Nutritional risk is associated with an increase of in-hospital mortality and a reduction of being discharged home: Results of the 2009–2015 nutritionDay survey

Cárdenas, Diana; Bermúdez, Charles; Pérez, Angélica; Díaz, Gerardo Borroto; Contreras, Claudia Patricia; Pinzón-Espitia, Olga Lucia; Gomez, Gustavo A.; González, Marı́a Cristina; Fantin, Romain; Gutierrez, Jose A.; Sulz, Isabella; Moick, S.; Tarantino, Silvia; Hiesmayr, Michael

doi:10.1016/j.clnesp.2020.05.014

Cited by 29 publications

(27 citation statements)

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“…These two determinants (older age and longer hospital stay in European reference group) are associated with increases prevalence of malnutrition, a conclusion formed from many studies [5,7,26]. Moreover, in Polish hospital wards, there were significantly lower numbers of cancer patients participating in the study, which could be related to the large number of surgical patients and the fact that adequate nutritional status of a patient is a condition which should be fulfilled before carrying out surgery [27]. Perioperative nutrition is a fundamental and integral part of perioperative care and has been included in many Enhanced Recovery After Surgery (ERAS) programs which aim to decrease the postoperative complications [28].…”

Section: Discussionmentioning

confidence: 86%

Hospital Malnutrition, Nutritional Risk Factors, and Elements of Nutritional Care in Europe: Comparison of Polish Results with All European Countries Participating in the nDay Survey

et al. 2021

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NutritionDay (nDay) is a project established by the Medical University of Vienna and the European Society for Clinical Nutrition and Metabolism (ESPEN) to audit the nutritional status of hospitalized patients and nursing home residents. This study aimed to evaluate nDay data describing the prevalence of hospital malnutrition, nutritional risk factors, and elements of the nutritional care process implemented in hospital wards in 25 European countries and to compare the data derived from Poland with the data collected in all the European countries participating in the study. In total, 10,863 patients (European reference group: 10,863 participants including Poland: 498 participants) were involved in the study. The prevalence of malnutrition was identified on the basis of the ESPEN diagnostic criteria established in 2015, while the prevalence of nutritional risk factors was assessed by analyzing the following parameters: body mass index (BMI), score of Malnutrition Screening Tool (MST), recent weight loss, insufficient food intake, decreased appetite, increased number of drugs intake, reduced mobility, and poor self-reported health status. Malnutrition prevalence was 12.9% in patients from the European reference group and 9.4% in patients from Polish hospital wards (p < 0.05). However, the prevalence of some nutritional risk factors, i.e., recent weight loss, history of decreased food intake, and low actual food intake, were approximately four times more prevalent than diagnosed malnutrition (referring to approximately 40–50% of all participants). In comparison to the European reference group, the significant differences observed in Polish hospital wards concerned mainly dietitian’s involvement in the process of treating malnutrition (16% vs. 57.2%; p < 0.001); supply of special diets (8% vs. 16.1%; p < 0.0001); provision of oral nutritional support (ONS) (3.8% vs. 12.2%; p < 0.0001); prescription of enteral/parenteral nutrition therapy to hospitalized patients (8.2% vs. 11.7%; p < 0.001); as well as recording patient weight performed at hospital admission (100% vs. 72.9%; p < 0.0001), weekly (20% vs. 41.4%; p < 0.05), and occasionally (0% vs. 9.2%). These results indicate that the prevalence of malnutrition and malnutrition risk factors in hospitalized patients in Poland was slightly lower than in the European reference group. However, some elements of the nutritional care process in Polish hospitals were found insufficient and demand more attention.

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Section: Discussionmentioning

confidence: 86%

Hospital Malnutrition, Nutritional Risk Factors, and Elements of Nutritional Care in Europe: Comparison of Polish Results with All European Countries Participating in the nDay Survey

et al. 2021

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“…Colombia publicó en la revista Clinical Nutrition ESPEN de junio de 2020 un estudio donde se evaluó el impacto del riesgo nutricional en los desenlaces clínicos (1) . Se mostró, después de un análisis multivariado, aumento en la mortalidad hospitalaria y una reducción del alta hospitalaria en los pacientes con riesgo de desnutrición (según la herramienta MST > = 2).…”

Section: Nutritional Risk Is Associated With An Increase Of In-hospitunclassified

“…Estos resultados permiten mostrar el impacto del riesgo nutricional en los desenlaces de los pacientes y señalar la importancia de realizar un adecuado cuidado nutricional que conlleve a identificar a los pacientes en riesgo de desnutrición para administrar una terapia nutricional óptima y oportuna. La participación de países latinoamericanos en el nutritionDay es una oportunidad para aumentar el conocimiento y promover la importancia de la desnutrición hospitalaria (1) .…”

Section: Nutritional Risk Is Associated With An Increase Of In-hospitunclassified

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Noticias del nutritionDay

Pérez¹

2020

Rev. Nutr. Clin. Metab.

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“…El análisis de los datos de 7994 pacientes hospitalizados en instituciones colombianas, 7243 en Latinoamérica y 155 524 en el mundo, permitió mostrar que la prevalencia del riesgo de desnutrición fue de 38 %, 41 % y 32 %, respectivamente. De los pacientes en riesgo de desnutrición en Colombia, únicamente el 23 % recibe algún tratamiento nutricional (4) . El estudio mostró también que los pacientes con riesgo de desnutrición tienen el doble de probabilidad de morir (Hazard ratio [HR] 1,94; intervalo de confianza [IC] del 95 %, 1,53, 2,46; p < 0,001) y menor probabilidad de egreso al domicilio (HR 0,82; IC del 95 %, 0,76, 0,88, p < 0,001).…”

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Noticias del nutritionDay. NutritionDay 2020 en el contexto de la COVID-19

Pérez¹

2021

Rev. Nutr. Clin. Metab.

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Nutritional risk is associated with an increase of in-hospital mortality and a reduction of being discharged home: Results of the 2009–2015 nutritionDay survey

Cited by 29 publications

References 22 publications

Hospital Malnutrition, Nutritional Risk Factors, and Elements of Nutritional Care in Europe: Comparison of Polish Results with All European Countries Participating in the nDay Survey

Hospital Malnutrition, Nutritional Risk Factors, and Elements of Nutritional Care in Europe: Comparison of Polish Results with All European Countries Participating in the nDay Survey

Noticias del nutritionDay

Noticias del nutritionDay. NutritionDay 2020 en el contexto de la COVID-19

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