Nutritional Risk and Nutritional Status at Admission and Discharge among Chinese Hospitalized Patients: A Prospective, Nationwide, Multicenter Study

Zhu, Mingwei; Wei, Junmin; Chen, Wei; Yang, Xin; Cui, Hongyuan; Zhu, Shijun

doi:10.1080/07315724.2017.1304293

Cited by 40 publications

(36 citation statements)

References 25 publications

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“…Previous studies have shown that the prevalence of malnutrition on hospital admission is in the range from 22% to 73%. [1][2][3] In our study, depending on the NSAPs we used, malnutrition on hospital admission was diagnosed in 7.7-31.7% of patients, which is partly in accordance with the results of the other authors. Probably, a lower percentage of malnutrition could be explained by the specificity of our series, which only included gastroenterological patients.…”

Section: Discussionsupporting

confidence: 91%

“…In the study of Kang, malnutrition was higher in the patients over 70 years, while Zhu showed that malnutrition at discharge was significantly higher at age 65 and older. 2,3 The difference in results between our and the other studies is probably related to the specificity of our series, which consisted of gastroenterological patients only, while most other studies included patients with various internal and neurological diseases.…”

Section: Risk Factors For Malnutritionon During Hospitalizationcontrasting

confidence: 57%

“…Malnutrition is a serious health problem that affect more than 20% patients on hospital admission. [1][2][3] It significantly contributes to the many adverse outcomes, such as cardiovascular and infective complications, increased morbidity and mortality, prolonged hospitalization, increased hospitalization costs and increased re-admission rates after discharge from the hospital. [4][5][6][7][8] Although these consequences of poor nutritional status are well known, malnutrition is often undiagnosed on hospital admission.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for malnutrition among hospitalized gastroenterological patients

et al. 2022

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Background / Aims. Risk factors for malnutrition of patients during hospitalization have not been precisely determined. The aim of the study was to determine these factors in hospitalized gastroenterological patients. Methods. Nutritional status (NS) of 650 gastroenterological patients was assessed on admission and at discharge by the six parameters: unintentional weight loss, lymphocyte counts, serum albumin concentration, body mass index, triceps skinfold thickness and midupper arm muscle circumference. The influence on NS at discharge was tested for ten factors: gender, age, affected organ, the nature, severity and complications of the disease, the lenght of hospitalization, mobility worsening during hospitalization, Karnofsky score and NS on admission. Primary and secondary risk factors were defined among the factors influencing significantly the malnutrition. Results. Seven factors were found to be the independent predictors for malnutrition in hospitalized gastroenterological patients. NS on admission was considered as primary risk factor (Forwald: Wald multivariate logistic regression analysis, p<0.001 for five applied assessment parameters). The other factors, obtained in the evaluation according to 1-3 parameters, were considered as secondary risk factors: severe disease activity, malignancy, the existence of complications, male gender, hospitalization >14 days, and mobility worsening during the hospitalization (Forwald:Wald multivariate logistic regression analysis, p from 0.001 to 0.027). Conclusion. There are seven risk factors for malnutrition among gastroenterological patients during hospitalization. Timely nutritional support in these patients can prevent the development of intrahospital malnutrition and its negative influence on clinical outcome.

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Section: Discussionsupporting

confidence: 91%

Section: Risk Factors For Malnutritionon During Hospitalizationcontrasting

confidence: 57%

Section: Introductionmentioning

confidence: 99%

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Risk factors for malnutrition among hospitalized gastroenterological patients

et al. 2022

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“…A study conducted in Turkey investigated the use of NRS-2002, indicating sensitivity of 88% and specificity of 92%, showing that this is a valid method for assessing nutritional risk in hospitalized adult patients (25) . Another recent study (26) that also used anthropometric, laboratory, NRS and SGA indicators in the first 24 hours hospitalization showed poor clinical outcomes in patients at nutritional risk, indicating further that the prevalence of malnutrition and nutritional risk on discharge was higher than that observed at hospital admission (26) .…”

Section: Resultsmentioning

confidence: 96%

Nutritional Indicators of Malnutrition in Hospitalized Patients

Leandro-Merhi

Costa

Saragiotto

et al. 2019

Arq. Gastroenterol.

