Nutritional Status and Indicators of 2-Year Mortality and Re-Hospitalizations: Experience from the Internal Clinic Departments in Tertiary Hospital in Croatia
| Autor: | Tanja Miličević, Tina Đogaš, Ivana Kolcic, Piero Marin Živković, Josipa Radić, Maja Radman |
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| Rok vydání: | 2020 |
| Předmět: |
Male
0301 basic medicine Pediatrics Body Mass Index Tertiary Care Centers Eating 0302 clinical medicine Medicine Prospective Studies Nutrition and Dietetics Anthropometry Nutritional status Patient Discharge humanities Hospitalization Malnutrition NRS-2002 Internal medicine Elderly Mortality Re-hospitalization Oral nutritional supplement Hypertension Female lcsh:Nutrition. Foods and food supply medicine.medical_specialty Croatia education oral nutritional supplement Nutritional Status lcsh:TX341-641 030209 endocrinology & metabolism malnutrition Independent predictor elderly Article 03 medical and health sciences Diabetes mellitus Humans Obesity Nutritional risk Aged 030109 nutrition & dietetics business.industry Length of Stay Overweight medicine.disease mortality internal medicine re-hospitalization Re hospitalization business human activities Hospital stay Food Science |
| Zdroj: | Nutrients Volume 13 Issue 1 Nutrients, Vol 13, Iss 68, p 68 (2021) |
| ISSN: | 2072-6643 |
| DOI: | 10.3390/nu13010068 |
| Popis: | We aimed to provide insight into nutritional and clinical indicators of malnutrition risk and their influence on two-year mortality and re-hospitalization rate among patients hospitalized in internal clinic departments in the tertiary hospital in Croatia. Initially, data on 346 participants were obtained, while 218 of them where followed-up two years later. At baseline, the majority of participants were old and polymorbid (62.1% suffered from arterial hypertension, 29.5% from cancer, and 29.2% from diabetes). Even apparently presenting with satisfying anthropometric indices, 38.4% of them were at-risk for malnutrition when screened with the Nutritional Risk Screening-2002 (NRS-2002) questionnaire (NRS-2002 &ge 3). More importantly, only 15.3% of all participants were prescribed an oral nutritional supplement during hospitalization. Those that were at-risk for malnutrition suffered significantly more often from cancer (54.9% vs. 20.6% p < 0.001) and died more often in the follow-up period (42.7% vs. 23.5% 0.003). Their anthropometric indices were generally normal and contradictory 46.3% were overweight and obese (body mass index (BMI) > 25 kg/m2). Only 36.6% of nutritionally endangered participants used an oral supplement in the follow-up period. NRS-2002 &ge 3 correlated with anthropometric indices, glomerular filtration rate, age, and length of the initial hospital stay. Unlike other studies, NRS-2002 &ge 3 was not an independent predictor of mortality and re-hospitalizations other clinical, rather than nutritional parameters proved to be better predictors. Patients in our hospital are neither adequately nutritionally assessed nor managed. There is an urgent need to develop strategies to prevent, identify, and treat malnutrition in our hospital and post-discharge. |
| Databáze: | OpenAIRE |
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