Malnutrition in hospitalized patients: results from La Rioja

Nutr Hosp. 2017 Mar 30;34(2):402-406. doi: 10.20960/nh.458.

Abstract

Background: There is a high malnutrition prevalence in hospitalized patients.

Aim: To determine the malnutrition prevalence in hospitalized patients of La Rioja Community (Spain) when evaluated with different screening/ evaluation tools and its relationship with hospital stay and mortality.

Methods: Cross sectional observational study of hospitalized adult patients (age > 18 years old) from medical and surgical departments that underwent within 72 h of their admission a nutritional screening with Malnutrition Universal Screening Tool (MUST), Nutritional Risk Screening (NRS) 2002, Controlling Nutritional Status (CONUT) y Subjective Global Assessment (SGA).

Results: 384 patients (273 medical and 111 surgical) were evaluated. Almost fifty percent of them were considered malnourished independently of the screening/assessment tool used. High concordance was found between SGA and NRS-2002 (k = 0.758). Malnourished patients had a longer hospital stay than those well-nourished (9.29 vs. 7.10 days; p = 0.002), used a greater number of medicines (9.2 vs. 7.4; p = 0.001) and underwent a higher number of diagnostic tests (16.4 vs. 12.5; p = 0,002).

Conclusions: Half of the hospitalized patients in the medical and surgical department of La Rioja are malnourished. This is associated with a longer hospital stay, higher use of medicines, diagnostics tests and greater mortality. Malnutrition could be detected with easy screening tools to treat it appropriately.

Keywords: Hospital malnutrition. Nutritional status. Nutritional screening. Nutritional assessment..

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Hospital Mortality
  • Hospitalization
  • Humans
  • Inpatients
  • Length of Stay
  • Male
  • Malnutrition / epidemiology*
  • Malnutrition / mortality
  • Middle Aged
  • Nutrition Assessment
  • Spain / epidemiology
  • Young Adult