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VALORACIÓN GLOBAL SUBJETIVA Y LA EVALUACIÓN GLOBAL ROYAL FREE HOSPITAL EN ENFERMEDAD HEPÁTICA CRÓNICA. (Spanish)
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- Author(s): Valero Cubillán, Paola María; Cecilia Daza, Mareidys; Barboza Zambrano, Hazel; Anderson Vásquez, Hazel
- Source:
Enfermería Investiga: Investigaciin, Vinculación, Docencia y Gestiin; ene-mar2024, Vol. 9 Issue 1, p13-21, 9p- Subject Terms:
- Source:
- Additional Information
- Alternate Title: SUBJECTIVE GLOBAL ASSESSMENT AND THE ROYAL FREE HOSPITAL GLOBAL EVALUATION IN CHRONIC LIVER DISEASE. (English)
- Abstract: Introduction: Malnutrition in patients with chronic liver disease is common; its prognostic value for life being indisputable due to its impact on morbidity and mortality; However, to date there is no ideal method for nutritional assessment in this pathology. Objective: to compare the subjective global assessment (VGS) and the Royal Free Hospital Global Assessment (RFH-VG) as a nutritional assessment tool in adults with liver disease. Methods: Cross-sectional, field and correlational study, the non-probabilistic random sample was made up of 65 subjects, to whom both nutritional evaluation methods were applied. For VGS, the Detski form was used and for the evaluation with the Royal Free Hospital the Morgan algorithm was used; Results: In the VGS, 52 subjects presented malnutrition (55.4% reflected moderate malnutrition and 24.6% severe malnutrition); while in the RFH-VG it was found that 47 subjects presented malnutrition (46.2% moderate malnutrition and 26.2% severe malnutrition). Regarding gender, in the VGS, women predominated in moderate malnutrition in both methods; and in the RFH-VG, men predominated in severe malnutrition. The VGS presented a sensitivity of 97%, specificity of 60%; AUC 0.80; (95% CI 0.66 to 0.97), RFH-VG had a sensitivity of 95%, specificity 84% AUC 0.89 (95% CI 0.79 to 1.00). Conclusions: The VGS and RFH-VG methods demonstrated a sensitivity greater than 90%; However, the RFH-VG seems to better classify patients with normal nutritional status, reflecting a greater specificity in relation to that observed in the VGS. [ABSTRACT FROM AUTHOR]
- Abstract: Introducción: La desnutrición en pacientes con enfermedad hepática crónica es frecuente; siendo su valor pronóstico de vida indiscutible por su impacto en la morbimortalidad; sin embargo, hasta el momento no existe un método ideal para la valoración nutricional en esta patología. Objetivo: comparar la valoración global subjetiva (VGS) y la evaluación Global Royal Free Hospital (RFH-VG) como herramienta de evaluación nutricional en adultos con enfermedad hepática. Métodos: Estudio transversal, de campo y correlacional; la muestra aleatoria no probabilística estuvo conformada por 65 sujetos, a quienes se aplicaron ambos métodos de evaluación nutricional. Para VGS se utilizó el formulario de Detski y para la evaluación con el Royal Free Hospital se utilizó el algoritmo de Morgan; Resultados: En la VGS 52 sujetos presentaron desnutrición (55,4% reflejaron desnutrición moderada y 24,6% desnutrición severa); mientras que en la RFH-VG se encontró que 47 sujetos presentaron desnutrición (46,2% desnutrición moderada y 26,2% desnutrición severa). En cuanto al género, en la VGS las mujeres predominaron en la desnutrición moderada en ambos métodos; y en la RFH-VG los hombres predominaron en la desnutrición severa. La VGS presentó una sensibilidad de 97%, especificidad de 60%; AUC 0.80; (IC del 95% 0,66 a 0,97), la RFH-VG presentó una sensibilidad de 95%, especificidad 84 % AUC 0,89 (IC del 95% 0,79 a 1,00). Conclusiones: Los métodos de VGS y RFH-VG demostraron una sensibilidad mayor al 90%; sin embargo, la RFH-VG parece clasificar mejor los pacientes con estado nutricional normal, reflejando una especificidad mayor en relación con la observada en la VGS. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Enfermería Investiga: Investigaciin, Vinculación, Docencia y Gestiin is the property of Revista Enfermeria Investiga and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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