Kanioura Eftychia, Tzanninis Ioannis-Georgios, Poulia Kalliopi-Anna, Stamou Aliki, Liaskas Athanasios, Politis Dimitrios, Kaoura Athina, Garefalakis Georgios, Viniou Nora Athina, Diamantopoulos Panagiotis
Hematology Unit, First Department of Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, Ag. Thoma 17, 11527 Athens, Greece.
Laboratory of Dietetics and Quality of Life, Department of Food Science & Human Nutrition, School of Food and Nutritional Sciences, Agricultural University of Athens, 75 Iera Odos, 11855 Athens, Greece.
Diseases. 2022 Jul 4;10(3):40. doi: 10.3390/diseases10030040.
Disease-related malnutrition (DRM) is highly prevalent among patients with hematologic malignancies. The aim of the present study was to evaluate the prevalence of DRM in hospitalized patients with hematologic malignancies and investigate the level of awareness of DRM among the medical team treating this group of patients. A cross sectional quality clinical audit took place in two hematology units of a tertiary university hospital. Inpatients were screened within 48 h of their admission using the Malnutrition Universal Screening Tool (MUST) to identify their nutritional risk, and they were reassessed to identify the implemented interventions during their hospitalization. One hundred eighty-five patients were included in the audit analysis. On admission, 37.3% of the audited population was identified as being at high risk of malnutrition according to the MUST score. Forty-nine (26.5%) patients reported reduced food intake during the past 5 days, while four (2.2%) reported no food intake. During the hospitalization, only five patients (2.7%) received nutritional support, as indicated. Low levels of awareness of the early detection and treatment of DMS were found. Moreover, the prevalence of DRM and low nutritional intake was reported to be low. Measures to increase awareness of DMR in the medical team and better coordination of the nutrition support teams is vital to ensure better management and early nutrition intervention in hematological patients.
疾病相关营养不良（DRM）在血液系统恶性肿瘤患者中极为普遍。本研究的目的是评估住院血液系统恶性肿瘤患者中DRM的患病率，并调查治疗该组患者的医疗团队对DRM的认知水平。在一所三级大学医院的两个血液科进行了一项横断面质量临床审计。使用营养不良通用筛查工具（MUST）在患者入院后48小时内对住院患者进行筛查，以确定其营养风险，并在其住院期间重新评估以确定实施的干预措施。185名患者纳入审计分析。入院时，根据MUST评分，37.3%的受审计人群被确定为营养不良高风险。49名（26.5%）患者报告在过去5天内食物摄入量减少，而4名（2.2%）患者报告没有食物摄入。住院期间，如所示，只有5名患者（2.7%）接受了营养支持。发现对DMS早期检测和治疗的认知水平较低。此外，报告称DRM的患病率和低营养摄入量较低。提高医疗团队对DMR的认识并更好地协调营养支持团队的措施对于确保血液学患者得到更好的管理和早期营养干预至关重要。
