P398 - NUTRITIONAL RISK SCREENING NRS-2002 IN NEUROSURGICAL PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT OF A PRIVATE PHILANTHROPIC HOSPITAL IN SÃO PAULO

P398

NUTRITIONAL RISK SCREENING NRS-2002 IN NEUROSURGICAL PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT OF A PRIVATE PHILANTHROPIC HOSPITAL IN SÃO PAULO

C. Valverde Pereira^1,*, B. D. Bastos¹, G. D. Dias¹, F. S. Machado¹, E. Suiter¹, A. N. Severine¹

¹Hospital Sírio-Libanês, São Paulo, Brazil

Rationale: Elective neurosurgeries can lead to complications that impact food intake and impair nutritional status. Early identification of nutritional risk and individualized nutritional intervention help reduce these complications, costs, and length of stay^1,2,3. This study aimed to identify and characterize the nutritional risk of patients in the postoperative period of elective neurosurgeries.

Methods: A retrospective study analyzed adults ICU immediate postoperative patients at a private hospital, during 1 year period, excluding those with neurological deficits affecting feeding.Nutritional risk was assessed by NRS-2002 within 24 hours of admission, categorized by surgery type.

Results: 130 patients,mostly men(57.7%),with a mean age of 51±13.8 years.Most underwent frontal,parietal,or temporal craniotomies(64.6%),followed by transnasal surgeries(16.9%).11 patients(8.5%) had nutritional risk,10 underwent craniotomies.9 patients at risk were discharged before 6 days.

Conclusion: The results seem to support that nutritional risk assessed by NRS is less prevalent in adult patients undergoing elective neurosurgery and support the existing literature that associates nutritional risk and length of hospital stay.

References: 1.GÖKCAN, H., et al. The Nutritional Risk Screening 2002 tool for detecting malnutrition risk in hospitalised patients: perspective from a developing country. Turkish Journal of Gastroenterology, v. 25, n. 6, p. 718-723, dez. 2014.2.HERNANDEZ, N. S. et al. Impact of nutritional risk on hospital outcomes: a prospective study. Journal of Clinical Nutrition, v. 98, n. 3, p. 571-578, 2016.3.SILVA, L. M. et al. The role of early nutritional screening in hospitalized patients: systematic review and implications for clinical practice. Clinical Nutrition Review, v. 37, n. 2, p. 205-215, 2018.

Disclosure of Interest: None declared