Jornal Vascular Brasileiro
Jornal Vascular Brasileiro
Review Article

Evidências para o uso da avaliação nutricional subjetiva global nos pacientes com doença arterial periférica

Evidence for use of subjective global assessment of the nutritional status of patients with peripheral arterial disease

Leandro de Oliveira Costa; Débora Úrsula Fernandes Souza; Walter Moreira Fonseca; Bárbara Couto Cifuentes Gonçalves; Gabriela Bhering Gomes; Lucas Amorim Ribeiro da Cruz; Nilder Nister Alves Reis Júnior; José Oyama Moura Leite

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Resumo A desnutrição é uma doença extremamente prevalente em pacientes internados, chegando a acometer 50% deles, 47% dos pacientes cirúrgicos e entre 39 e 73% dos portadores de doença arterial periférica, com grande impacto na morbimortalidade desses pacientes. A desnutrição possui grande relevância no desfecho clínico desses pacientes durante a internação, estando associada a maior incidência de infecções, demora na cicatrização das feridas, diminuição do status de deambulação, maior tempo de internação e mortalidade. Entretanto, o diagnóstico de desnutrição ou risco nutricional desses pacientes tem sido um desafio. A avaliação nutricional subjetiva global revelou-se, até o momento, o padrão ouro como método de triagem de pacientes cirúrgicos internados devido à sua praticidade e acurácia. O objetivo deste trabalho é revisar métodos utilizados na avaliação do estado nutricional e da triagem nutricional de pacientes internados e caracterizar a importância dessa avaliação nos desfechos clínicos dos pacientes com arteriopatias.


doença arterial periférica, morbidade, mortalidade, estado nutricional, avaliação nutricional subjetiva global, desnutrição


Abstract Malnutrition is an extremely common disease among hospitalized patients, with prevalence rates as high as 50% overall, 47% among surgical patients and from 39 to 73% among patients with peripheral arterial disease. It has a major impact on morbidity and mortality among these patients. Malnutrition is very relevant to these patients’ clinical outcomes and is associated with a higher incidence of infections, slower wound healing, lower rates of mobility, longer hospital stays and greater mortality. However, diagnosing malnutrition or nutritional risk in these patients has proven to be a challenge. To date, subjective global nutritional assessment remains the gold standard screening method for use with hospitalized surgical patients because of its practicality and accuracy. The objective of this study is to review methods used for assessment of nutritional status and for nutritional screening of hospitalized patients and determine the importance of these assessments to the clinical outcomes of patients with arteriopathies.


peripheral arterial disease, morbidity, mortality, nutritional status, subjective global nutritional assessment, malnutrition


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