EuroOOPS: An international, multicentre study to implement nutritional risk screening and evaluate clinical outcome
| Autor: | Janice, Sorensen, Jens, Kondrup, Jacek, Prokopowicz, Marc, Schiesser, Lukas, Krähenbühl, Rémy, Meier, Martin, Liberda, Patricia, Yazbeck |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Multivariate analysis Nutritional Status Critical Care and Intensive Care Medicine Risk Assessment Sensitivity and Specificity Cohort Studies Predictive Value of Tests Intensive care Weight Loss medicine Humans Mass Screening Hospital Mortality Prospective Studies Prospective cohort study Mass screening Geriatrics Nutrition and Dietetics business.industry Malnutrition Length of Stay Middle Aged Prognosis medicine.disease Comorbidity humanities Nutrition Assessment Treatment Outcome Multivariate Analysis Female Risk assessment business Cohort study |
| Zdroj: | Clinical Nutrition. 27:340-349 |
| ISSN: | 0261-5614 |
| DOI: | 10.1016/j.clnu.2008.03.012 |
| Popis: | Summary Background & aims The aim of the study was to implement nutritional risk screening (NRS-2002) and to assess the association between nutritional risk and clinical outcome. Methods NRS-2002 was implemented in 26 hospital departments (surgery, internal medicine, oncology, intensive care, gastroenterology and geriatrics) in Austria, the Czech Republic, Egypt, Germany, Hungary, Lebanon, Libya, Poland, Romania, Slovakia, Spain and Switzerland. Being a prospective cohort study, randomly selected adult patients were included at admission and followed during their hospitalisation. Data were collected on the nutritional risk screening, complications, mortality, length of stay and discharge. The correlation between risk status and clinical outcome was assessed and adjusted for confounders (age, speciality, diagnoses, comorbidity, surgery, cancer and region) by multivariate regression analysis. Results Of the 5051 study patients, 32.6% were defined as ‘at-risk’ by NRS-2002. ‘At-risk’ patients had more complications, higher mortality and longer lengths of stay than ‘not at-risk’ patients and these variables were significantly related to components of NRS-2002, also when adjusted for confounders. Conclusions Components of NRS-2002 are independent predictors of poor clinical outcome. |
| Databáze: | OpenAIRE |
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