Sincić Brankica Mijandrusić, Orlić Lidija, Jurisić Dubravka Erzen, Kendel Gordana, Gombac Elena, Kvenić Barbara, Stimac Davor
Department of Internal Medicine, University Hospital Center "Rijeka", Rijeka, Croatia.
Coll Antropol. 2007 Jun;31(2):435-9.
Malnutrition is an independent risk factor impacting on higher complications and increased length of hospital stay and costs. The aim of this study was to determine the prevalence of nutritional risk among patients on regular haemodialysis (HD) (Group I, N = 105) and among the patients at Gastroenterology, Endocrinology, Hematology and Clinical Immunology (Group II, N = 652). Cross-sectional nutritional evaluation was done using Nottingham Hospital Screening Tool (NS). The prevalence of nutritional risk was 9% in Group I and 21% in Group II (p = 0.0002). We found statistically significant larger quantity of malnourished patients among acute internistic patients than among chronic from the same Group II. Malnutrition among patients on HD didn't differ statistically to chronic internistic patients. We didn't found a significantly higher percentage of nutritional risk among elderly patients (65 years and more). Correlation between body mass index (BMI) and NS was significant, but weak (r = -0.32). We can conclude that the prevalence of nutritional risk among HD patients was lower than we had expected. It seems that the screening tool we used is not sensitive enough for HD patients and needs further investigations.
营养不良是一个独立的风险因素，会增加并发症发生率、延长住院时间并提高费用。本研究的目的是确定接受定期血液透析（HD）的患者（第一组，N = 105）以及胃肠病学、内分泌学、血液学和临床免疫学患者（第二组，N = 652）中营养风险的患病率。使用诺丁汉医院筛查工具（NS）进行横断面营养评估。第一组营养风险患病率为9%，第二组为21%（p = 0.0002）。我们发现，在第二组的急性内科患者中，营养不良患者的数量在统计学上显著多于慢性内科患者。HD患者中的营养不良情况与慢性内科患者在统计学上无差异。我们未发现老年患者（65岁及以上）的营养风险百分比显著更高。体重指数（BMI）与NS之间存在显著但较弱的相关性（r = -0.32）。我们可以得出结论，HD患者中营养风险的患病率低于我们的预期。看来我们使用的筛查工具对HD患者不够敏感，需要进一步研究。
