Nutritional Screening in a University Hospital: Comparison between Oncologic and Non-Oncologic Patients
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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53158#.VLXf0cnQrzE
Author(s)
Selma F. C. Cunha1*, Lidiane S. Tanaka2, Roberta G. Salomão2, Danielle M. Macedo2, Thatiane D. Santos2, Fernanda M. Peria3
Affiliation(s)
1Division
of Clinical Nutrition, Department of Internal Medicine, School of
Medicine of Ribeirao Preto, University of Sao Paulo, Ribeirao Preto,
Brazil.
2Parenteral and Enteral Nutrition Team of Clinical Hospital, School of Medicine of Ribeirao Preto, University of Sao Paulo, Ribeirao Preto, Brazil.
3Division of Oncology, Department of Internal Medicine, School of Medicine of Ribeirao Preto, University of Sao Paulo, Ribeirao Preto, Brazil.
2Parenteral and Enteral Nutrition Team of Clinical Hospital, School of Medicine of Ribeirao Preto, University of Sao Paulo, Ribeirao Preto, Brazil.
3Division of Oncology, Department of Internal Medicine, School of Medicine of Ribeirao Preto, University of Sao Paulo, Ribeirao Preto, Brazil.
ABSTRACT
Background
& Aims: We compared the screening nutritional data of patients with
malignant and non-malignant disease, and classified their nutritional
risk according to the primary tumor’s site. Methods: Subjective Global
Assessment was applied to 3008 patients within 48 h of admission to a
public university. Subjects were divided into Oncologic Group (n = 576)
or Non-Oncologic Group (n = 2432) according to the presence of neoplasms
or other diseases respectively. These data were compared by the
t-student test and classic chi-square test, with statistical
significance set at p < 0.05. Results: The Oncologic Group presented a
higher prevalence of weight loss (60.3% vs. 49.3%), quantitative (40.7%
vs. 28.5%) and qualitative (16.4% vs. 7.6%) alterations in the food
intake pattern, gastrointestinal symptoms and muscle waste (23.2% vs.
13.2%) as compared to the Non-Oncologic Group. Also, there was a higher
prevalence of nutritional disturbances in the Oncologic Group, with
49.5% of the subjects moderately (or suspected to be malnourished) and
12.7% severely mal-nourished. Severe malnourishment was mainly observed
in patients with head and neck (25%), upper digestive tract (21.9%) and
soft tissue and bones (17.9%) tumors. Conclusion: When compared to other
hospitalized patients, patients with neoplastic disease were in higher
nutritional risk.
KEYWORDS
Cite this paper
References
Cunha,
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(2015) Nutritional Screening in a University Hospital: Comparison
between Oncologic and Non-Oncologic Patients. Food and Nutrition Sciences, 6, 75-82. doi: 10.4236/fns.2015.61009.
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