Assessment of nutritional status on admission and outcome after seven days of hospitalization in a second-level hospital in Madrid

Villaverde-Núñez, Alberto; Ramos, Cristina Pérez; Lobo, María Victoria Sanz; Benito, María Del Carmen Morgado; Martínez-Ibáñez, Virginia; Nieto, Noelia Avecilla; Rodríguez, Cristina Antón

doi:10.20960/nh.03499

Cited by 4 publications

(6 citation statements)

References 18 publications

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“…Two studies conducted in Spain on hospitalized patients estimated the risk of malnutrition using the NRS 2002 test at 28% [ 37 ] and 35.5%, respectively. [ 38 ]. Another Spanish outpatient study, using the Mch tool, estimated the prevalence of malnutrition in older patients at 29.6% [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Nutritional Status in Hospitalized Individuals Aged 70 and Above

Ruiz-Rosso,

Moreno-Cámara,

Gutiérrez-Sánchez

et al. 2024

Nutrients

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Background: Older adults are vulnerable to malnutrition due to physical, psychological, and social factors. Malnutrition, a prevalent and modifiable issue in this population, is associated with an elevated risk of adverse clinical outcomes. The purpose of the study is to assess the nutritional status of older adult individuals admitted to a general hospital and examine its correlation with socio-health and demographic variables. Methods: The study included 239 individuals aged 70 and above, employing a cross-sectional descriptive observational approach with a convenience sampling method. Sociodemographic information was gathered, and variables such as cognitive impairment, functional capacity, comorbidities, medication consumption, and nutritional status were evaluated. Statistical analysis involved descriptive calculations, bivariate analysis, and multivariate analysis, utilizing binary logistic regression. Results: Approximately half of the sample were at risk of malnutrition, with a more notable prevalence among women. Factors such as age (OR = 1.04), cognitive impairment (OR = 1.06), functional dependence (OR = 0.96), and comorbidities (OR = 1.08) were linked to an elevated risk of malnutrition. In our regression model, age, cognitive impairment, and drug consumption emerged as significant predictors of malnutrition risk. Conclusions: Individuals aged 70 and above have a notably high prevalence of malnutrition risk, particularly among those experiencing functional dependence and cognitive impairment. In our sample, cognitive impairment in older adults, coupled with above-median drug consumption, emerges as the primary predictor for malnutrition risk.

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Section: Discussionmentioning

confidence: 99%

Factors Influencing Nutritional Status in Hospitalized Individuals Aged 70 and Above

Ruiz-Rosso,

Moreno-Cámara,

Gutiérrez-Sánchez

et al. 2024

Nutrients

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“…Malnutrition affects large numbers of patients, particularly the very frail, such as elderly patients [176], patients with a chronic inflammatory process such as cancer or other kidney, respiratory, or heart diseases [177], and those with an acute inflammatory process, such as critical or surgical patients [178][179][180][181]. Different publications highlight the unfavorable consequences of malnutrition, either due to lack of intake, inflammation, or both causes acting simultaneously [182,183].…”

Section: Discussionmentioning

confidence: 99%

Malnutrition Screening and Assessment

et al. 2022

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Malnutrition is a serious problem with a negative impact on the quality of life and the evolution of patients, contributing to an increase in morbidity, length of hospital stay, mortality, and health spending. Early identification is fundamental to implement the necessary therapeutic actions, involving adequate nutritional support to prevent or reverse malnutrition. This review presents two complementary methods of fighting malnutrition: nutritional screening and nutritional assessment. Nutritional risk screening is conducted using simple, quick-to-perform tools, and is the first line of action in detecting at-risk patients. It should be implemented systematically and periodically on admission to hospital or residential care, as well as on an outpatient basis for patients with chronic conditions. Once patients with a nutritional risk are detected, they should undergo a more detailed nutritional assessment to identify and quantify the type and degree of malnutrition. This should include health history and clinical examination, dietary history, anthropometric measurements, evaluation of the degree of aggression determined by the disease, functional assessment, and, whenever possible, some method of measuring body composition.

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“…Em um estudo, o número de reinternações e de dias de internação recorrente foram maiores no grupo de idosos em risco nutricional 81 . Em um estudo realizado em Madrid, os pacientes triados como desnutridos à admissão apresentaram maior incidência de readmissão hospitalar prematura (8% a 11% para não desnutridos versus 27% para desnutridos) 82 .…”

Section: -Cuide De Condicionais Clínicas Oportunistasunclassified

Campanha: 16 passos para a desospitalização segura

2023

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Aceito para publicação: 24 de maio de 2023 RESUMO Desospitalização segura é um processo cuidadosamente planejado. Ela é necessária para a transferência segura de um paciente hospitalizado de volta ao ambiente doméstico ou a um ambiente de cuidados menos intensivos, como uma casa de repouso ou centro de reabilitação. O processo de desospitalização segura objetiva que o paciente receba os cuidados apropriados, após a alta hospitalar. Esse processo minimiza o risco de complicações ou readmissões, abordando aspectos clínicos, logísticos e psicossociais, para garantir que o paciente esteja preparado e apoiado durante essa transição. O objetivo desse artigo especial é publicar uma campanha sobre o processo de alta nutricional, em um método mnemônico, com 16 passos para a desospitalização segura e efetiva.

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Assessment of nutritional status on admission and outcome after seven days of hospitalization in a second-level hospital in Madrid

Abstract: Evaluación del estado nutricional al ingreso y evolución tras siete días de hospitalización en un hospital de segundo nivel

Cited by 4 publications

References 18 publications

Factors Influencing Nutritional Status in Hospitalized Individuals Aged 70 and Above

Factors Influencing Nutritional Status in Hospitalized Individuals Aged 70 and Above

Malnutrition Screening and Assessment

Campanha: 16 passos para a desospitalização segura

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