Mowé M, Bøhmer T
Department of Medicine, Aker Hospital, Oslo, Norway.
J Am Geriatr Soc. 1991 Nov;39(11):1089-92. doi: 10.1111/j.1532-5415.1991.tb02874.x.
To determine the extent to which patients with objective signs of malnutrition had been diagnosed as such by physicians and the diagnosis documented in the medical record.
Cross-sectional.
All non-critically ill patients (n = 121) aged 70 years or older admitted to an Oslo hospital during a 3-week period.
Compared problem list and other elements of the medical record with observations of height, weight, triceps skinfold, midarm circumference, and arm-muscle circumference made on first weekday in hospital. Serum albumin available on 66 subjects.
Nine patients had weight/height ratios below 60% of normal, 16 patients between 60% and 75%, and 41 patients between 74% and 90% of normal. Of these 66 patients, only 24 were recognized as malnourished on admission, only five received nutritional support, and none was diagnosed as having malnutrition at the time of discharge.
Malnutrition is underdiagnosed and undertreated. The consequences of this are likely to be deleterious to health.
确定有营养不良客观体征的患者被医生诊断为此类疾病的程度以及病历中记录的诊断情况。
横断面研究。
在为期3周的时间内入住奥斯陆一家医院的所有70岁及以上非危重症患者（n = 121）。
将病历中的问题清单及其他内容与患者入院第一个工作日测量的身高、体重、三头肌皮褶厚度、上臂围和上臂肌肉围进行比较。66名受试者可获取血清白蛋白数据。
9名患者的体重/身高比低于正常水平的60%，16名患者在60%至75%之间，41名患者在74%至90%之间。在这66名患者中，只有24名在入院时被认定为营养不良，只有5名接受了营养支持，出院时无一人被诊断为营养不良。
营养不良的诊断和治疗不足。其后果可能对健康有害。
