[Prevalence of malnutrition in not critically ill inpatients].

Autor: Fernández López MT; Servicio de Endocrinología y Nutrición. CHUO. Ourense. España.. maria.teresa.fernandez.lopez@sergas.es., Fidalgo Baamil O; Servicio de Endocrinología y Nutrición. CHUO. Ourense. España.. maria.teresa.fernandez.lopez@sergas.es., López Doldán C; Servicio de Farmacia Hospitalaria. CHUO. Ourense. España.. maria.teresa.fernandez.lopez@sergas.es., Bardasco Alonso ML; Servicio de Endocrinología y Nutrición. CHUO. Ourense. España.. maria.teresa.fernandez.lopez@sergas.es., de Sas Prada MT; Servicio de Endocrinología y Nutrición. CHUO. Ourense. España.. maria.teresa.fernandez.lopez@sergas.es., Lagoa Labrador F; Unidad de Apoyo a la Investigación. CHUO. Ourense. España.. maria.teresa.fernandez.lopez@sergas.es., García García MJ; Unidad de Apoyo a la Investigación. CHUO. Ourense. España.. maria.teresa.fernandez.lopez@sergas.es., Mato Mato JA; Servicio de Endocrinología y Nutrición. CHUO. Ourense. España.. maria.teresa.fernandez.lopez@sergas.es.
Jazyk: Spanish; Castilian
Zdroj: Nutricion hospitalaria [Nutr Hosp] 2014 Dec 01; Vol. 30 (6), pp. 1375-83. Date of Electronic Publication: 2014 Dec 01.
DOI: 10.3305/nh.2014.30.6.7784
Abstrakt: Background: Malnutrition is a frequent issue in our hospitals, and it is associated with an increase in morbi- mortality and financial costs, together with a decline in the patients' quality of life. This study is aimed at establishing the prevalence of malnutrition in our health centre, as much at admission as at discharge.
Methods: Transversal observational study assessing 277 adult patients, who were admitted consecutively, and applying the Nutritional Risk Screening 2002 (NRS-2002) in the first 48 hours from admission and then again at discharge. Cancer patients were also submitted the Patient Generated Subjective Global Assessment (PG-SGA) and the Mini Nutritional Assessment Short Form (MNA-SF) was applied to the population of 65 and over.
Results: 32.49% of patients were at malnutrition risk according to the results of NRS-2002 at admission. This percentage increased up to 40.98% at discharge. The NRS-2002 showed that 31.15% of cancer patients presented with nutritional risk; however, according to VGS-GP, 52.54% of the cases presented with nutritional risk to a certain extent (38.98% with moderate malnutrition and 13.56% with serious malnutrition). Among patients aged 65 and over, 29.31% were considered at risk according to the NRS-2002; the MNA-SF revealed nutritional alteration in 70.35% (54.65% with malnutrition risk, 15.7% with malnutrition). There are different groups of patients: 65 years old and over, transferred from the emergency department, multi-medicated, cancer patients and patients with heart failure, who present with a higher risk of nutritional deterioration at admission (p<0.05).
Conclusions: There is a very high percentage of patients at nutritional risk in our centre, as much at admission as at discharge. It is therefore necessary to install a systematic screening of the nutritional status for all inpatients.
(Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
Databáze: MEDLINE
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