Phase Angle for Nutritional Risk Screening in Cardiac Critically Ill Patients
Introduction: The phase angle has been listed as a nutritional marker and its useful role in critically ill patients, but its role as a patient-to-patient tool has not yet been tested. This study sought to evaluate the phase angle as a proposal to determine nutritional risk in critically ill patient...
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| Format: | Article |
| Language: | English |
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Academia Española de Nutrición y Dietética
2023-02-01
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| Series: | Revista Española de Nutrición Humana y Dietética |
| Subjects: | |
| Online Access: | https://renhyd.org/renhyd/article/view/1760 |
| _version_ | 1797935399546388480 |
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| author | Danielle Mitchell Tenório Isa Galvão Rodrigues José Gildo de Moura Monteiro Júnior Cláudia Porto Sabino Pinho |
| author_facet | Danielle Mitchell Tenório Isa Galvão Rodrigues José Gildo de Moura Monteiro Júnior Cláudia Porto Sabino Pinho |
| author_sort | Danielle Mitchell Tenório |
| collection | DOAJ |
| description | Introduction: The phase angle has been listed as a nutritional marker and its useful role in critically ill patients, but its role as a patient-to-patient tool has not yet been tested. This study sought to evaluate the phase angle as a proposal to determine nutritional risk in critically ill patients hospitalized in cardiac intensive care units.
Methods: Transversal study, coupled to a prospective analysis variable (hospitalization outcome) and involving adult and elderly male and female patients in cardiac intensive care units. The nutritional risk was determined by using the NUTRICscore, the phase angle was obtained through bioelectrical impedance analysis and other data, through the clinical record. A significance level of p <0.05 was used for all statistical analysis.
Results: 79 patients were included and resulted in homogeneous distribution among the sexes and an average age of 67.2 ± 13.7 years. Most of the sample had malnutrition according to the body mass index (BMI) (46.7%; CI: 36.0-57.8) and due to the adequacy of the arm circumference (40.8%; CI: 34.0-52.0). According to the NUTRIC score, 59.5% (CI: 48.5-69.3) had a high nutritional risk, and 68.4% (CI: 57.4-77.6) had a low phase angle (≤5.5 °). Correlation between the phase angle and age (p = 0.010) and BMI (p = 0.023) was verified. A good sensitivity (72%; CI: 55.6-81.9) and specificity (68%; CI: 42.5-77.5) of the low phase angle were obtained to detect nutritional risk by NUTRIC.
Conclusions: The PhA had good results of sensitivity and specificity but should be used with caution to determine the nutritional risk in critically ill cardiac patients.
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| first_indexed | 2024-04-10T18:13:49Z |
| format | Article |
| id | doaj.art-85211a338dfb41e6b1ad108b4694b7a2 |
| institution | Directory Open Access Journal |
| issn | 2173-1292 2174-5145 |
| language | English |
| last_indexed | 2024-04-10T18:13:49Z |
| publishDate | 2023-02-01 |
| publisher | Academia Española de Nutrición y Dietética |
| record_format | Article |
| series | Revista Española de Nutrición Humana y Dietética |
| spelling | doaj.art-85211a338dfb41e6b1ad108b4694b7a22023-02-02T10:01:13ZengAcademia Española de Nutrición y DietéticaRevista Española de Nutrición Humana y Dietética2173-12922174-51452023-02-0110.14306/renhyd.27.1.1760Phase Angle for Nutritional Risk Screening in Cardiac Critically Ill PatientsDanielle Mitchell Tenório0Isa Galvão Rodrigues1José Gildo de Moura Monteiro Júnior2Cláudia Porto Sabino Pinho3Pronto Socorro Cardiológico Universitário de Pernambuco, Universidade de Pernambuco, Palmares Street, no number, Santo Amaro, Recife-PE, Brazil.Pronto Socorro Cardiológico Universitário de Pernambuco, Universidade de Pernambuco, Palmares Street, no number, Santo Amaro, Recife-PE, Brazil.Pronto Socorro Cardiológico Universitário de Pernambuco, Universidade de Pernambuco, Palmares Street, no number, Santo Amaro, Recife-PE, Brazil.UNIVERSIDADE DE PERNAMBUCOIntroduction: The phase angle has been listed as a nutritional marker and its useful role in critically ill patients, but its role as a patient-to-patient tool has not yet been tested. This study sought to evaluate the phase angle as a proposal to determine nutritional risk in critically ill patients hospitalized in cardiac intensive care units. Methods: Transversal study, coupled to a prospective analysis variable (hospitalization outcome) and involving adult and elderly male and female patients in cardiac intensive care units. The nutritional risk was determined by using the NUTRICscore, the phase angle was obtained through bioelectrical impedance analysis and other data, through the clinical record. A significance level of p <0.05 was used for all statistical analysis. Results: 79 patients were included and resulted in homogeneous distribution among the sexes and an average age of 67.2 ± 13.7 years. Most of the sample had malnutrition according to the body mass index (BMI) (46.7%; CI: 36.0-57.8) and due to the adequacy of the arm circumference (40.8%; CI: 34.0-52.0). According to the NUTRIC score, 59.5% (CI: 48.5-69.3) had a high nutritional risk, and 68.4% (CI: 57.4-77.6) had a low phase angle (≤5.5 °). Correlation between the phase angle and age (p = 0.010) and BMI (p = 0.023) was verified. A good sensitivity (72%; CI: 55.6-81.9) and specificity (68%; CI: 42.5-77.5) of the low phase angle were obtained to detect nutritional risk by NUTRIC. Conclusions: The PhA had good results of sensitivity and specificity but should be used with caution to determine the nutritional risk in critically ill cardiac patients. https://renhyd.org/renhyd/article/view/1760Evaluación nutricionalFactores de riesgoimpedancia bioeléctricaCuidado críticoUnidades de cuidados intensivosMortalidad |
| spellingShingle | Danielle Mitchell Tenório Isa Galvão Rodrigues José Gildo de Moura Monteiro Júnior Cláudia Porto Sabino Pinho Phase Angle for Nutritional Risk Screening in Cardiac Critically Ill Patients Revista Española de Nutrición Humana y Dietética Evaluación nutricional Factores de riesgo impedancia bioeléctrica Cuidado crítico Unidades de cuidados intensivos Mortalidad |
| title | Phase Angle for Nutritional Risk Screening in Cardiac Critically Ill Patients |
| title_full | Phase Angle for Nutritional Risk Screening in Cardiac Critically Ill Patients |
| title_fullStr | Phase Angle for Nutritional Risk Screening in Cardiac Critically Ill Patients |
| title_full_unstemmed | Phase Angle for Nutritional Risk Screening in Cardiac Critically Ill Patients |
| title_short | Phase Angle for Nutritional Risk Screening in Cardiac Critically Ill Patients |
| title_sort | phase angle for nutritional risk screening in cardiac critically ill patients |
| topic | Evaluación nutricional Factores de riesgo impedancia bioeléctrica Cuidado crítico Unidades de cuidados intensivos Mortalidad |
| url | https://renhyd.org/renhyd/article/view/1760 |
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