Impact of nutrition support teams on hospitals' nutritional support in the largest South American city and its metropolitan area.

OBJECTIVE: We evaluated the practice of nutritional therapy (NT) by NT multiprofessional teams (NTMTs) in hospitals of the São Paulo metropolitan region to verify its adequacy in meeting the legislation that regulates NT in Brazil. METHODS: This was an open prospective study using active research through an inquiry with a multiple-choice, directed, and descriptive questionnaire, which was evaluated using EPI Info 6.04. Data were presented as median and 25th and 75th percentiles and compared according to the considered outcome. P < 0.05 was considered statistically significant. RESULTS: Of 119 evaluated hospitals in the São Paulo metropolitan region, 84 were located in the city itself and 35 in the surrounding cities. There were 52 hospitals with NTMTs: 35 in the city of São Paulo and 13 in the other cities. No significant statistical differences were found when comparing the hospitals according to size (small, average, large, and specialized) and to the presence of a NTMT. We observed that the philanthropic institutions presented a significantly higher frequency of NTMTs presence. The private, academic, and public hospitals did not present significant differences with regard to the presence of NTMTs. CONCLUSION: The number of NTMTs in the hospitals of the São Paulo metropolitan area is below the requirement established by law; the existence of a NTMT is more frequent in medium and large hospitals; the purchase of the necessary supplies and equipment for the NT practice is more adequate in hospitals with non-public reimbursement; the NTMTs in non-public hospitals were found to be more competent than those in public hospitals in implementing enteral and parenteral nutrition; private hospitals offer better conditions for professional growth for a NTMT staff compared with public hospitals.

Perfil nutricional de pacientes oncológicos hospitalizados / Nutritional profile of hospitalised oncologic patients

Introduçäo: A desnutriçäo é fator de complicaçäo no tratamento do câncer. É de importância avaliar o estado nutricional de pacientes oncológicos. Objetivo: Traçar o perfil nutricional de pacientes oncológicos hospitalizados. Método: Foram estudados retrospectivamente 87 pacientes adultos com neoplasia maligna, no período de setembro de 1997 a março de 2000. A avaliaçäo nutricional foi realizada em todos os pacientes, no intervalo de um a três dias após solicitaçäo. Resultados: O diagnóstico nutricional classificou 49 por cento dos pacientes estudados como eutróficos, 17 por cento, 14 por cento e 11 por cento como desnutridos leves, moderados e graves, respectivamente, e 1 por cento como obesos. A frequência de desnutriçäo de acordo com o diagnóstico nutricional foi de 42 por cento. Encontramos 8 por cento dos pacientes em risco de desnutriçäo. Conclusäo: A frequência de desnutriçäo é elevada nos pacientes com câncer, sendo o estado nutricional um fator importante a ser considerado durante o tratamento oncológico