S180 Poster presentations

SLT interventions, whilst necessary, compound this problem.Clinicians should be aware of this because it has importantimplications for the provision of adjuvant nutritional support.

Disclosure of Interest: None Declared

PP155-MONIIER NUTRITIONAL ASSESSMENT IS MORE EFFECTIVE THANBMI ALONE AND CORRELATES TO LOS IN HIV/AIDS PATIENTSP.Z. Andrea1, C.N. Roberta1, P.M. Meire1, N.S. Caetano1,C. Celso1. 1Servico de Nutricao, Instituto de InfectologiaEmílio Ribas, Sao Paulo, Brazil

Rationale: Anthropometric changesare important to evaluateHIV/AIDS but usual methods have limitations in this groupof patients. Body mass index (BMI) alone is commonly usedbut other methods must be tested to improve malnutritiondiagnosis in this group of patients.Methods: A retrospective study between March 2011 andJuly 2012 evaluating nutritional risk and malnutrition inadult HIV/AIDS patients hospitalized in a reference hospitalfor infectious diseases was performed. Nutritional statuswasdetermined in the patient admission according classifyingIIER, which uses the body mass index (BMI) classification ofSobotka (2008), arm circumference (CB) and percentage ofweight loss. Results were compared to BMI alone consideringnumber of diagnosed patients, long of stay higher than sevendays (LOS) and mortality were analyzed in both methods.Results: 1291 HIV/AIDS patients were evaluated. BMI alonedetected lower malnutrition index compared to IIER method(554 X 881). There were no differences in mortality (7.7%) inboth methods. 48.2% of malnourished patients diagnosed byIIER method had higher LOS when compared of BMI alone to(21.1%).Conclusion: IIER method considering CB, BMI and percentageof weight loss can diagnose malnutrition in HIV/AIDS patientsbetter than BMI alone and should be applied in this group ofpatients.

ReferencesSobotka, Lubos. Bases da nutricao clínica. 3 ed Rio de Janeiro:

Editora Rubio, 2008.

Disclosure of Interest: None Declared

PP156-MONPROTOCOLIZATION OF NUTRITIONAL ASSESSMENT IN AMID-TERM STAY HOSPITALE. Palacios1, V. Malafarina2, B. Del Olmo3,C. Martínez-Velasco3, M. Muniesa3, L. Gil3, F. Uriz2,M. Zabalza1. 1Farmacia, 2Geriatria, 3Medicina Interna,Hospital San Juan De Dios, Pamplona, Spain

Rationale: San Juan de Dios Hospital in Pamplona (Spain) isa mid-term stay hospital with an aged population. Despitethe increase of malnutrition prevalence in this population,no protocol of nutritional assessment and intervention (PNA-I)had been implemented in this centre.Methods: All patients admitted between July and October2011 were included. PNA-I implemented included: socio-demographic data, type of diet, all diagnosis ICD-10-, caloricrequirements, anthropometrics, nutritional support, BarthelIndex and other scales.

Results: 121 patients were registered. Mean age was81.9±7 y/o with 62% being females. Mean weight, height andBMI registered were 68.3±14.6 kg, 156±08 cm and 27.7±5.72,respectively. According to Barthel Index, 16.5% of all patientswere independent and among these, 15% were well nourishedand 85% presented with malnutrition. 5% of all patients weredependent, 16.7% presented of these were well nourished and83.3% malnourished. 78.5% of all needed assistance in severaldegrees, of these 13.69% were well nourished and 86.31%malnourished. Only 5.8% of malnourished patients presentedwith severe malnutrition, while the rest presented mild tomoderate malnutrition. Predominant types of malnutritionwere caloric/proteic in 47.1%, caloric in 27.3% and proteicin 11.6% of patients.Conclusion: After protocolization of nutritional assessment,significantly more patients are found malnourished. Proto-colization of nutritional assessment including MNA is highlyneeded in a mid-stay facility where the majority of in-patientsare elderly.

Disclosure of Interest: None Declared

PP157-MONNUTRITIONAL ASSESSMENT IN PATIENTS ADMITTED TO ANINTENSIVE CARE UNITR.G.B.D.O.N. Freitas1, R.J.N. Nogueira2, T.D.R. Hortencio1,M.L.G. Saron3, G. Hessel1. 1Pediatric Department,2Nutritional Support Team, Unicamp, Campinas, 3NutritionalSupport Team, UNIFOA, Volta Redonda, Brazil

Rationale: Malnutrition is described as a major problem incritical patients. Thus, the knowledge of the nutritional statusis essential for understanding the clinical picture. The aim ofthe study was nutritional assessment of hospitalized patientsin the intensive care unit using parenteral nutrition.Methods: The study was cross-sectional, controlled, inpatients at the intensive care unit. The evaluation wasperformed during the first 72 hours of parenteral nutrition.The nutritional status classification was made according tothe Body Mass Index and interpretation of laboratory tests(albumin and pre albumin). This study was approved bythe Ethics in Research of the Faculty of Medical Sciences,UNICAMP, Sa Paulo, Brazil.Results: The sample was composed by 58 patients, 75.9%males and 24.1% females, mean age (SD) 58.62 (15.15) years.The mean weight and height were 69.96 (13) kg (44.26 95 kg)and 169.24 (8.6) cm (150 182 cm) respectively. According tothe body mass index 53.6% patients were normal weight, 7.1%underweight and 39.3% overweight. The average pre albuminwas 10.69 (5.17) mg/dL, and 97.7% of patients had reducedvalues. About albumin levels, the mean was 2.66 (2.09) g/dL,and 91.8% patients had low albumin.Conclusion: Although most patients have nutritional adequacyin relation the body mass index, low blood levels ofpre albumin and albumin found in most patients suggestnutritional deficiencies.

Disclosure of Interest: None Declared