Disease-related malnutrition, functional parameters, and associated costs in a genaral hospital

Pérez, Pablo Barcina; Ros, Teresa Mercader; Aynes, Oriol Abellán; Garcia, José Américo Soares; Hervás, Juana Góngora; Jiménez, Pedro Hernández; Abellán, Carmen Lucas

doi:10.20960/nh.03464

Cited by 4 publications

(6 citation statements)

References 28 publications

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“…Another study conducted in Israel on adults, utilizing the same tool, estimated that 31.5% of patients were at risk of malnutrition [ 36 ]. 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 ].…”

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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“…Unlike previous studies [ 5 , 11 , 14 ] the NUTRIFAG Project introduces the concept of satisfaction during the hospital process. By assessing the quality of food and adapting dietary needs during admission.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors point to an under-diagnosis of this problem, possibly related to the lack of standards in the detection and screening of malnutrition risk [ 13 ]. For these reasons, it is estimated that at least one in three patients over 65 years of age admitted to the hospital is malnourished, with an additional cost of between €1,400–1,800 for each hospital admission of a patient at risk of disease-related malnutrition [ 5 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study

Carretero-Randez,

Orts-Cortés,

Rodríguez-Pérez

et al. 2023

PLoS ONE

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Background Malnutrition is a recurring problem that has become more relevant in recent years. The aim of this study is to assess the risk of malnutrition and nutritional status on admission and its evolution until discharge in patients aged 65 and over admitted to medical and surgical hospitalization units in hospitals of the Spanish National Health System. Methods Prospective observational study to be carried out in the medical-surgical hospitalization units of 9 public hospitals between 01/09/2022 and 31/12/2024. Using consecutive sampling, a total of 4077 patients will be included (453 in each hospital). Variables included are related to the care process, functionality, cognition and comorbidity, risk profile, nutritional status and dysphagia; as well as frailty, dietary quality and contextual variables. The incidence of risk of malnutrition, undernutrition and dysphagia during the care process and at discharge will be calculated. The association with risk factors will be studied with logistic regression models and multivariate Cox regression models. In addition, an analysis of participants’ satisfaction with food services will be carried out. The study was approved by the Ethics and Research Committee on 30/09/2020, approved for funding on 02/12/2021 and with registration number RBR-5jnbyhk in the Brazilian clinical trials database (ReBEC) for observational studies. Discussion Some studies address nutritional status or dysphagia in older people in various care settings. However, there is a lack of large sample studies including both processes of the impact of hospitalization. The results of the project will provide information on the incidence and prevalence of both pathologies in the study subjects, their associated factors and their relationship with the average length of stay, mortality and early readmission. In addition, early detection of a problem such as malnutrition related to the disease and/or dysphagia during a hospital stay will favor the action of professionals to resolve both pathologies and improve the health status of patients.

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“…To assess the adequacy of the different menus for the requirements of the patients, the nutritional values obtained in the weighted assessment were compared with the theoretical requirements of the patients assessed in our previous study who were assigned a basal, carbohydrate-controlled, or soft diet [ 19 ]. Two hundred and three patients were included in that study, of which 52.7% were women; the mean age was 62.4 years (SD, 20.3) and the mean body mass index (BMI) was 28.5 kg/m 2 (SD, 6.0).…”

Section: Methodsmentioning

confidence: 99%

“…The present work was informed by a previous study on DRM in Ribera Molina Hospital [ 19 ]. The aim of the current study was to evaluate the nutritional quality of the menus most frequently served at this hospital.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Nutrient Levels Provided by General Hospital Patient Menus: A Cross-Sectional Study Carried Out in the Region of Murcia (Spain)

et al. 2023

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Disease-related malnutrition remains a health problem with a high prevalence that increases the risk of poor patient outcomes, in addition to an elevation of healthcare costs. The aim of this study was to evaluate the nutritional quality of the menus at Ribera Molina Hospital, including their adequacy regarding recommended daily nutrient intakes and the agreement with the theoretical nutrition information provided by catering. The mean levels of energy, macronutrients, vitamins, and minerals provided by the basal, diabetic, and soft diets were calculated through the weighing of plated food served throughout the first 14 days of February 2020. A nutritional overestimation was seen in the nutrition information provided by the catering compared to the values derived from weighing foods (p < 0.01). Despite this, the nutritional content calculated by weighing satisfied the energy and protein requirements of 203 hospitalized patients previously studied in the internal medicine area of the hospital. The mean age of these patients was 62 years, and the main causes of admission were lung, cardiovascular, renal, and digestive diseases. There seems to be an insufficient amount of vitamins E and D, as well as magnesium, on all the menus. A possible insufficient amount of calcium, potassium, zinc, and copper was observed in some of the menus studied. It is necessary to update the hospital prescription manual so the nutritional contents of the diets are accurate and based on the weighted and calculated values to improve the adequacy of diets prescribed to patients.

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Disease-related malnutrition, functional parameters, and associated costs in a genaral hospital

Abstract: Desnutrición relacionada con la enfermedad, parámetros funcionales y costes asociados en un hospital generalDisease-related malnutrition, functional parameters, and associated costs in a genaral hospital

Cited by 4 publications

References 28 publications

Factors Influencing Nutritional Status in Hospitalized Individuals Aged 70 and Above

Factors Influencing Nutritional Status in Hospitalized Individuals Aged 70 and Above

Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study

Assessment of Nutrient Levels Provided by General Hospital Patient Menus: A Cross-Sectional Study Carried Out in the Region of Murcia (Spain)

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