Decline in nutritional status is associated with prolonged length of stay in hospitalized patients admitted for 7 days or more: A prospective cohort study

Allard, Johane P.; Keller, Heather; Jeejeebhoy, Khursheed N.; Laporte, Manon; Duerksen, D; Gramlich, Leah; Payette, Hélène; Bernier, Paule; Davidson, Bridget; Teterina, Anastasia; Lou, Wendy

doi:10.1016/j.clnu.2015.01.009

Cited by 152 publications

(163 citation statements)

References 39 publications

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“…The MCA map for neoplastic patients evidenced that the variables death and LOHS ≥7 days were associated with many indicators of nutritional risk according to the NRS, malnutrition according to the SGA, underweight according to BMI, depletion of lean and fat masses according to body composition parameters, and recent weight loss. These findings have been described by other studies using another type of analysis (1,2,22,23,24) . The present study has found that nutritional status-related variables are associated with routine clinical outcomes during hospital stay.…”

Section: Discussionsupporting

confidence: 66%

“…Other recent studies confirmed an association between nutritional status deterioration and longer hospital stays, such as the prospective study conducted by Allard et al (1) , in Canadian hospitals. In said study the authors administered the SGA and measured body weight on hospital admission and discharge, and found, using multivariate analysis, that nutritional status deterioration according to the SGA and weight loss during hospital stay were significantly associated with longer hospitals stays, regardless of other factors, such as disease severity (32) .…”

Section: Discussionmentioning

confidence: 52%

“…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%

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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: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 52%

Section: Relationship Between Nutritional Status and The Clinical Outmentioning

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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“…Consequently, malnutrition correlates with increasing risks of postoperative morbidity and mortality,5 prolonged hospital stay,6 and poor quality of life 7. Protein‐energy malnutrition is prevalent and has been related to poor prognoses in patients with chronic illness, including end‐stage renal disease, malignancy,4 and advanced heart failure (HF) 8…”

Section: Introductionmentioning

confidence: 99%

Prognostic Nutritional Index and the Risk of Mortality in Patients With Acute Heart Failure

Cheng

Sung

Cheng

et al. 2017

JAHA

204

208

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BackgroundNutritional status has been related to clinical outcomes in patients with heart failure. We assessed the association between nutritional status, indexed by prognostic nutritional index (PNI), and survival in patients hospitalized for acute heart failure.Methods and ResultsA total of 1673 patients (age 76±13 years, 68% men) hospitalized for acute heart failure in a tertiary medical center were analyzed. PNI was calculated as 10×serum albumin (g/dL)+0.005×total lymphocyte count (per mm3). National Death Registry was linked to identify the clinical outcomes of all‐cause and cardiovascular death. With increasing tertiles of PNI, age and N‐terminal probrain natriuretic peptide decreased, and body mass index, estimated glomerular filtration rate, and hemoglobin increased. During a mean follow‐up duration of 31.5 months, a higher PNI tertile was related to better survival free from all‐cause and cardiovascular mortality in the total study population and in participants with either reduced or preserved left ventricular ejection fraction. After accounting for age, sex, estimated glomerular filtration rate, left ventricular ejection fraction, serum sodium level, and on‐admission systolic blood pressure, PNI was independently associated with cardiovascular death and total mortality (hazard ratio per 1 SD of the natural logarithm of the PNI: 0.76 [95% CI, 0.66–0.87] and 0.79 [95% CI, 0.73–0.87], respectively). In subgroup analyses stratified by age, sex, left ventricular ejection fraction, body mass index, or estimated glomerular filtration rate, PNI was consistently related to mortality.Conclusions PNI is independently associated with long‐term survival in patients hospitalized for acute heart failure with either reduced or preserved left ventricular ejection fraction.

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“…Several studies show the worldwide prevalence of malnutrition and at risk of malnutrition in hospitals are between 40-70% [2,[4][5][6][7][8]. Prevalence of disease-related malnutrition varied between countries; Philippines (73%), Canada (51%), Brazil (48%), Vietnam (33%), Singapore (29%) and Netherland (14%) [2][3][4][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Disease-related adult malnutrition in tertiary health care settings in Sri Lanka

Jayatissa¹,

Wmsk²,

Mwdwl³

et al. 2017

Integr Food Nutr Metab

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Decline in nutritional status is associated with prolonged length of stay in hospitalized patients admitted for 7 days or more: A prospective cohort study

Cited by 152 publications

References 39 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

Prognostic Nutritional Index and the Risk of Mortality in Patients With Acute Heart Failure

Disease-related adult malnutrition in tertiary health care settings in Sri Lanka

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