Division of Gastroenterology and Hepatology, Department of Internal Medicine, Clinical Hospital Center Sisters of Mercy, Zagreb, Croatia.
Ann Nutr Metab. 2012;61(1):65-9. doi: 10.1159/000338967. Epub 2012 Jul 24.
BACKGROUND/AIMS: Malnutrition of hospitalized patients is often undetected and untreated due to poor awareness and insufficient knowledge of the attending hospital staff. Nutritional screening has not been part of the daily routine in Croatian hospitals. Our aim was to implement nutritional screening as part of the routine medical examination and to assess the nutritional risk at admission for all hospitalized patients.
All patients hospitalized in departments of internal medicine in tertiary hospitals in Croatia were screened at entry using the Nutrition Risk Screening 2002 (NRS 2002).
Between October and December 2010, 1,696 patients were screened and analyzed (948 males and 748 females). 329 (19.4%) had an NRS 2002 score ≥3 and were considered to be at nutritional risk. An NRS 2002 score ≥3 was identified as a significant predictor of the length of hospital stay (beta coefficient = 0.06, p = 0.027) and fatal outcome (OR = 6.18, p < 0.001). Only 32.8% of malnourished patients received some nutritional support.
Every fifth patient hospitalized in a general medical department in Croatia is at nutritional risk and the majority of them does not receive nutritional support. More effort is needed to implement nutritional standards in daily clinical practice.
背景/目的：由于医院工作人员对营养问题认识不足且缺乏相关知识，住院患者的营养不良问题往往得不到发现和治疗。营养筛查尚未成为克罗地亚医院日常工作的一部分。我们的目的是将营养筛查纳入常规医疗检查，并评估所有住院患者入院时的营养风险。
2010 年 10 月至 12 月，我们使用营养风险筛查 2002 量表（NRS 2002）对克罗地亚三家三级医院内科病房的所有入院患者进行筛查。
共筛查并分析了 1696 例患者（948 例男性，748 例女性）。329 例（19.4%）患者的 NRS 2002 评分≥3，被认为存在营养风险。NRS 2002 评分≥3 是住院时间（β系数=0.06，p=0.027）和死亡结局（OR=6.18，p<0.001）的显著预测因子。仅有 32.8%的营养不良患者接受了某种形式的营养支持。
在克罗地亚的综合内科病房中，每 5 名住院患者中就有 1 名存在营养风险，且大多数患者未接受营养支持。需要进一步努力将营养标准纳入日常临床实践中。
