Effects of malnutrition on length of stay in patients hospitalized in an acute psychiatric ward.

Autor: Giménez-Palomo A; Bipolar and Depressive Disorders Unit, Hospital Clinic de Barcelona, Barcelona, Spain.; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.; Institute of Neurosciences (UBNeuro), Barcelona, Spain., Gomes-da-Costa S; Bipolar and Depressive Disorders Unit, Hospital Clinic de Barcelona, Barcelona, Spain.; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.; Institute of Neurosciences (UBNeuro), Barcelona, Spain., Borràs R; Cardiovascular Institute, Hospital Clínic of Barcelona, IDIBAPS, Autonomous University of Barcelona, Barcelona, Spain.; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain., Pons-Cabrera MT; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.; Institute of Neurosciences (UBNeuro), Barcelona, Spain., Doncel-Moriano A; Institute of Neurosciences (UBNeuro), Barcelona, Spain.; Neurology Service, Hospital Clínic of Barcelona, Barcelona, Spain., Arbelo N; Bipolar and Depressive Disorders Unit, Hospital Clinic de Barcelona, Barcelona, Spain.; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.; Institute of Neurosciences (UBNeuro), Barcelona, Spain., Leyes P; Endocrinology Service, Institute of Digestive and Metabolic Diseases, Hospital Clínic of Barcelona, Barcelona, Spain., Forga M; Endocrinology Service, Institute of Digestive and Metabolic Diseases, Hospital Clínic of Barcelona, Barcelona, Spain., Mateu-Salat M; Fundació Institut de Recerca Sant Pau - IIB Sant Pau, Barcelona, Spain., Pereira-Fernandes PM; Internal Medicine Department, Centre D'Atenció Integral Hospital Dos de Maig, Barcelona, Spain., Benabarre A; Bipolar and Depressive Disorders Unit, Hospital Clinic de Barcelona, Barcelona, Spain.; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.; Institute of Neurosciences (UBNeuro), Barcelona, Spain.; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain.; Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), Barcelona, Spain., Pacchiarotti I; Bipolar and Depressive Disorders Unit, Hospital Clinic de Barcelona, Barcelona, Spain.; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.; Institute of Neurosciences (UBNeuro), Barcelona, Spain.; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain.; Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), Barcelona, Spain., Vieta E; Bipolar and Depressive Disorders Unit, Hospital Clinic de Barcelona, Barcelona, Spain.; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.; Institute of Neurosciences (UBNeuro), Barcelona, Spain.; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain.; Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), Barcelona, Spain.
Jazyk: angličtina
Zdroj: Acta psychiatrica Scandinavica [Acta Psychiatr Scand] 2023 Oct; Vol. 148 (4), pp. 316-326. Date of Electronic Publication: 2023 Aug 04.
DOI: 10.1111/acps.13598
Abstrakt: Introduction: Psychiatric patients are considered at risk for malnutrition due to pharmacological treatments, lifestyle habits and the mental illness by itself. Even though metabolic risk factors have been related to worse outcomes in certain conditions, the evidence regarding the nutritional status and its impact on the length of stay in psychiatric inpatients is scarce. This study aims to characterize the nutritional status in acute psychiatric patients, to correlate it with the length of stay, and to find specific potential indicators of malnutrition.
Methods: Adult patients admitted to the Hospital Clínic of Barcelona acute psychiatric ward throughout a 1-year period were included in this cross-sectional study. Sociodemographic and clinical variables were registered, including length of stay and the nutritional status measured with the CONUT score.
Results: Malnutrition was observed in 42.5% of patients. Plasmatic transferrin saturation, protein and iron levels were inversely correlated with length of stay, having low iron levels an association with longer hospitalizations. The length of stay was not influenced by diagnosis or treatment. Negative correlations with the nutritional status were found in: BMI, cholesterol, triglycerides, albumin, total proteins, prealbumin, iron, lymphocytes and zinc levels, and transferrin saturation. The multivariate analysis showed a significant association for cholesterol and zinc levels, lymphocyte count, and BMI.
Conclusions: Our results suggest that nutritional status might influence the course of psychiatric admissions. Cholesterol and zinc levels, lymphocyte count, and BMI might be factors strongly associated with malnutrition. This consideration might allow the identification of profiles in which lifestyle interventions could be implemented.
(© 2023 The Authors. Acta Psychiatrica Scandinavica published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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