Associação entre ferramenta de triagem e avaliação nutricional entre pacientes hospitalizados no município de Porto Alegre

Hospital malnutrition is associated with the worsening of the patient’s generalcondition and its early diagnosis allows the reduction of related complications. The aim of this studywas to verify the agreement of the Short Nutritional Assessment Questionnaire (SNAQ) screeningtool and the Subjective Global Assessment (SGA). Methods: Cross-sectional study, carried out ina general hospital in the city of Porto Alegre (RS). The SNAQ was applied by previously trainednutritionists and nurses, and the patient was considered at nutritional risk when the score was ≥2.SGA was applied by nutritionists in all patients and considered the gold standard for comparison.The Kappa coefficient was used to assess the degree of agreement between the screening andnutritional assessment tools. Kappa values between 0.21-0.60 were considered as low agreement, 0.61-0.8 as moderate agreement and greater than 0.81, as strong agreement. Results:Between January and March 2017, 186 patients were evaluated, of them 115 (62%) were women.The mean age was 65.7 ± 16.6 years and the body mass index (BMI) mean was 26.5 ± 5.5 kg/m². According to SGA classification, 73.7% of the sample was considered to be well nourished,14% moderately malnourished and 12.4% severely malnourished. Low agreement was observedbetween the nutritional risk diagnosed by nursing vs. nutrition through SNAQ (Kappa=0.58) andgood agreement of SNAQ applied by the nutrition team with the nutritional diagnosis of SGA(Kappa=0.73). The SNAQ presented sensitivity of 85.7% (95% CI 73.3 - 92.9) and specificity of90.5% (95% CI 84.4 - 94.4); positive predictive value of 76.4% (95% CI 65.7 - 84.5) and negativepredictive value of 94.7% (95% CI 90 - 97.2). Conclusion: We conclude that the screening toolSNAQ when conducted by nutritionists can be used for early detection of hospital malnutrition.