Centre for Dietetic Research, School of Human Movement Studies, The University of Queensland, Brisbane, St Lucia, QLD 4072, Australia.
Clin Nutr. 2013 Oct;32(5):737-45. doi: 10.1016/j.clnu.2012.11.021. Epub 2012 Dec 5.
BACKGROUND & AIMS: The Australasian Nutrition Care Day Survey (ANCDS) ascertained if malnutrition and poor food intake are independent risk factors for health-related outcomes in Australian and New Zealand hospital patients.
Phase 1 recorded nutritional status (Subjective Global Assessment) and 24-h food intake (0, 25, 50, 75, 100% intake). Outcomes data (Phase 2) were collected 90-days post-Phase 1 and included length of hospital stay (LOS), readmissions and in-hospital mortality.
Of 3122 participants (47% females, 65 ± 18 years) from 56 hospitals, 32% were malnourished and 23% consumed ≤ 25% of the offered food. Malnourished patients had greater median LOS (15 days vs. 10 days, p < 0.0001) and readmissions rates (36% vs. 30%, p = 0.001). Median LOS for patients consuming ≤ 25% of the food was higher than those consuming ≤ 50% (13 vs. 11 days, p < 0.0001). The odds of 90-day in-hospital mortality were twice greater for malnourished patients (CI: 1.09-3.34, p = 0.023) and those consuming ≤ 25% of the offered food (CI: 1.13-3.51, p = 0.017), respectively.
The ANCDS establishes that malnutrition and poor food intake are independently associated with in-hospital mortality in the Australian and New Zealand acute care setting.
澳大拉西亚营养护理日调查（ANCDS）旨在确定在澳大利亚和新西兰住院患者中，营养不良和食物摄入不良是否是与健康相关结局的独立危险因素。
第 1 阶段记录营养状况（主观全面评估）和 24 小时食物摄入量（0、25、50、75、100%摄入量）。第 2 阶段收集出院后 90 天的结果数据，包括住院时间（LOS）、再入院和院内死亡率。
在来自 56 家医院的 3122 名参与者（47%为女性，65±18 岁）中，32%存在营养不良，23%摄入的食物量≤25%。营养不良患者的 LOS 中位数（15 天 vs. 10 天，p<0.0001）和再入院率（36% vs. 30%，p=0.001）更高。摄入≤25%食物的患者的 LOS 中位数高于摄入≤50%食物的患者（13 天 vs. 11 天，p<0.0001）。营养不良患者（CI：1.09-3.34，p=0.023）和摄入≤25%食物的患者（CI：1.13-3.51，p=0.017）发生 90 天院内死亡率的风险分别是未发生营养不良患者的两倍和未摄入≤50%食物患者的两倍。
ANCDS 表明，在澳大利亚和新西兰急性护理环境中，营养不良和食物摄入不良与院内死亡率独立相关。
