title: [CONCORDANCE IN THE RESULTS OF CONTROL INTAKE PERFORMANCE OF 72 H BY DIFFERENT HEALTH PROFESSIONALS IN A TERTIARY HOSPITAL].
abstract: BACKGROUND
  the nutritional screening CIPA is positive when it fulfills one of the following parameters: Control food Intake (CI) 72 h < 50%; albumin < 3 g/dl; Body Mass Index (BMI) < 18,5 kg/m2 or Mid-Upper Arm Circumference (MUAC) ≤ 22,5 cm (if BMI cannot be determined). The only parameter no totally objective is the CI so that this study seeks to reinforce its validity.
  
  
  OBJECTIVE
  analyze the existing concordance among different health professionals when assessing a CI of 72 h.
  
  
  METHODS
  retrospective study of patients admitted in hospitalization wards (February-October 2014). Variables considered: age, sex, health service, CI of 72 h and type of diet. The aim of CI is to assess the amount of food consumed, differing between superior or inferior intakes to 50%. It is analyzed the concordance of the results CI determined by a doctor, a nurse and a nutritionist (gold-standard) by the coefficient Kappa (K). Subsequently the sensitivity (S) and specificity (Sp) of positive CI were computed.
  
  
  RESULTS
  176 control of food intake were analyzed. Age 63.70 } 14.46 years; 42% women. Units: Digestive (22.2%), Pneumology (42%), Internal Medicine (21.6%), Nephrology (9.1%), others (5.1%). Type of diet: basal (23%), therapeutic (67%), consistency (4%), progressive (3.4%), others (2.3%). It was compared the nursing CI vs. nutritionist (K = 0.798; p < 0.001), and the doctor vs. nutritionist (K = 0.823; p < 0.001). The S and Sp of nursing vs. nutritionist was 84% and 97% while between the doctor and the nutritionist was 84% and 98% respectively.
  
  
  CONCLUSIONS
  the concordance of the results of a CI of 72 hours (intakes < or > to 50%) performed in patients hospitalized by a doctor, nurse, and nutritionist is high, minimizing subjectivity to this parameter. The CI is helpful for its use within the routine clinical practice, and particularly within the nutritional screenings, such as CIPA.
authors.affiliation: Servicio de Endocrinología y Nutrición. Sección de Nutrición Clínica y Dietética.. psuarezllanos@gmail.com.
authors.forename: Néstor
authors.initials: N
authors.lastname: Benítez Brito
authors.affiliation: Servicio de Endocrinología y Nutrición. Sección de Nutrición Clínica y Dietética.. psuarezllanos@gmail.com.
authors.forename: Alejandra
authors.initials: A
authors.lastname: Mora Mendoza
authors.affiliation: Servicio de Endocrinología y Nutrición. Sección de Nutrición Clínica y Dietética.. psuarezllanos@gmail.com.
authors.forename: José Pablo
authors.initials: JP
authors.lastname: Suárez Llanos
authors.affiliation: Servicio de Endocrinología y Nutrición. Sección de Nutrición Clínica y Dietética.. psuarezllanos@gmail.com.
authors.forename: Irina
authors.initials: I
authors.lastname: Delgado Brito
authors.affiliation: Epidemiología Clínica. Unidad de Investigación. Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, España.. psuarezllanos@gmail.com.
authors.forename: Lina I
authors.initials: LI
authors.lastname: Pérez Méndez
authors.affiliation: Servicio de Endocrinología y Nutrición. Sección de Nutrición Clínica y Dietética.. psuarezllanos@gmail.com.
authors.forename: Eva María
authors.initials: EM
authors.lastname: Herrera Rodríguez
authors.affiliation: Servicio de Endocrinología y Nutrición. Sección de Nutrición Clínica y Dietética.. psuarezllanos@gmail.com.
authors.forename: José Gregorio
authors.initials: JG
authors.lastname: Oliva García
authors.affiliation: Servicio de Endocrinología y Nutrición. Sección de Nutrición Clínica y Dietética.. psuarezllanos@gmail.com.
authors.forename: Francisca
authors.initials: F
authors.lastname: Pereyra-García Castro
mesh_terms: D000328:Adult; D000368:Aged; D004032:Diet; D004435:Eating; D005247:Feeding Behavior; D005260:Female; D006282:Health Personnel; D006801:Humans; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D015203:Reproducibility of Results; D012189:Retrospective Studies; D062606:Tertiary Care Centers