Clinical outcome of protein-energy malnourished patients in a Brazilian university hospital

Autor: L. Araújo-Junqueira, Daurea Abadia De-Souza, Henrique Dantas Neder, T.A.S. Pasquini
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Adult
Male
Pediatrics
medicine.medical_specialty
Protein–energy malnutrition
Physiology
Short Communication
Immunology
Biophysics
Nutritional Status
Ocean Engineering
Disease
Protein-energy malnutrition
Severity of Illness Index
Biochemistry
Enteral administration
Hospitals
University
Nutritional therapy
Severity of illness
medicine
Humans
Subjective global assessment
Prospective Studies
Medical nutrition therapy
General Pharmacology
Toxicology and Pharmaceutics
Prospective cohort study
lcsh:QH301-705.5
lcsh:R5-920
Evolution of nutritional status
Hospital malnutrition
Nutritional Support
business.industry
General Neuroscience
nutritional and metabolic diseases
food and beverages
Cell Biology
General Medicine
Length of Stay
Middle Aged
Prognosis
medicine.disease
Assessment of nutritional status
Malnutrition
lcsh:Biology (General)
Female
Observational study
lcsh:Medicine (General)
business
Brazil
Zdroj: Brazilian Journal of Medical and Biological Research v.45 n.12 2012
Brazilian Journal of Medical and Biological Research
Associação Brasileira de Divulgação Científica (ABDC)
instacron:ABDC
Brazilian Journal of Medical and Biological Research, Vol 45, Iss 12, Pp 1301-1307 (2012)
Brazilian Journal of Medical and Biological Research, Volume: 45, Issue: 12, Pages: 1301-1307, Published: DEC 2012
Popis: Protein-energy malnutrition (PEM) is a treatable disease with high prevalence among hospitalized patients. It can cause significant increases in the duration of hospitalization and costs. PEM is especially important for health systems since malnourished patients present higher morbidity and mortality. The objective of the present study was to assess the evolution of nutritional status (NS) and the effect of malnutrition on clinical outcome of patients at a public university hospital of high complexity in Brazil. Patients hospitalized in internal medicine (n = 54), oncology (n = 43), and infectious diseases (n = 12) wards were included. NS was evaluated using subjective global assessment up to 48 h after admission, and thereafter at intervals of 4-6 days. On admission, patients (n = 109) were classified as well-nourished (n = 73), moderately malnourished or at risk of malnutrition (n = 28), and severely malnourished (n = 8). During hospitalization, malnutrition developed or worsened in 11 patients. Malnutrition was included in the clinical diagnosis of only 5/36 records (13.9% of the cases, P = 0.000). Nutritional therapy was administered to only 22/36 of the malnourished patients; however, unexpectedly, 6/73 well-nourished patients also received commercial enteral diets. Complications were diagnosed in 28/36 malnourished and 9/73 well-nourished patients (P = 0.000). Death occurred in 12/36 malnourished and 3/73 well-nourished patients (P = 0.001). A total of 24/36 malnourished patients were discharged regardless of NS. In summary, malnutrition remains a real problem, often unrecognized, unappreciated, and only sporadically treated, even though its effects can be detrimental to the clinical course and prognosis of patients. The amount of public and private funds unnecessarily dispersed because of hospital malnutrition is significant.
Databáze: OpenAIRE
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