[Malnutrition in hospitalized patients: prevalence and economic impact].
| Autor: | Pérez de la Cruz A; Unidad de Nutrición Clínica y Dietética, Hospital Universitario Virgen de las Nieves, Granada, Spain. antonioj.perez.sspa@juntadeandalucia.es, Lobo Támer G, Orduña Espinosa R, Mellado Pastor C, Aguayo de Hoyos E, Ruiz López MD |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Medicina clinica [Med Clin (Barc)] 2004 Jul 10; Vol. 123 (6), pp. 201-6. |
| DOI: | 10.1016/s0025-7753(04)74461-9 |
| Abstrakt: | Background and Objective: Malnutrition constitutes a serious problem of public health. We intended to know the prevalence of undernourishment in our hospital, as well as to assess the expenses generated by its presence. Patients and Method: A study of cohorts was designed to evaluate the nutritional state of randomly selected patients admitted to a third level hospital. We carried out a protocol of nutritional evaluation and quantified the associated costs including drugs, diet, and hospital stay according to diagnosis-related groups. Results: In agreement with anthropometry and the index of corporal mass, the prevalence of malnutrition was 0.3% and 13.4%, respectively. When analyzing the biochemical markers, the prevalence rose to 65.7%. Patients with malnutrition at the time of admission underwent a 59.9% deterioration of their nutritional state. An increase of costs was observed in relation to the length of hospital stay (68.04% compared with normo-nourished patients). Costs related to consumption of medicines, especially antibiotics, were also higher, as well as costs related to nutritional support. Conclusions: Malnutrition is a phenomenon frequently observed in a hospital setting. Malnutrition associated costs are significant. |
| Databáze: | MEDLINE |
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