Özşenel Ekmel Burak, Kahveci Güldan, Pekcioğlu Yıldız, Güner Beytullah, Basat Sema
Department of Internal Medicine, University of Health Sciences, Ümraniye Education and Research Hospital, Istanbul 34764, Turkey.
Nuritional Nursing, Department of Internal Medicine, University of Health Sciences, Ümraniye Education and Research Hospital, Istanbul 34764, Turkey.
J Clin Med. 2025 Jun 5;14(11):3976. doi: 10.3390/jcm14113976.
Malnutrition is increasingly prevalent due to rising life expectancy, oncological cases, and chronic diseases. Early detection is crucial for rehabilitation, complication prevention, and cost reduction. However, nutritional support is often suboptimal. This study aimed to determine malnutrition prevalence and nutritional support status within our hospital. A point prevalence study was conducted in adult inpatient clinics (excluding pediatrics, infectious diseases, and intensive care) by a 12-member team following ethical approval. NRS-2002 scores, arm/calf circumferences, BMI, and laboratory data (albumin, leukocytes, lymphocytes, neutrophils, hemoglobin, CRP, creatinine) were assessed. Enteral and parenteral nutrition treatments were recorded. Patients with NRS-2002 scores ≥ 3 were classified as at risk of malnutrition. Among 178 patients, 24.7% were at risk of malnutrition. Surgical clinics had a higher malnutrition risk (32.3%) than internal medicine clinics (20.3%). Only 27.1% of at-risk patients received nutritional support (surgical: 19%, internal medicine: 44%). Patients at risk of malnutrition exhibited significantly lower arm circumference (: 0.000), calf circumference (: 0.002), lymphocyte counts (: 0.000), hemoglobin (: 0.018), albumin (: 0.001), and BMI (: 0.038), as well as significantly higher age (: 0.000) and CRP levels (: 0.000). Nutritional support remains inadequate despite increased attention to malnutrition. Intensified nutrition education, particularly in surgical inpatient clinics, is needed to improve patient rehabilitation and outcomes.
由于预期寿命延长、肿瘤病例增加以及慢性病增多，营养不良日益普遍。早期发现对于康复、预防并发症和降低成本至关重要。然而，营养支持往往并不理想。本研究旨在确定我院内营养不良的患病率和营养支持状况。在获得伦理批准后，一个由12名成员组成的团队在成人住院诊所（不包括儿科、传染病科和重症监护室）进行了一项现况调查研究。评估了营养风险筛查2002（NRS-2002）评分、上臂/小腿围度、体重指数（BMI）以及实验室数据（白蛋白、白细胞、淋巴细胞、中性粒细胞、血红蛋白、C反应蛋白、肌酐）。记录了肠内和肠外营养治疗情况。NRS-2002评分≥3分的患者被归类为有营养不良风险。在178名患者中，24.7%有营养不良风险。外科诊所的营养不良风险（32.3%）高于内科诊所（20.3%）。只有27.1%的有风险患者接受了营养支持（外科：19%，内科：44%）。有营养不良风险的患者的上臂围度（P = 0.000）、小腿围度（P = 0.002）、淋巴细胞计数（P = 0.000）、血红蛋白（P = 0.018）、白蛋白（P = 0.001）和BMI（P = 0.038）显著较低，而年龄（P = 0.000）和C反应蛋白水平（P = 0.000）显著较高。尽管对营养不良的关注度有所提高，但营养支持仍然不足。需要加强营养教育，尤其是在外科住院诊所，以改善患者的康复情况和治疗结果。
