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The Nutrititional Status and Clinical Course of Acute Admissions to a Geriatric Unit

机译:老年病院急性入院的营养状况和临床过程

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Undernutrition of long-stay hospital patients and those in surgical units is well documented. This study was designed to determine the extent of the problem in elderly people admitted to hospital with acute medical problems and to assess the relationship between nutritional status and course of hospital stay. Sixty-nine patients underwent a nutritional assessment on admission and at intervals throughout their hospital stay and episodes of sepsis were documented. Severely malnourished patients were identified using body mass index, BMI (22%) and corrected arm muscle area, CAMA (26%). Episodes of sepsis occurred significantly more often in the severely undernourished group (p < 0.04). The median length of stay of the group was 16 days (range 2-113): during this time there was no significant change in markers of nutritional status apart from actual muscle circumference (AMC), which showed a reduction in measurement between admission and discharge which was statistically significant (p < 0.0003). This study indicated that severe malnutrition is common in elderly medical admissions, and that it is associated with an increased risk of sepsis. Additional nutritional depletion may occur during hospital stay, and is not easily recognized unless anthropometry is undertaken.
机译:长期住院的患者和外科手术患者的营养不良情况有据可查。本研究旨在确定因急性医疗问题而入院的老年人的问题程度,并评估其营养状况与住院时间之间的关系。入院时对69例患者进行了营养评估,并在整个住院期间进行了间隔评估,并记录了败血症的发作。使用体重指数BMI(22%)和校正后的手臂肌肉面积CAMA(26%)识别出严重营养不良的患者。在严重营养不良的组中,败血症发作的发生率更高(p <0.04)。该组的中位住院时间为16天(范围2-113):在此期间,除了实际肌肉周长(AMC)以外,营养状况的指标没有明显变化,这表明入院与出院之间的测量值减少了具有统计学意义(p <0.0003)。这项研究表明,严重的营养不良在老年患者中很常见,并且与败血症的风险增加有关。住院期间可能会发生其他营养消耗,除非进行人体测量,否则不容易发现。

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