Publicação
Scored patient-generated subjective global assessment, albumin and transferrin for nutritional assessment of gastrostomy fed head or neck cancer patients
| dc.contributor.author | Correira Pereira, Marta Alexandra | |
| dc.contributor.author | Santos, Carla Adriana | |
| dc.contributor.author | Brito, José Almeida | |
| dc.contributor.author | Fonseca, Jorge | |
| dc.date.accessioned | 2017-08-02T16:03:37Z | |
| dc.date.available | 2017-08-02T16:03:37Z | |
| dc.date.issued | 2014-02 | |
| dc.description.abstract | Introduction: Gastrostomy fed head or neck cancer patients frequently have impaired speech capacities. Enteral feeding teams frequently depend on laboratorial or anthropometrical parameters for nutritional assessment. Aims: In these patients, this study aimed to evaluate: (1) the practicability of Scored - Patient-Generated Subjective Global Assessment (PG-SGA); (2) their nutritional status using the Scored-PG-SGA; (3) association of serum albumin and transferrin values to the nutritional status rating using PG-SGA. Methods: On adult outpatients with head or neck cancer under prolonged (> 1 month) gastrostomy feeding, Scored-PG-SGA, albumin and transferrin were evaluated during the same appointment. Results: Scored-PG-SGA was easily feasible in 42 patients, even in patients with speech difficulties. Twenty-five patients were moderately/severely undernourished (PG-SGA/B+C). Scored-PG-SGA rated 41 patients as ≥ 2, thus needing nutritional/pharmacologic intervention. Albumin was low in 13 patients. Transferrin was low in 19 patients. Average albumin and transferrin in moderately/severely undernourished patients (PG-SGA/B+C) was significantly lower than in well-nourished (PG-SGA/A). There was association between Scored-PG-SGA rating, albumin and transferrin. Conclusions: In PEG fed head or neck cancer patients, PG-SGA was practicable and useful, even in patients with impaired speaking skills. Most patients displayed moderate/severe malnutrition (PG-SGA/B+C). Scored-PG-SGA rated 41 patients as needing for nutritional/pharmacological intervention. Scored-PG-SGA should be systematically included in the evaluation of these patients. In these patients, albumin and transferrin levels showed relation with Scored-PG-SGA and should be considered as nutritional biomarkers. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | CORREIRA PEREIRA, Marta Alexandra; SANTOS, Carla Adriana; ALMEIDA BRITO, José y FONSECA, Jorge. Evaluación global subjetiva del estado de nutrición generada por el paciente, albúmina y transferrina en pacientes con cáncer de cabeza o cuello alimentados por gastrostomía. Nutr. Hosp. [online]. 2014, vol.29, n.2, pp.420-426. ISSN 1699-5198. http://dx.doi.org/10.3305/nh.2014.29.2.7066. | pt_PT |
| dc.identifier.doi | 10.3305/nh.2014.29.2.7066 | pt_PT |
| dc.identifier.issn | 1699-5198 | |
| dc.identifier.uri | http://hdl.handle.net/10400.26/18732 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Grupo Áran | pt_PT |
| dc.relation.publisherversion | http://scielo.isciii.es/scielo.php?pid=0212-1611&script=sci_serial | pt_PT |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | pt_PT |
| dc.subject | Nutrition assessment | pt_PT |
| dc.subject | PG-SGA | pt_PT |
| dc.subject | Head or neck cancer | pt_PT |
| dc.subject | Gastrostomy | pt_PT |
| dc.title | Scored patient-generated subjective global assessment, albumin and transferrin for nutritional assessment of gastrostomy fed head or neck cancer patients | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 426 | pt_PT |
| oaire.citation.startPage | 420 | pt_PT |
| oaire.citation.title | Nutricion Hospitalaria | pt_PT |
| oaire.citation.volume | 29(2) | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |