Nutrition assessment: the reproducibility of subjective global assessment in patients requiring mechanical ventilation
| Autor: | Sarah J. Peterson, Patricia M. Sheean, David Gurka, Carol A. Braunschweig |
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| Rok vydání: | 2010 |
| Předmět: |
Male
030309 nutrition & dietetics Health Status medicine.medical_treatment Medicine (miscellaneous) Overweight Body Mass Index law.invention 0302 clinical medicine law Medicine 030212 general & internal medicine Wasting Observer Variation 2. Zero hunger 0303 health sciences education.field_of_study Nutrition and Dietetics Middle Aged Intensive care unit 3. Good health Hospitalization Intensive Care Units Muscular Atrophy Adipose Tissue Female medicine.symptom Respiratory Insufficiency Adult Artificial ventilation medicine.medical_specialty Population Article 03 medical and health sciences Internal medicine Humans Obesity education Mechanical ventilation Wasting Syndrome business.industry Malnutrition Reproducibility of Results Respiration Artificial Diet Nutrition Assessment Respiratory failure Physical therapy business Body mass index |
| Zdroj: | European journal of clinical nutrition |
| ISSN: | 1476-5640 0954-3007 |
| DOI: | 10.1038/ejcn.2010.154 |
| Popis: | Background/Objective The detection of malnutrition in the intensive care unit (ICU) is critical to appropriately address its contribution on outcomes. The primary objective of this investigation was to determine if nutritional status could be reliably classified using Subjective Global Assessment (SGA) in mechanically ventilated (MV) patients. Subjects/Methods Fifty-seven patients requiring MV greater than 48 hours in a university-affiliated medical ICU were evaluated in this cross-sectional study over a 3 month period. Nutritional status was categorized independently by two Registered Dietitians using SGA. Frequencies, means (± standard deviations), Chi square and T tests were used to describe the population characteristics; agreement between raters was evaluated using the κ statistic. Results On admission, the average patient was 50.4 (± 14.2) years of age, overweight (body mass index: 29.0 ± 9.2), had an APACHE II score of 24 (± 10) and respiratory failure. Fifty percent (n=29) of patients were categorized as malnourished. Agreement between raters was 95% prior to consensus, reflecting near perfect agreement (κ =0.90) and excellent reliability. Patients categorized as malnourished were more often admitted to the hospital floor prior to the ICU (n=32; 56%), reported decreased dietary intake (69% vs. 46%, p=0.02) and exhibited signs of muscle wasting (45% vs. 7%, p |
| Databáze: | OpenAIRE |
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