The German hospital malnutrition study
| Autor: | D. Volkert, Lübke Hj, Peter Bauer, Karl-Walter Jauch, Matthias Pirlich, Christiane Wolf, Hansjörg Werner, Ulrich Bolder, Thomas Frieling, Jürgen Stein, Kristina Norman, Helge Güldenzoph, Herbert Lochs, Arved Weimann, Sylvia Gastell, Tatjana Schütz, Stephan C. Bischoff, Gudrun Zürcher, Kristian Hahn, Karin Schindler |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Multivariate analysis Adolescent Gastrointestinal Diseases Nutritional Status Critical Care and Intensive Care Medicine Severity of Illness Index Body Mass Index Risk Factors Germany Neoplasms Severity of illness medicine Prevalence Humans Prospective Studies Prospective cohort study Aged Aged 80 and over Nutrition and Dietetics Anthropometry business.industry Malnutrition Age Factors Length of Stay Middle Aged medicine.disease Comorbidity Hospitalization Nutrition Assessment Multivariate Analysis Female business nutritionDay Body mass index |
| Zdroj: | Clinical nutrition (Edinburgh, Scotland). 25(4) |
| ISSN: | 0261-5614 |
| Popis: | Malnutrition is frequently observed in chronic and severe diseases and associated with impaired outcome. In Germany general data on prevalence and impact of hospital malnutrition are missing.Nutritional state was assessed by subjective global assessment (SGA) and by anthropometric measurements in 1,886 consecutively admitted patients in 13 hospitals (n=1,073, university hospitals; n=813, community or teaching hospitals). Risk factors for malnutrition and the impact of nutritional status on length of hospital stay were analyzed.Malnutrition was diagnosed in 27.4% of patients according to SGA. A low arm muscle area and arm fat area were observed in 11.3% and 17.1%, respectively. Forty-three % of patients 70 years old were malnourished compared to only 7.8% of patients30 years. The highest prevalence of malnutrition was observed in geriatric (56.2%), oncology (37.6%), and gastroenterology (32.6%) departments. Multivariate analysis revealed three independent risk factors: higher age, polypharmacy, and malignant disease (all P0.01). Malnutrition was associated with an 43% increase of hospital stay (P0.001).In German hospitals every fourth patient is malnourished. Malnutrition is associated with increased length of hospital stay. Higher age, malignant disease and major comorbidity were found to be the main contributors to malnutrition. Adequate nutritional support should be initiated in order to optimize the clinical outcome of these patients. |
| Databáze: | OpenAIRE |
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