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Prevalence of nutritional risk and undernutrition in hospitals: The Colombian participation in the Latin American Nutrition Study 2012


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Investigación y estudios

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Resumen

RATIONALE: Nutritional screening processes followed by a detailed nutritional assessment in the patients determined to be at risk will allow an adequate nutritional intervention and thus better clinical outcomes. (1) However, these processes are not systematically implemented and the prevalence of undernutrition in Colombian hospitals is not known.  The aim of the study was to determine the prevalence of the nutritional risk and undernutrition, as part of the Latin American multicentre study on Prevalence of Hospital Malnutrition (ELAN 2012 Study). 

METHODS: A cross-sectional multicenter epidemiologic study was carried out for four weeks in August 2012 in three Colombian hospitals. Nutritional risk was assessed with ESPEN-Nutritional-Risk-Screening (NRS 2002) tool and subjective global assessment (SGA) was used for nutritional assessment. All patients admitted to medical units (MU), surgical units (SU) and intensive care unit (ICU) participated. Hospital discharge alive/dead was collected. Data were analysed using descriptive statistics and the Fisher exact test; p<0.05 was considered significant.

RESULTS: The study enrolled 955 adult patients at admission (513 women, 442 men), mean age 57,05 (SD 19,4) years. The prevalence of patients at nutritional risk was 32,4% at MU, 24% at SU and 67,9% at ICU. Undernutrition (SGA B or C) was assessed in 39% of MU patients, 29,2% in SU and 56,6% in ICU. Patients at nutritional risk and undernourished patients presented a higher rate of dead (5,7% and 4,8% respectively) compared to without risk or well-nourished patients (p < 0,001).

CONCLUSION:  Nutritional risk and undernutrition are highly prevalent in these three Colombian hospitals. Governmental policies for nutritional care must be developed.

 

Autores

Cardenas D., MD; Diaz G., ND; Muñoz N., MD; Pareja D., ND;Gómez A., MD; Castillo JC, MD.

Registro ISSN

17441161 Clinical Nutrition Supplements

SNIES Área

Medicine

SNIES Categoría

Nutrition and Dietetics

Fecha de publicación 01 de septiembre de 2013
Fecha de aceptación 01 de abril de 2013
Medio indexado (nombre)

Clinical Nutrition Supplements

English information
Title

Prevalence of nutritional risk and undernutrition in hospitals: The Colombian participation in the Latin American Nutrition Study 2012

Abstract

RATIONALE: Nutritional screening processes followed by a detailed nutritional assessment in the patients determined to be at risk will allow an adequate nutritional intervention and thus better clinical outcomes. (1) However, these processes are not systematically implemented and the prevalence of undernutrition in Colombian hospitals is not known. The aim of the study was to determine the prevalence of the nutritional risk and undernutrition, as part of the Latin American multicentre study on Prevalence of Hospital Malnutrition (ELAN 2012 Study).
METHODS: A cross-sectional multicenter epidemiologic study was carried out for four weeks in August 2012 in three Colombian hospitals. Nutritional risk was assessed with ESPEN-Nutritional-Risk-Screening (NRS 2002) tool and subjective global assessment (SGA) was used for nutritional assessment. All patients admitted to medical units (MU), surgical units (SU) and intensive care unit (ICU) participated. Hospital discharge alive/dead was collected. Data were analysed using descriptive statistics and the Fisher exact test; p< 0,001).
CONCLUSION: Nutritional risk and undernutrition are highly prevalent in these three Colombian hospitals. Governmental policies for nutritional care must be developed.

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