[Introducing a mixed nutritional screening tool (CIPA) in a tertiary hospital].

Autor:	Suárez Llanos JP; Unidad de Nutrición y Dietética. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. psuarezllanos@gmail.com., Benitez Brito N; Unidad de Nutrición y Dietética. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. nestor.benitez.brito@gmail.com., Oliva García JG; Unidad de Nutrición y Dietética. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. olivajg@gmail.com., Pereyra-García Castro F; Unidad de Nutrición y Dietética. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. FRANCISPEREYRA@telefonica.net., López Frías MA; Unidad de Medicina Interna. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. alicialf1212@yahoo.es., García Hernández A; Alumno de prácticas de Medicina de la Universidad de La Laguna.. abezellemaximo@hotmail.com., Díaz Sirgo B; Unidad de Medicina Interna. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. bdiasir@hotmail.com., Llorente Gómez de Segura I; Servicio de Endocrinología y Nutrición. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. illorentegomez@gmail.com.
Jazyk:	Spanish; Castilian
Zdroj:	Nutricion hospitalaria [Nutr Hosp] 2014 May 01; Vol. 29 (5), pp. 1149-53. Date of Electronic Publication: 2014 May 01.
DOI:	10.3305/nh.2014.29.5.7299
Abstrakt:	Introduction: Malnourishment in hospitalized patients is very prevalent and therefore it is important to implement screening methods. A mixed nutritional screening method (CIPA) has been developed at our center; this method includes four parameters: (a) control of intakes for 72 h; (b) BMI; (c) proteins; and (d) albumin. Objectives: (1) To know the prevalence of malnourishment at the Internal Medicine Department of our Center; (2) To analyze the variables associated to higher prevalence of malnourishment. Materials and Method: The results of the nutritional screening tests carried out in 305 patients admitted to the Internal Medicine Department in the period of November of 2012-October of 2013 were retrospectively reviewed. The prevalence of hospital malnourishment was analyzed, as well as the association of a positive screening test (at least one positive item) with the following variables: BMI, age, gender, underlying disease, hospital staying, early re-admittance (< 1 month) and hospital mortality. Results: The test yielded a positive result in 23% of the patients. Patients with a positive screening test had lower BMI (24.9 ± 7.2 vs. 27.8 ± 6.4 kg/m; p = 0.002). Neoplastic and infectious pathologies were associated with greater positivity (35.3 and 28.9%, respectively; p = 0.006). Gender and age were not associated with a positive screening test. Patients with a positive screening test had longer mean hospital staying (26.7 ± 25 vs. 19.4 ± 16.5; p = 0.005), higher early re-admittance rates (18.6 vs. 6.8%; p = 0.003) and higher mortality (30 vs. 10.3%; p < 0.001). Conclusions: The CIPA screening test can detect malnourished patients and predict worse clinical prognosis (mortality, mean hospital staying and early readmittance). (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
Databáze:	MEDLINE
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