Julia Rodriguez Bugueiro1, Natalia Lacquaniti2, María Cecilia Merkel2, Anabel Villagra2. 1. Servicio de Nutrición. Hospital de Alta Complejidad en Red "El Cruce" Dr. Néstor C. Kirchner. Florencio Varela. Buenos Aires. República Argentina.. juliarodb@gmail.com. 2. Servicio de Nutrición. Hospital de Alta Complejidad en Red "El Cruce" Dr. Néstor C. Kirchner. Florencio Varela. Buenos Aires. República Argentina..
Abstract
BACKGROUND: Malnutrition at hospitals is responsible for high morbidity and mortality** rates. This study aims at describing the results of the implementation of a hospital nutrition program with an eventual deployment of nutritional support. METHODS: Observational, prospective, single-centre design. All adult patients consecutively admited in our hospital during the period January 2012-September 2013 were registered. The implementation of the nutrion program consisted of: nutritional assessment at admitance; examination of the patient with indications for starting nutritional support; implementation of nutritional support; monitoring and follow-up. RESULTS: 1,268 patients were admited. 1,234 patients (97.3%) underwent a nutritional assesment by means of Subjective Global Assessment. 821 patients (66.5%) were identified with cathegory A, 280 patients (22.7%) with cathegory B, and 60 patients (4.9%) with cathegory C. 269 patients (21.8%) presented indications for nutritional support of which 227 (84.4%) did receive it. A total of 219 patients (64.4%) out of the 340 patients (27.6%) representing the global figure of malnutrition at the hospital (cathegories B + C), presented indications for starting some kind of nutritional support. 181 patients (82.6%) initiated this nutritional support. 28 patients (73.7%) out of the 38 patients (17.3%) who did not initiate it showed EGS C, being the patients ominous prognostic the main reason for not starting the nutritional support. CONCLUSION: The aplication of a program aimed at the eventual implementation of nutritional support allowed the nutritional assessment of a high percentage of inpatients and the correct use of nutritional support on a high percentage of these patients. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
BACKGROUND: Malnutrition at hospitals is responsible for high morbidity and mortality** rates. This study aims at describing the results of the implementation of a hospital nutrition program with an eventual deployment of nutritional support. METHODS: Observational, prospective, single-centre design. All adult patients consecutively admited in our hospital during the period January 2012-September 2013 were registered. The implementation of the nutrion program consisted of: nutritional assessment at admitance; examination of the patient with indications for starting nutritional support; implementation of nutritional support; monitoring and follow-up. RESULTS: 1,268 patients were admited. 1,234 patients (97.3%) underwent a nutritional assesment by means of Subjective Global Assessment. 821 patients (66.5%) were identified with cathegory A, 280 patients (22.7%) with cathegory B, and 60 patients (4.9%) with cathegory C. 269 patients (21.8%) presented indications for nutritional support of which 227 (84.4%) did receive it. A total of 219 patients (64.4%) out of the 340 patients (27.6%) representing the global figure of malnutrition at the hospital (cathegories B + C), presented indications for starting some kind of nutritional support. 181 patients (82.6%) initiated this nutritional support. 28 patients (73.7%) out of the 38 patients (17.3%) who did not initiate it showed EGS C, being the patients ominous prognostic the main reason for not starting the nutritional support. CONCLUSION: The aplication of a program aimed at the eventual implementation of nutritional support allowed the nutritional assessment of a high percentage of inpatients and the correct use of nutritional support on a high percentage of these patients. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.