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Analysis of the Prevalence and Risk Factors of Malnutrition among Hospitalized Patients in Busan

机译:釜山住院患者营养不良的患病率及危险因素分析

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摘要

This study investigated the prevalence of and risk factors for malnutrition in hospitalized patients in Busan, Republic of Korea. 944 patients (440 men and 504 women) were hospitalized in four Busan general hospitals from March through April, 2011. Nutritional status was assessed on admission by the Nutritional Risk Screening 2002. Data were collected from the electronic medical records system for the characteristics of the subjects, clinical outcomes, biochemical laboratory data, and nutrition support states. Clinical dietitians interviewed the patients using structured questionnaires involving data on weight loss and problems related to oral intakes. Malnourished patients were significantly older (P<0.001) than well-nourished patients, but the values for BMI, serum albumin, total cholesterol, TLC, hemoglobin, and hematocrit were significantly lower (P<0.001) for malnourished than for well-nourished patients. Logistic regression indicated that the main determinant factors for nutritional status were the age, length of stay, BMI, serum albumin, and total cholesterol. In order to increase therapeutic effects of hospitalized patients, clinical dietitians need to offer proper nutritional intervention based on the results of nutrition assessment and identification of malnutrition.
机译:这项研究调查了大韩民国釜山市住院患者营养不良的患病率和危险因素。从2011年3月至2011年4月,在釜山的四家综合医院中住院了944例患者(440例男性和504例女性)。2002年营养风险筛查对入院时的营养状况进行了评估。受试者,临床结果,生化实验室数据和营养支持状态。临床营养师使用结构化问卷对患者进行了采访,问卷涉及体重减轻和与口服摄入有关的问题。营养不良的患者比营养良好的患者显着年龄大(P <0.001),但营养不良的BMI,血清白蛋白,总胆固醇,TLC,血红蛋白和血细胞比容值明显低于营养良好的患者(P <0.001) 。 Logistic回归表明,营养状况的主要决定因素是年龄,住院时间,BMI,血清白蛋白和总胆固醇。为了提高住院患者的治疗效果,临床营养师需要根据营养评估和营养不良的鉴定结果提供适当的营养干预。

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