José Pablo Suárez Llanos1, Nestor Benitez Brito2, José Gregorio Oliva García3, Francisca Pereyra-García Castro4, María Alicia López Frías5, Alberto García Hernández6, Belarmina Díaz Sirgo7, Ignacio Llorente Gómez de Segura8. 1. Unidad de Nutrición y Dietética. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. psuarezllanos@gmail.com. 2. Unidad de Nutrición y Dietética. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. nestor.benitez.brito@gmail.com. 3. Unidad de Nutrición y Dietética. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. olivajg@gmail.com. 4. Unidad de Nutrición y Dietética. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. FRANCISPEREYRA@telefonica.net. 5. Unidad de Medicina Interna. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. alicialf1212@yahoo.es. 6. Alumno de prácticas de Medicina de la Universidad de La Laguna.. abezellemaximo@hotmail.com. 7. Unidad de Medicina Interna. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. bdiasir@hotmail.com. 8. Servicio de Endocrinología y Nutrición. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. illorentegomez@gmail.com.
Abstract
INTRODUCTION: Malnourishment in hospitalized patients is very prevalent and therefore it is important to implement screening methods. A mixed nutritional screening method (CIPA) has been developed at our center; this method includes four parameters: (a) control of intakes for 72 h; (b) BMI; (c) proteins; and (d) albumin. OBJECTIVES: (1) To know the prevalence of malnourishment at the Internal Medicine Department of our Center; (2) To analyze the variables associated to higher prevalence of malnourishment. MATERIALS AND METHOD: The results of the nutritional screening tests carried out in 305 patients admitted to the Internal Medicine Department in the period of November of 2012-October of 2013 were retrospectively reviewed. The prevalence of hospital malnourishment was analyzed, as well as the association of a positive screening test (at least one positive item) with the following variables: BMI, age, gender, underlying disease, hospital staying, early re-admittance (< 1 month) and hospital mortality. RESULTS: The test yielded a positive result in 23% of the patients. Patients with a positive screening test had lower BMI (24.9 ± 7.2 vs. 27.8 ± 6.4 kg/m; p = 0.002). Neoplastic and infectious pathologies were associated with greater positivity (35.3 and 28.9%, respectively; p = 0.006). Gender and age were not associated with a positive screening test. Patients with a positive screening test had longer mean hospital staying (26.7 ± 25 vs. 19.4 ± 16.5; p = 0.005), higher early re-admittance rates (18.6 vs. 6.8%; p = 0.003) and higher mortality (30 vs. 10.3%; p < 0.001). CONCLUSIONS: The CIPA screening test can detect malnourished patients and predict worse clinical prognosis (mortality, mean hospital staying and early readmittance). Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
INTRODUCTION: Malnourishment in hospitalized patients is very prevalent and therefore it is important to implement screening methods. A mixed nutritional screening method (CIPA) has been developed at our center; this method includes four parameters: (a) control of intakes for 72 h; (b) BMI; (c) proteins; and (d) albumin. OBJECTIVES: (1) To know the prevalence of malnourishment at the Internal Medicine Department of our Center; (2) To analyze the variables associated to higher prevalence of malnourishment. MATERIALS AND METHOD: The results of the nutritional screening tests carried out in 305 patients admitted to the Internal Medicine Department in the period of November of 2012-October of 2013 were retrospectively reviewed. The prevalence of hospital malnourishment was analyzed, as well as the association of a positive screening test (at least one positive item) with the following variables: BMI, age, gender, underlying disease, hospital staying, early re-admittance (< 1 month) and hospital mortality. RESULTS: The test yielded a positive result in 23% of the patients. Patients with a positive screening test had lower BMI (24.9 ± 7.2 vs. 27.8 ± 6.4 kg/m; p = 0.002). Neoplastic and infectious pathologies were associated with greater positivity (35.3 and 28.9%, respectively; p = 0.006). Gender and age were not associated with a positive screening test. Patients with a positive screening test had longer mean hospital staying (26.7 ± 25 vs. 19.4 ± 16.5; p = 0.005), higher early re-admittance rates (18.6 vs. 6.8%; p = 0.003) and higher mortality (30 vs. 10.3%; p < 0.001). CONCLUSIONS: The CIPA screening test can detect malnourished patients and predict worse clinical prognosis (mortality, mean hospital staying and early readmittance). Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
Authors: José Pablo Suárez-Llanos; Néstor Benítez-Brito; Laura Vallejo-Torres; Irina Delgado-Brito; Adriá Rosat-Rodrigo; Carolina Hernández-Carballo; Yolanda Ramallo-Fariña; Francisca Pereyra-García-Castro; Juan Carlos-Romero; Nieves Felipe-Pérez; Jennifer García-Niebla; Eduardo Mauricio Calderón-Ledezma; Teresa de Jesús González-Melián; Ignacio Llorente-Gómez de Segura; Manuel Ángel Barrera-Gómez Journal: BMC Health Serv Res Date: 2017-04-20 Impact factor: 2.655