Nutrition Status and Risk Factors Associated With Length of Hospital Stay for Surgical Patients

Leandro‐Merhi, Vânia Aparecida; Aquino, José Luiz Braga de; Chagas, José Francisco Salles

doi:10.1177/0148607110374477

Cited by 80 publications

(61 citation statements)

References 25 publications

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“…For many years, many studies have reported undesirable outcomes that may occur during the hospital stay of patients diagnosed with malnutrition or even at some nutritional risk (28,31) . These findings have been observed in patients with neoplasms, digestive tract diseases, and other clinical situations (22,24,31) .…”

Section: Introductionsupporting

confidence: 53%

“…The individual energy requirement was estimated by the equation proposed by Harris & Benedict (17) . This method has already been described in other studies (22) . Later, HEI was expressed as a percentage of the energy requirement.…”

Section: Assessment Of Habitual Energy Intake (Hei)mentioning

confidence: 99%

“…Vânia Aparecida LEANDRO-MERHI 1 and José Luiz Braga de AQUINO 2 assessment (22,28,29,34) , biochemical parameters (24,29) , and anthropometry (3,22,24,29) to investigate the relationship between poor nutritional status and bad clinical outcomes, and many of these methods have been considered good predictors of bad clinical outcomes during hospital stay (24,28) . Yet, other studies have suggested the combination of subjective and objective methods (29) for nutritional status assessment.…”

Section: Relationship Between Nutritional Status and The Clinical Outmentioning

confidence: 99%

“…Hence, malnutrition, nutritional risk, recent weight loss, and low energy intake are considered risk factors for poor clinical outcomes in hospitalized patients, regardless of the underlying disease (3,4,14,22,28,31,32) .…”

Section: Introductionmentioning

confidence: 99%

“…Given this hospital setting reality, many studies (3,4,22,28,29,34) have used different nutritional status assessment methods, especially the nutritional risk screening (NRS-2002) (28,29,34) , subjective global…”

Section: Introductionmentioning

confidence: 99%

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Relationship Between Nutritional Status and the Clinical Outcomes of Patients With and Without Neoplasms According to Multiple Correspondence Analysis

Leandro-Merhi

Aquino

2017

Arq. Gastroenterol.

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-Background -For many years, many studies have reported undesirable outcomes that may occur during the hospital stay of patients diagnosed with malnutrition or even at some nutritional risk. Objective -To investigate the relationship between nutritional status and clinical outcomes during hospital stay using the multiple correspondence analysis technique. Methods -This cross-sectional study included 600 patients with and without neoplasms. The following data were collected: subjective global assessment, nutritional indicators, nutritional risk screening, anthropometric data (body mass index (BMI), mid-upper arm circumference (MUAC), mid-upper arm muscle circumference (MUAMC), triceps skinfold thickness (TST), recent weight loss (RWL)), and habitual energy intake (HEI/ER <75%). The clinical outcomes of interest were complications, length of hospital stay (LOHS), and death. The data were analyzed by the chi-square or Fisher's exact test at a significance level of 5%. Multiple correspondence analysis was used for the multivariate data analysis. Results -The multiple correspondence analysis map for the patients with neoplasms showed that the following characteristics were associated and represented by death, complications, and a greater likelihood of LOHS ≥7 days: underweight according to BMI; TST, MUAC, and MUAMC ≤15th percentile; malnutrition according to the subjective global assessment; at nutritional risk according to the nutritional risk screening; being male; age ≥60 years; and HEI/ER <75%. The multiple correspondence analysis map for the patients without neoplasms showed that the following characteristics were associated and represented by death: underweight according to BMI; TST ≤15th percentile; malnutrition according to the subjective global assessment; and at nutritional risk according to the nutritional risk screening. Complications and LOHS ≥7 days represented the categories male, no recent weight loss, HEI/ER <75%, MUAC and MUAMC ≤15th percentile, TST between the 15th and 85th percentiles, and age <60 years. Conclusion -The results of this study confirm an association between unsatisfactory nutritional indicators and undesirable clinical outcomes.

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Section: Introductionsupporting

confidence: 53%

Section: Assessment Of Habitual Energy Intake (Hei)mentioning

confidence: 99%

Section: Relationship Between Nutritional Status and The Clinical Outmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Relationship Between Nutritional Status and the Clinical Outcomes of Patients With and Without Neoplasms According to Multiple Correspondence Analysis

Leandro-Merhi

Aquino

2017

Arq. Gastroenterol.

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The anorexia of aging

Sharda¹,

Thomas²,

Chapman³

2022

Pathy's Principles and Practice of Geriatric Medicine

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Association Between Anthropometric Indicators of Nutrition Status and Length of Hospital Stay in Hospitalized Patients

Pinto

Sousa

Amaral

et al. 2020

J Parenter Enteral Nutr

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Background Undernutrition is associated with increased hospital length of stay (LOS). Anthropometrics is required for undernutrition screening and diagnosis. However, the measurements which are more strongly associated with LOS are to be specified. This study aims to measure the independent association of weight, triceps skinfold thickness (TST), mid‐upper arm circumference (MUAC), adductor pollicis muscle thickness (APMT), mid‐upper arm muscle area (AMA), mid‐upper arm muscle circumference (AMC), and body mass index (BMI) with LOS and investigating whether these indicators had similar validity in predicting LOS. Methods Six hundred ninety‐five patients participated in a prospective observational study. Participants were dichotomized indicators studied according to the 5th and 25th percentiles described in the literature (for APMT only the 5th percentile was used). Cox regression analysis was used to estimate adjusted hazard ratios (HRs) and corresponding 95% CIs. Results Patients that presented values <5th percentile for TST (HR, 0.759; 95% CI, 0.579–0.995), MUAC (HR, 0.822; 95% CI, 0.687–0.983), APMT (HR, 0.791; 95% CI, 0.671–0.933), AMA (HR, 0.797, 95% CI, 0.660–0.962), and AMC (HR, 0.746; 95% CI, 0.611–0.911) showed a lower probability of being discharged to usual residence. Patients whose TST values were <25th percentile also presented lower probability of being discharged to usual residence (HR, 0.798; 95% CI, 0.673–0.946). No associations were found between weight and BMI with LOS. Conclusion Depletion of TST, MUAC, APMT, AMA, and AMC was associated with lower probability of being discharged to usual residence. A thicker TST was independently associated with this outcome and thus TST should be considered for undernutrition screening and diagnosis.

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Nutrition Status and Risk Factors Associated With Length of Hospital Stay for Surgical Patients

Abstract: LOS was associated with disease and nutrition status. Among the more common diseases, nutrition status according to the subjective approach determined the LOS for patients with DTD and nutrition status according to arm circumference determined the LOS for patients with neoplasms.

Cited by 80 publications

References 25 publications

Relationship Between Nutritional Status and the Clinical Outcomes of Patients With and Without Neoplasms According to Multiple Correspondence Analysis

Relationship Between Nutritional Status and the Clinical Outcomes of Patients With and Without Neoplasms According to Multiple Correspondence Analysis

The anorexia of aging

Association Between Anthropometric Indicators of Nutrition Status and Length of Hospital Stay in Hospitalized Patients

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