Maia Isabel, Xará Sónia, Dias Isabel, Parente Bárbara, Amaral Teresa F
Serviço de Nutrição e Dietética, Centro Hospitalar de Vila Nova de Gaia/Espinho, Gaia, Portugal.
Serviço de Nutrição e Dietética, Centro Hospitalar de Vila Nova de Gaia/Espinho, Gaia, Portugal.
Rev Port Pneumol. 2014 Nov-Dec;20(6):293-8. doi: 10.1016/j.rppneu.2014.01.004. Epub 2014 Mar 20.
Undernutrition is associated with worse clinical outcomes and so screening is recommended. Given the paucity of information on nutritional status and on the clinical impact of undernutrition in Pulmonology patients who have been hospitalized, it is of the utmost importance that it is studied. Through a longitudinal study conducted of 323 patients consecutively admitted to a Pulmonology hospital department, undernutrition was screened using the Malnutrition Universal Screening Tool and the association between length of hospital stay, pathology type, discharge destination and undernutrition risk was quantified. There was found to be a high proportion of patients at risk of undernutrition, with 18.3% at high risk and 15.5% at moderate risk. Patients at risk of undernutrition had a higher risk of dying during hospitalization (OR=2.72, 95% CI: 1.48- 4.97). One in three patients admitted to this unit is at risk of undernutrition; chronic obstructive pulmonary disease was the pathology most strongly associated with undernutrition risk. Present data reinforces the need for screening for undernutrition on admission.
营养不良与更差的临床结局相关，因此建议进行筛查。鉴于关于住院肺病患者营养状况及营养不良临床影响的信息匮乏，对其进行研究至关重要。通过对一家肺病医院科室连续收治的323例患者进行纵向研究，使用营养不良通用筛查工具对营养不良进行筛查，并对住院时间、病理类型、出院去向与营养不良风险之间的关联进行量化。结果发现，有很高比例的患者存在营养不良风险，其中18.3%为高风险，15.5%为中度风险。存在营养不良风险的患者在住院期间死亡风险更高（比值比=2.72，95%置信区间：1.48-4.97）。该科室收治的患者中有三分之一存在营养不良风险；慢性阻塞性肺疾病是与营养不良风险关联最密切的病理类型。目前的数据强化了入院时筛查营养不良的必要性。
