Determination of malnutrition status in palliative care patients

Ayik, Derya Biçak; Büyükbayram, Zeliha; Can, Gülbeyaz

doi:10.47582/jompac.777125

Cited by 2 publications

(1 citation statement)

References 33 publications

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“…Children under this care are highly susceptible to malnutrition [2]. Nutritional de ciencies may result in weight loss, growth retardation, and reduced quality of life [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of micronutrient status in pediatric palliative care clinic: a single-center cross-sectional study

Onur,

Sadıkoğlu,

Harputluoğlu

et al. 2024

Preprint

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Background Pediatric palliative care (PPC) patients are at an elevated risk of malnutrition. Nutritional inadequacy can also cause micronutrient deficiencies. These factors can lead to weight loss, stunted growth, and poor quality of life. Despite the prevalence of these issues, limited research exists in the micronutrient status of PPC patients. The purpose of this study was to determine the micronutrient levels of PPC patients to contribute to a better understanding of their micronutrient needs as well as the appropriate management of diet and treatment approaches. Methods This was a single-center observational cross-sectional retrospective study. This study evaluated the levels of vitamin B12, 25-hydroxyvitamin D, iron, ferritin, folate, calcium, phosphorus, and magnesium in PPC patients. The patients were classified according to the Chronic Complex Conditions (CCC) v2 and then compared. Results A total of 3,144 micronutrient data points were collected from 822 hospitalizations of 364 patients. At least one micronutrient deficiency was identified in 96.9% of the patients. The most prevalent deficiencies were observed for iron, calcium, and phosphate. In addition, 25-hydroxyvitamin D deficiency was observed in one-third of patients. Calcium, magnesium, phosphorus, folate, and 25-hydroxyvitamin D were negatively correlated with age. Conclusion The results of this study indicate that micronutrient deficiencies are highly prevalent in PPC patients. These findings have the potential to contribute to improvements in the nutritional and therapeutic management of patients.

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“…Children under this care are highly susceptible to malnutrition [2]. Nutritional de ciencies may result in weight loss, growth retardation, and reduced quality of life [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of micronutrient status in pediatric palliative care clinic: a single-center cross-sectional study

Onur,

Sadıkoğlu,

Harputluoğlu

et al. 2024

Preprint

View full text Add to dashboard Cite

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The relationship between acute physiology and chronic health evaluation-II, sequential organ failure assessment, Charlson comorbidity index and nutritional scores and length of intensive care unit stay of patients hospitalized in the intensive care unit due to chronic obstructive pulmonary disease

Baldemir

DOĞANAY

Cirik

et al. 2022

Journal of Health Sciences and Medicine

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Aim: It is known that disease severity and nutritional status are determinants of prognosis in patients hospitalized in the intensive care unit (ICU). Different scoring systems are used to evaluate the nutritional status and disease severity of intensive care patients. It will be very useful in clinical practice to determine the intensive care scores that are in harmony with the nutritional parameters and affect the length of stay in the ICU in patients hospitalized with the diagnosis of chronic obstructive pulmonary disease (COPD). It was aimed to determine the relationship between acute physiology and chronic health evaluation-II (Apache-II), sequential organ failure assessment (SOFA), and Charlson comorbidity index (CCI) with nutritional scores in intensive care patients with a diagnosis of COPD. Also, it was aimed to determine the scoring systems that affect the length of stay in the ICU. Material and Method: Nutritional risk score-2002 (NRS-2002), prognostic nutritional index (PNI), modified nutritional risk in critically ill (mNutric) score, albumin, Apache-II, SOFA and CCI values and intensive care unit length of stay of the patients hospitalized in the intensive care unit due to COPD were recorded. The scoring systems that affect the length of stay in the ICU and the relationship between nutritional scores and Apache-II, SOFA and CCI was analyzed using statistical methods. Results: A significant correlation was found between only CCI and all nutritional scores. Only the CCI value was found to be significantly higher in those found to be at high risk compared to all nutritional scoring systems. CCI cut-off value determined according to nutritional scoring was determined as 4.5 according to PNI and albumin, and 5.5 according to mNutric score and NRS-2002. It was determined that CCI affects the length of stay in the intensive care unit. Conclusion: CCI is a scoring system that is compatible with nutritional parameters and affects the length of stay in the intensive care unit. Therefore, we think that CCI can be used to predict prognosis and nutritional risk in patients with COPD in the intensive care unit and to predict the length of stay in the intensive care unit. In terms of malnutrition risk, a cut-off value of ≥6 can be used for CCI.

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Determination of malnutrition status in palliative care patients

Abstract: Cite this article as/Bu makaleye atıf için: Bıçak Ayık D, Büyükbayram Z, Can G. Determination of malnutrition status in palliative care patients.

Cited by 2 publications

References 33 publications

Evaluation of micronutrient status in pediatric palliative care clinic: a single-center cross-sectional study

Evaluation of micronutrient status in pediatric palliative care clinic: a single-center cross-sectional study

The relationship between acute physiology and chronic health evaluation-II, sequential organ failure assessment, Charlson comorbidity index and nutritional scores and length of intensive care unit stay of patients hospitalized in the intensive care unit due to chronic obstructive pulmonary disease

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