P647 - PERFORMANCE OF NUTRITIONAL DIAGNOSIS METHODS IN THE HOSPITAL ENVIRONMENT: ASSESSMENT OF AGREEMENT BETWEEN TOOLS

P647

PERFORMANCE OF NUTRITIONAL DIAGNOSIS METHODS IN THE HOSPITAL ENVIRONMENT: ASSESSMENT OF AGREEMENT BETWEEN TOOLS

V. A. Leandro-Merhi^1,*, L. R. Mazzini², L. S. Stopiglia², J. P. Teixeira², V. A. C. Barbieri², R. I. Seccacci ²

¹Postgraduate Program in Health Sciences, ²School of Life Sciences, Pontifical Catholic University of Campinas (PUC Campinas), Campinas, Brazil

Rationale: The prevalence of malnutrition can vary greatly depending on the tools used. Considering that malnutrition could contribute to unfavorable outcomes, this study investigated the agreement of handgrip strength (HGS) and the Global Leadership Initiative on Malnutrition (GLIM) criteria with nutritional screening instruments.

Methods: In a cross-sectional study with hospitalized patients, clinical data and nutritional screening instruments such as the subjective global assessment (SGA), the nutritional risk screening-2002 (NRS), the GLIM criterion and the HGS were investigated. The Chi-square test, Fisher's exact test, Mann-Whitney test and the Kappa coefficient of agreement were used in the statistical analysis.

Results: A total of 160 patients with a higher frequency of vascular diseases and neoplasms were evaluated. In the group of patients with nutritional risk according to the NRS, there was greater age (p=0.0010), a higher frequency of neoplasms (p=0.0007), more patients classified as malnourished by the GLIM criterion (p<.0001) and lower mean HGS values ​​(p=0.0210). In the group of patients malnourished by the SGA, there was greater age (p=0.0006), a higher frequency of neoplasms (p=0.0001), more patients classified as malnourished by the GLIM criterion (p<.0001) and a higher frequency of patients with HGS values ​​below the reference standard (p=0.0017). There was moderate to good agreement between GLIM and NRS (Kappa=0.6061; 95%CI [0.4877; 0.7245]) and between GLIM and SGA (Kappa=0.6527; 95%CI [0.5347; 0.7708]). There was weak agreement between HGS and NRS (Kappa=0.2470; 95%CI [0.0957; 0.3982]) and between HGS and SGA (Kappa=0.2289; 95%CI [0.0917; 0.3661]).

Conclusion: There was agreement between the GLIM criterion and the NRS and between the GLIM criterion and the SGA. The FPM did not show agreement with the NRS and the SGA.

-Funding: FAPESP, Process nº.  2023/01435-2.

Disclosure of Interest: None declared