High prevalence of malnutrition in an internal medicine department: results from the AMIDO study

Autor: Paola Gnerre, Stefania Lingua, Marianna Farotto, Riccardo Mazzucco, Stefania Crivellari, Carlotta Bertolina, Fabio Giacchero, Paola Cerutti, Elena Seksich, Marinella Bertolotti, Antonio Maconi
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Italian Journal of Medicine, Vol 18, Iss 3 (2024)
Druh dokumentu: article
ISSN: 1877-9344
1877-9352
DOI: 10.4081/itjm.2024.1775
Popis: The prevalence of malnutrition in patients is very high in Europe (>70%). An Italian FADOI-SINPE survey revealed that malnutrition is an underestimated problem by internists. The AMIDO study examines malnutrition in Acqui Terme Hospital (Alessandria, Italy) Internal Medicine Department patients. Patients were screened for malnutrition using the Malnutrition Universal Screening Tool (MUST) upon admission. 268 patients (49.63% male) were enrolled, with a median age of 83 years. At admission, the prevalence of malnutrition risk was 48.88%. The proportion of patients who came from home resulted to have a slight decreasing trend among the three subgroups according to MUST (84.67%, 82.76%, and 73.53% in increasing order of MUST score respectively), but was not statistically significant (P=0.10). Dementia [odds ratio (OR): 6.36; 95% confidence interval (CI): 2.52-18.63], heart failure (OR: 2.45; 95% CI: 1.33-4.57), neoplasm (OR: 2.24; 95% CI: 1.08-4.77) and infectious diseases (OR: 2.27; 95% CI: 1.226-4.274) increase malnutrition odds. Increasing attention to malnutrition risk is crucial for patients with dementia, neoplasm, heart failure, and infectious diseases, which raise malnutrition risk probability.
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