistent with the literature. Dietary intake and weight loss disagreed significantly between the screenings.
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