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Titolo:
Prevalence of malnutrition and 12-month incidence of mortality in two Sydney teaching hospitals
Autore:
Middleton, MH; Nazarenko, G; Nivison-Smith, I; Smerdely, P;
Indirizzi:
St George Hosp, Dept Nutr & Dietet, Kogarah, NSW 2217, Australia St GeorgeHosp Kogarah NSW Australia 2217 t, Kogarah, NSW 2217, Australia St George Hosp, Dept Aged Care, Kogarah, NSW 2217, Australia St George Hosp Kogarah NSW Australia 2217 e, Kogarah, NSW 2217, Australia St Vincents Hosp, Dept Nutr Serv, Sydney, NSW 2010, Australia St Vincents Hosp Sydney NSW Australia 2010 v, Sydney, NSW 2010, Australia St Vincents Hosp, Dept Haematol, Sydney, NSW 2010, Australia St Vincents Hosp Sydney NSW Australia 2010 l, Sydney, NSW 2010, Australia
Titolo Testata:
INTERNAL MEDICINE JOURNAL
fascicolo: 8, volume: 31, anno: 2001,
pagine: 455 - 461
SICI:
1444-0903(2001)31:8<455:POMA1I>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
PROTEIN-ENERGY UNDERNUTRITION; GERIATRIC REHABILITATION PATIENTS; SUBJECTIVE GLOBAL ASSESSMENT; ELDERLY MEDICAL PATIENTS; NUTRITIONAL-STATUS; SELECT POPULATION; CONTROLLED TRIAL; FRACTURED NECK; PROXIMAL FEMUR; DISCHARGE;
Keywords:
length of stay; prevalence of malnutrition; 12-month mortality;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
42
Recensione:
Indirizzi per estratti:
Indirizzo: Middleton, MH St George Hosp, Dept Nutr & Dietet, Kogarah, NSW 2217, Australia St George Hosp Kogarah NSW Australia 2217 W 2217, Australia
Citazione:
M.H. Middleton et al., "Prevalence of malnutrition and 12-month incidence of mortality in two Sydney teaching hospitals", INTERN M J, 31(8), 2001, pp. 455-461

Abstract

Aims: The objectives of the present study were to determine: (i) the prevalence of malnutrition in two Sydney teaching hospitals using Subjective Global Assessment (SGA), (ii) the effect of malnutrition on 12-month mortalityand (iii) the proportion of patients previously identified to be at nutritional risk. Methods: A prospective study using SGA to assess nutritional status of eligible inpatients, from April to September 1997, with a 12-month follow-up to assess mortality. A total of 819 patients was systematically selected from 2194 eligible patients. Patients were excluded if they were under the ageof 18, had dementia or communication difficulties, or were under obstetricor critical care. The main outcome measures were prevalence of malnutrition, 12-month incidence of mortality, proportion of patients identified with malnutrition, and hospital length of stay (LOS). Results: The prevalence rate of malnutrition was 36%. The proportion of malnourished patients was not significantly different between the two hospitals (P = 0.4). The actuarial incidence of mortality at 12 months after assessment was 29.7% in malnourished subjects compared with 10.1% in well-nourished subjects (P < 0.0005). Malnourished subjects had a significantly longermedian LOS (17 days vs 11 days, P < 0.0005) and were significantly older (median 71 years vs 63 years, P < 0.0005) than well-nourished subjects. Only36% of the malnourished patients had been previously identified as being at nutritional risk. Conclusions: Malnutrition in Australian hospitals is a continuing health concern and is associated with increased LOS and decreased survival after 12months. The present study revealed that malnourished patients were not regularly identified. Further studies are required to determine whether routine identification of malnutrition and subsequent nutritional intervention are effective in improving clinical outcomes in these individuals.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/21 alle ore 08:17:48