Kajian metode Subjective Global Assessment (SGA) dan Nutrition Services Screening Assesment (NSSA) sebagai status gizi awal pasien dewasa sebagai prediktor lama rawat inap dan status pulang

Agustinus I Wayan Harimawan; Hamam Hadi; Susetyowati Susetyowati

doi:10.22146/ijcn.17750

Kajian metode Subjective Global Assessment (SGA) dan Nutrition Services Screening Assesment (NSSA) sebagai status gizi awal pasien dewasa sebagai prediktor lama rawat inap dan status pulang

https://doi.org/10.22146/ijcn.17750

Agustinus I Wayan Harimawan^(1*), Hamam Hadi⁽²⁾, Susetyowati Susetyowati⁽³⁾

(1) Dinas Kesehatan, Kabupaten Paringi Moutong, Sulawesi Tengah
(2) Minat Utama Gizi dan Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(3) Minat Utama Gizi dan Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract

Background: Assessment of nutrition status of newly hospitalized patients is an initial stage of nutrition intervention which will bring effects to the duration of stay and the history of patients' diseases during hospitalization. Appropriate nutrition intervention as part of patients' care can be used as an indicator of the quality of hospital service.

Objective: The study aimed to identify preliminary nutrition status of newly hospitalized adult patients using SGA method, its effects to length of stay and status of discharge and compare the capacity of SGA and NSSA indicators in predicting length of stay and status of discharge of adult patients.

Method: This observational study used prospective cohort study design. It was carried out at Anuntaloko Hospital of Parigi, District of Parigi Moutong, Sulawesi Tengah from July to September 2008. Subject consisted of 162 people comprising 82 undernourished people and 80 people with good nutrition status based on assessment using SGA method. Data analysis used bivariable and multivariable, receiver operating characteristics (ROC) curve and diagnostic methods using computer program.

Result: The majority of newly hospitalized patients were undernourished (50.6%); preliminary status of patients assessed using SGA method could affect length of stay, relative risk (RR)=3.67 but not status of discharge (RR=0.97). The capacity of SGA indicator, area under the curve (AUC)=0.81 and maximum sum of sensitivity and specifcity (MSS) =1.57 was better than NSSA indicator (AUC=0.76 and MSS 1.43) in predicting length of stay. The capacity of SGA indicator (AUC=0.50 and MSS=1.01) was better than NSSA indicator (AUC=0.49 and MSS=0.98) in predicting discharge status of the patient.

Conclusion: SGA and NSSA indicators could be implemented in assessing preliminary nutrition status of newly hospitalized adult patients; SGA indicator had better capacity than NSSA indicator.

Keywords

nutrition status; length of stay; discharged status; Subjective Global Assesment (SGA); Nutrition Services Screening Assessment (NSSA)

Full Text:

PDF

References

Kruizenga HM, Tulder MWV, Seidell JC, Thijs A, Ader HJ, Schueren MVB. Effectiveness and cost- effectiveness of early screening and treatment of malnourished patients. Am J Clin Nutr 2005; 82:1082-9.

Pablo AMR, Izaga MA, Alday LA. Assesement of nutritional status on hospital admission: nutritional scores. Eur J Clin Nutr 2003; 57:824-31.

Budiningsari RD, Hadi H. Pengaruh perubahan status gizi pasien dewasa terhadap lama rawat inap dan biaya rumah sakit. Jurnal Gizi Klinik Indonesia 2004; 1(1); 35-45.

Shirodkar M, Mohandas KM. Subjective global assessment: a simple and reliable screening tool for malnutrition among indians. Indian J Gastroenterol 2005; 24:246-50.

Moore MC. Pocket guide nutrition and diet therapy. (Terjemahan) Oswari LD. Jakarta : Hypocrates; 1997. 3-24.

Hammond KA. Dietary and clinical assessment. in: Mahan LK, Stump SE, editors. Food, nutrition, and diet therapy. Pennsylvania: Saunders; 2004. 407-35.

Hastono SP. Analisis data kesehatan. Jakarta: Fakultas Kesehatan Masyarakat Universitas Indonesia; 2007. 61.

Baccaro F, Moreno JB, Borlenghi J, Aquino L, Armesto G, Plaza G, Zapata Z. Subjective global assessment in the clinical setting. J Parenter Enteral Nutr 2007; 31(5):406-9.

Yanti HF. Status gizi awal masuk pasien dewasa sebagai prediktor lama rawat inap di rumah sakit [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2003.

Mardalena I, Suprapto B, Widarto, Murti B. Penilaian gizi sederhana: alat penilaian praktis untuk menentukan status gizi pasien rawat inap di rumah sakit. Jurnal Gizi Klinik Indonesia 2005; 1(3):137-44.

Susetyowati, Hadi H, Budiningsari RD, Pramantara ID. Kemampuan metode skrining MST, SNAQ, NRS, MUST dan SGA dalam memprediksi status pulang dan lama rawat inap pasien rumah sakit. Naskah dipresentasikan dalam The 5th Asian Congress of Dietetics : The Art of Well-Being Through Asian Dietetic Practice”: 2010 Nov 10-12; Imperial Queen’s Park, Bangkok, Thailand.

Detsky AS, McLaughlin JR, Baker JP, Johnson N, Whittaker S, Mendelson RA, Jeejeebhoy KN. What is subjective global assessment of nutritional status?. J Parenter Enteral Nutr 1987; 11: 8-13.

Asiah N. Nutrisi, infeksi dan imunitas: suatu sinergisme. Majalah GizMindo 2003; 2(6):4-6.

Badan RSD Anuntaloko Parigi. Profl RSD Anuntaloko Parigi. Parigi; 2007.

Wahyuni S, Julia M, Budiningsari RD. Pengukuran status gizi pasien anak menggunakan metode subjective global nutrition assessment (SGA) sebagai prediktor lama rawat inap, status pulang, dan kejadian malnutrisi di rumah sakit. Jurnal Gizi Klinik Indonesia 2005; 2(1):28-36.

DOI: https://doi.org/10.22146/ijcn.17750