Assessment of Malnutrition in Heart Failure and Its Relationship with Clinical Problems in Brazilian Health Services

Juliana Santos Barbosa (), Márcia Ferreira Cândido de Souza, Jamille Oliveira Costa, Luciana Vieira Sousa Alves, Larissa Marina Santana Mendonça de Oliveira, Rebeca Rocha de Almeida, Victor Batista Oliveira, Larissa Monteiro Costa Pereira, Raysa Manuelle Santos Rocha, Ingrid Maria Novais Barros de Carvalho Costa, Diva Aliete dos Santos Vieira, Leonardo Baumworcel, Marcos Antonio Almeida-Santos, Joselina Luzia Menezes Oliveira, Eduardo Borba Neves, Alfonso López Díaz- de-Durana, María Merino-Fernández, Felipe J. Aidar () and Antônio Carlos Sobral Sousa
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Juliana Santos Barbosa: Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil
Márcia Ferreira Cândido de Souza: Graduate Program Professional in Management and Technological Innovation in Health, Federal University of Sergipe, Aracaju 49100-000, Brazil
Jamille Oliveira Costa: Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil
Luciana Vieira Sousa Alves: Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil
Larissa Marina Santana Mendonça de Oliveira: Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil
Rebeca Rocha de Almeida: Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil
Victor Batista Oliveira: Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil
Larissa Monteiro Costa Pereira: Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil
Raysa Manuelle Santos Rocha: Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil
Ingrid Maria Novais Barros de Carvalho Costa: Food Technology Department, São Cristovão Campus, Federal Institute of Sergipe, São Cristovão 49100-000, Brazil
Diva Aliete dos Santos Vieira: Department of Nutrition, Campus Prof. Antônio Garcia Filho, Federal University of Sergipe (UFS), Lagarto 49400-000, Brazil
Leonardo Baumworcel: Clinic and Hospital São Lucas/Division, Rede D’Or São Luiz, Aracaju 49060-676, Brazil
Marcos Antonio Almeida-Santos: Clinic and Hospital São Lucas/Division, Rede D’Or São Luiz, Aracaju 49060-676, Brazil
Joselina Luzia Menezes Oliveira: Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil
Eduardo Borba Neves: Graduate Program in Biomedical Engineering, Federal Technological University of Paraná (UTFPR), Curitiba 80230-901, Brazil
Alfonso López Díaz- de-Durana: Sports Department, Physical Activity and Sports Faculty—INEF, Universidad Politécnica de Madrid, 28040 Madrid, Spain
María Merino-Fernández: Faculty of Health Sciences, Universidad Francisco de Vitoria (UFV), 28223 Madrid, Spain
Felipe J. Aidar: Group of Studies and Research in Performance, Sport, Health and Paralympic Sports—GEPEPS, Federal University of Sergipe (UFS), São Cristovão 49100-000, Brazil
Antônio Carlos Sobral Sousa: Graduate Program in Health Sciences, Federal University of Sergipe (UFS), Aracaju 49060-676, Brazil

IJERPH, 2022, vol. 19, issue 16, 1-13

Abstract: Malnutrition in heart failure (HF) is frequent and associated with a worse prognosis. Due to differences in investment and the profile of those assisted, the objective of this study was to evaluate the frequency of malnutrition in hospitalized patients with HF and its association with clinical outcomes in the public and private health systems. Methodology: A cross-sectional study, with 247 volunteers hospitalized with HF in three public hospitals and one private hospital in Aracaju, SE, Brazil. A subjective global nutritional assessment (SGA) and mini nutritional assessment (MNA) were performed. Results: Sample with 72.5% users of the public health system and 75.3% with malnutrition (public = 74.9%; private = 76.5%; p = 0.793). Regardless of the healthcare system, hospital stay (>14 days) was longer ( p = 0.020) among those with malnutrition (48.4%) than well-nourished patients (29.5%). Malnutrition in the public system had higher mortality (7.5%; 5.8%; p < 0.001) and hospital transfer rate (21.1%; 0.0%; p < 0.001) than those in the private system. Death after discharge was observed only in the public system ( p = 0.039). Conclusion: Malnutrition was frequent in both systems and was associated with longer hospital stays and, in the public hospital, in-hospital death and transfers.

Keywords: malnutrition; cardiac insufficiency; health services (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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