Albiin N, Asplund K, Bjermer L
Acta Med Scand. 1982;212(3):151-6. doi: 10.1111/j.0954-6820.1982.tb03188.x.
The nutritional status was assessed in 75 consecutive patients acutely admitted to a general medical ward. Weight-for-height, triceps skinfold thickness, arm muscle circumference, plasma albumin and serum transferrin were used as nutritional indicators. By combining abnormalities in two or more of these variables, we found obesity in 9% and undernutrition in 22% of the patients on admission. Energy deficiencies as well as acute and chronic protein undernutrition were observed. Age over 75 years, lack of own teeth and a reason for admission other than circulatory disorders or diabetes were tentatively identified as risk factors for undernutrition-some of them conceivably interdependent. Living conditions and regular medication seemed to be less important determinants in this group of patients. We conclude that undernutrition is prevalent among hospitalized medical patients in Sweden as in other industrialized countries. Patients with "hospital malnutrition" are partly recruited from a population of malnourished elderly people outside the hospital. Adequate nutritional support is an essential objective of hospital care in patients wih medical disorders.
对75名连续急症入住普通内科病房的患者进行了营养状况评估。身高体重比、肱三头肌皮褶厚度、上臂肌肉围、血浆白蛋白和血清转铁蛋白被用作营养指标。通过综合这些变量中两个或更多变量的异常情况，我们发现入院时9%的患者存在肥胖，22%的患者存在营养不良。观察到能量缺乏以及急性和慢性蛋白质营养不良。初步确定年龄超过75岁、无牙以及入院原因不是循环系统疾病或糖尿病是营养不良的风险因素——其中一些因素可能相互关联。在这组患者中，生活条件和常规用药似乎是不太重要的决定因素。我们得出结论，与其他工业化国家一样，瑞典住院内科患者中营养不良很普遍。患有“医院营养不良”的患者部分来自医院外营养不良的老年人群体。对于患有内科疾病的患者，提供充足的营养支持是医院护理的一项基本目标。
