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里耶卡大学医院中心的胃肠病患者营养风险筛查。

NUTRITIONAL RISK SCREENING IN GASTROENTEROLOGICAL PATIENTS AT THE RIJEKA UNIVERSITY HOSPITAL CENTRE.

机构信息

1Department of Health Ecology, University of Rijeka, School of Medicine, Rijeka, Croatia; 2Department of Internal Medicine, Rijeka University Hospital Centre, Rijeka, Croatia; 3Department of Neurology, Pula General Hospital, Pula, Croatia; 4Department of Anatomy, University of Rijeka, School of Medicine, Rijeka, Croatia; 5Health Centre of Primorje-Gorski Kotar County, Rijeka, Croatia; 6Department of Physical and Rehabilitation Medicine, Rijeka University Hospital Centre, Rijeka, Croatia; 7Department of Ophthalmology, Rijeka University Hospital Centre, Rijeka, Croatia.

出版信息

Acta Clin Croat. 2020 Dec;59(4):632-640. doi: 10.20471/acc.2020.59.04.09.

Abstract

Malnutrition is usually related to some diseases such as inflammatory bowel disease, chronic pancreatitis, chronic liver disease and malignant tumors. It is characterized by weight loss, protein deficiency, and deficit of specific nutrients. The aim was to estimate the prevalence of nutritional risk among 160 gastrointestinal patients by use of the Nutritional Risk Screening (NRS-2002) score at hospital admission and discharge. The patients stayed in the hospital between 5 and 15 days or longer. Results showed that 40% of patients at admission and 36.2% at discharge were malnourished. There were 53.1% of patients with recognized malnutrition at admission that received nutritional support, whereas at discharge 34.4% of patients at risk were not dietary supported. Malnourished patients were significantly older, had lower body mass index, longer hospital stay and higher rate of malignant diseases than properly nourished patients. Regular screening for malnutrition should be conveyed in hospitals as to provide appropriate dietary support for all patients at risk.

摘要

营养不良通常与某些疾病有关,如炎症性肠病、慢性胰腺炎、慢性肝病和恶性肿瘤。其特征是体重减轻、蛋白质缺乏和特定营养素不足。本研究旨在通过入院和出院时的营养风险筛查(NRS-2002)评分来评估 160 例胃肠道患者的营养风险发生率。这些患者在医院的住院时间为 5 至 15 天或更长时间。结果显示,入院时 40%的患者和出院时 36.2%的患者存在营养不良。入院时已识别出 53.1%的营养不良患者接受了营养支持,但出院时,有 34.4%的有风险的患者未进行饮食支持。营养不良患者的年龄明显更大,体重指数更低,住院时间更长,恶性疾病的发生率也高于营养良好的患者。医院应定期进行营养不良筛查,为所有有风险的患者提供适当的饮食支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/169d/8253059/331d71eb1614/acc-59-632-f1.jpg

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