Impact of hospitalization on nutritional status and dysphagia in persons aged 65 years and over (NUTRIFRAG Study): protocol for a prospective observational study

Autor: Cristina Carretero-Randez, María Isabel Orts-Cortés, Margarita Rodríguez-Pérez, Víctor Manuel González-Chordá, Eva María Trescastro-López, Joan Blanco-Blanco, Jordi Martínez-Soldevila, Aranzazu Ruiz-Heras-Hera, Pedro Raúl Castellano-Santana, Amando Márquez-Sixto, Manuela Domingo-Pozo, Antonia Inmaculada Zomeño-Ros, Jesica Montero-Marco, Marta Charlo-Bernardos, Joaquín Moncho, Ángel Luís Abad-González, María Trinidad Castillo-García, Ana Belén Sánchez-García, Ana María De Pascual y Medina, Rosa Ana Clement-Santamaría, Ascensión Franco-Bernal, Rafaela Camacho-Bejarano
Rok vydání: 2022
Popis: Background: Malnutrition is a recurrent problem that has acquired its own identity in recent years. The aim of this study is to assess the risk of malnutrition and nutritional status on admission and its evolution until discharge in patients aged 65 and over admitted to medical and surgical hospitalization units in hospitals of the Spanish National Health System. Methods: Prospective observational study to be carried out in the medical-surgical hospitalization units of 9 public hospitals between 01/09/2022 and 31/12/2024. Using consecutive sampling, a total of 4077 patients will be included (453 in each hospital). Variables included are related to the care process, functionality, cognition and comorbidity, risk profile, nutritional status and dysphagia; as well as frailty, dietary quality and contextual variables. The incidence of risk of malnutrition, undernutrition and dysphagia during the care process and at discharge will be calculated. The association with risk factors will be studied with logistic regression models and multivariate Cox regression models. In addition, an analysis of participants' satisfaction with food services will be carried out. Discussion: Some studies address nutritional status or dysphagia in older people in various care settings. However, there is a lack of large sample studies including both processes of the impact of hospitalization. The results of the project will provide information on the incidence and prevalence of both pathologies in the study subjects, their associated factors and their relationship with the average length of stay, mortality and early readmission. These results will serve to improve their health status. Trial registration: The study was approved by the Ethics and Research Committee on 30/09/2020, approved for funding on 02/12/2021 and with registration number RBR-5jnbyhk in the Brazilian clinical trials database (ReBEC) for observational studies.
Databáze: OpenAIRE