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与患者住院期间体重减轻和规定饮食相关的因素。

Factors associated with patient weight loss and prescribed diet during hospitalization.

机构信息

Postgraduate Program in Health Sciences. Pontifícia Universidade Católica de Campinas. Campinas.

Scholarship of Scientific Initiation. Faculdade de Nutrição. Pontifícia Universidade Católica de Campinas.

出版信息

Nutr Hosp. 2021 Jul 29;38(4):749-757. doi: 10.20960/nh.03249.

DOI:10.20960/nh.03249
PMID:33966443
Abstract

Objective: the aim of this study was to assess weight loss, diet prescribed, and nutritional status in hospitalized patients, as well as their associated factors. Methods: weight loss during hospitalization, nutritional status, disease type, and prescribed diet were investigated in a retrospective study in 621 hospitalized patients. The chi-squared, Fisher's, Mann-Whitney, and Kruskal-Wallis tests were used for statistical analysis. To identify factors associated with weight loss a logistic regression analysis was performed. The significance level adopted for statistical tests was 5 %. Results: patients who experienced weight loss during hospitalization were associated with longer hospital stays (p < 0.0001; OR = 1.052; 95 % CI = 1.030 to 1.073), malnourishment according to the subjective global assessment (p = 0.0358; OR = 1.520; 95 % CI = 1,028 to 2,248), digestive disorders (p = 0.0081; OR = 3.177; 95 % CI = 1.351 to 7.469), and digestive neoplasms (p = 0.0407; OR = 2.410; 95 % CI = 1.038 to 5.597). Conclusion: weight loss during hospitalization was associated with neoplasms, digestive diseases, malnutrition, and length of stay.

摘要

目的

本研究旨在评估住院患者的体重减轻、规定饮食和营养状况及其相关因素。

方法

对 621 例住院患者进行回顾性研究,调查住院期间的体重减轻、营养状况、疾病类型和规定饮食。采用卡方检验、Fisher 精确检验、Mann-Whitney U 检验和 Kruskal-Wallis 检验进行统计学分析。采用 Logistic 回归分析识别与体重减轻相关的因素。采用 5 %的显著性水平进行统计检验。

结果

住院期间体重减轻的患者与住院时间较长有关(p < 0.0001;OR = 1.052;95 % CI = 1.030 至 1.073)、根据主观整体评估存在营养不良(p = 0.0358;OR = 1.520;95 % CI = 1.028 至 2.248)、消化障碍(p = 0.0081;OR = 3.177;95 % CI = 1.351 至 7.469)和消化道肿瘤(p = 0.0407;OR = 2.410;95 % CI = 1.038 至 5.597)。

结论

住院期间的体重减轻与肿瘤、消化道疾病、营养不良和住院时间有关。

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