标题:Scored Patient-Generated Subjective Global Assessment:
risk identification and need for nutritional intervention
in cancer patients at hospital admission
出版社:Sociedad Española de Dietética y Ciencias de la Alimentación (SEDCA)
摘要:Background: Malnutrition is one of the most common nutritional disorders in cancer patients, making early diagnosis and nutritional intervention necessary to minimize or prevent undesirable outcomes. Objective: To identify nutritional status and the need for nutritional intervention in cancer patients according to Patient-Generated Subjective Global Assessment (PG-SGA) and the scored PG-SGA at hospital admission, and to verify the association of the scored PG-SGA with objective methods of nutritional assessment Methods: A cross-sectional study was carried out in a university hospital with adult and elderly cancer patients of both sexes. Conventional anthropometric variables, body mass index, and PG-SGA within 48 hours of hospital admission were evaluated. The data were evaluated by Fisher’s Exact test, ANOVA, Pearson’s correlation, and multiple linear regression. Results: Of the 70 patients evaluated, 64 (95.7%) presented some degree of malnutrition according to PG-SGA. The total scored PG-SGA showed that 60 (91.4%) of patients had nutritional intervention (≥ 4 points) and 43 (61.4%) had nutritional risk (≥ 9 points). The scored PG-SGA was associated with objective variables of nutritional status. Conclusion: PG-SGA was able to efficiently identify malnutrition in its different stages, as well as the need for nutritional intervention at hospital admission. The PG-SGA score was associated with objective methods of nutritional assessment. PG-SGA and its score should be included in the initial evaluation of cancer patients, because they allow different evaluations in a single instrument.