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BACKGROUND: Malnutrition is associated with clinical factors, including longer hospital stay, increased morbidity and mortality and hospital costs. OBJECTIVE: To investigate the prevalence of malnutrition using different nutritional indicators and to identify factors that contribute to malnutrition in hospitalized patients. METHODS: We investigated anthropometric, laboratory standards, nutritional risk screening (NRS), subjective global assessment (SGA), mini nutritional assessment and habitual energy consumption (HEC). Chi-square, Fisher’s exact test, Mann-Whitney test and univariate and multiple Cox regression analysis were used, at 5% significance level. RESULTS: It was found 21.01% of malnourished individuals by ASG; a total of 34.78% with nutritional risk according to NRS and 11.59% with low weight (BMI). There was no statistically significant difference in the prevalence of malnutrition by ASG (P=0.3344) and nutritional risk by NRS (P=0.2286), among the types of disorders. Patients with nutritional risk were of higher median age (64.5 vs 58.0 years; P=0.0246) and had lower median values of HEC (1362.1 kcal vs 1525 kcal, P=0.0030), of calf circumference (32.0 cm vs 33.5 cm, P=0.0405) of lymphocyte count (1176.5 cell/mm3 vs 1760.5 cell/ mm3, P=0.0095); and higher percentage of low body weight according to the BMI (22.9% vs 5.6%; P=0.0096). Lymphocyte count was associated with nutritional risk (P=0.0414; HR= 1.000; IC95%= 0.999; 1.000). CONCLUSION: NRS was more sensitive than other indicators in the diagnosis of malnutrition. Patients at risk were older and had lower HEC values, calf circumference, BMI and lymphocyte count. Low lymphocyte count was considered a factor associated with nutritional risk by the NRS.

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“…Consistent with the results of previous studies, we found that an elevated nutrition risk, which was positively correlated with inflammatory and nutrition-related markers, was associated with adverse clinical outcomes. [33][34][35][36] Thus, it is crucial to reduce nutrition risk in alleviating COVID-19 and improving clinical outcomes, especially for the patients with high nutrition risk (NSR 2002 score ≥ 5).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Nutrition Risk and Its Association With Mortality Risk in Severely and Critically Ill COVID‐19 Patients

Zhao

et al. 2020

J Parenter Enteral Nutr

128

153

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Background The nutritional status of COVID‐19 patients is unknown. This study evaluates the clinical and nutritional characteristics of severe and critically ill patients infected with SARS‐CoV‐2, and investigates the relationship between nutritional risk and clinical outcomes. Methods A retrospective, observational study was conducted at West Campus of Union Hospital in Wuhan. Patients confirmed with SARS‐CoV‐2 infection by a nucleic acid‐positive test and identified as severe or critically ill, were enrolled in this study. Clinical data and outcomes information was collected and nutritional risk was assessed by using Nutritional Risk Screening 2002 (NRS). Results Totally, 413 patients were enrolled in this study, including 346 severe patients and 67 critically ill patients. Most patients, especially critically ill patients, had significant changes in nutrition‐related parameters and inflammatory markers. As for nutritional risk, the critically ill patients had significantly higher proportion of high NRS scores ( P <0.001), which were correlated with inflammatory and nutrition‐related markers. Among 342 patients with NRS score ≥3, only 84 (25%) received nutritional support. The critically ill patients and the patients with higher NRS score had a higher risk of mortality and longer stay in hospital. In logistic regression models, one unit increased in NRS score was associated with the risk of mortality increased by 1.23 times (adjusted OR = 2.23, 95% CI : 1.10, 4.51, P = 0.026). Conclusions Most severe and critically ill patients infected with SARS‐CoV‐2 are at nutritional risk. The patients with higher nutrition risk have worse outcome, and require nutritional therapy. This article is protected by copyright. All rights reserved

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Nutritional Risk and Nutritional Status at Admission and Discharge among Chinese Hospitalized Patients: A Prospective, Nationwide, Multicenter Study

Abstract: The prevalence of nutritional risk and malnutrition, including moderate to severe malnutrition, at discharge is higher than that observed at admission; the clinical outcome of patients with nutritional risk is poor.

Cited by 40 publications

References 25 publications

Risk factors for malnutrition among hospitalized gastroenterological patients

Risk factors for malnutrition among hospitalized gastroenterological patients

Nutritional Indicators of Malnutrition in Hospitalized Patients

Evaluation of Nutrition Risk and Its Association With Mortality Risk in Severely and Critically Ill COVID‐19 Patients

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