Evaluation of the nutritional status of patients hospitalized in a university hospital

Journal of Medical and Dental Investigations Pub Date : 2023-12-31 DOI:10.5577/jomdi.e230357

Selçuk Bardak, Hatice Beyazal Polat

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Abstract

Aim: Malnutrition is a common condition in hospitalized patients. This study aimed to evaluate the nutritional status of patients hospitalized in the Recep Tayyip Erdoğan University Medical Faculty Training and Research Hospital and to determine physicians' awareness of this issue. Methods: In this study, patients hospitalized in different wards were evaluated prospectively. The 485 patients over the age of 18 who were hospitalized in different wards were included in the study. The chronic disease history of the patients was evaluated. The patients were evaluated twice, at admission and on the 7th day of hospitalization. Height, weight, body mass index, and upper arm circumference were measured with the NRS 2002 (Nutritional Risk Scoring) screening test to determine the nutritional status of the patients. Descriptive statistical methods were used in the evaluation of the data, and the chi-square test was used in the comparison of qualitative data (p<0.05). Results: Of the patients included in the study, 42% were female and 58% were male. There was no statistical difference in the comparison of the presence of malnutrition by gender. According to the first NRS 2002 measurements of the patients, malnutrition was not found in 78.1% of all patients, while the presence of malnutrition was found in 21.9% of the patients. 100 of the 105 patients with malnutrition were found to be over 65 years old. According to the second NRS 2002 measurements, while 31.2% of patients over 65 years of age had malnutrition, 3.1% of patients under 65 years of age had malnutrition. Conclusion: The rate of malnutrition increased as the presence of chronic disease and age increased. It was seen that most of the patients who were found to have malnutrition in the first evaluation were not provided with nutritional support, and the rate of noticing and treating malnutrition by physicians was not sufficient. How to cite this article: Bardak S, Beyazal Polat H. Evaluation of the nutritional status of patients hospitalized in a university hospital. J Med Dent Invest 2023; 4: e230357. https://doi.org/10.5577/jomdi.e230357

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评估大学医院住院病人的营养状况

目的：营养不良是住院病人的常见病。本研究旨在评估雷杰普-塔伊普-埃尔多安大学医学院培训与研究医院住院病人的营养状况，并确定医生对这一问题的认识。研究方法本研究对不同病房的住院患者进行了前瞻性评估。研究对象包括在不同病房住院的 485 名 18 岁以上患者。对患者的慢性病史进行了评估。患者分别在入院时和住院第 7 天接受了两次评估。通过 NRS 2002（营养风险评分）筛查测试测量身高、体重、体重指数和上臂围度，以确定患者的营养状况。数据评估采用描述性统计方法，定性数据比较采用卡方检验（P<0.05）。研究结果参与研究的患者中，42%为女性，58%为男性。不同性别的营养不良情况比较没有统计学差异。根据对患者进行的首次 NRS 2002 测量，78.1% 的患者未发现营养不良，而 21.9% 的患者存在营养不良。在 105 名营养不良的患者中，有 100 人的年龄超过 65 岁。根据第二次 NRS 2002 测量结果，65 岁以上的患者中有 31.2% 存在营养不良，而 65 岁以下的患者中有 3.1% 存在营养不良。结论营养不良率随着慢性疾病的存在和年龄的增加而增加。在首次评估中发现营养不良的患者中，大多数没有得到营养支持，医生对营养不良的注意和治疗率不足。本文引用方式Bardak S, Beyazal Polat H. 大学医院住院病人营养状况评估。J Med Dent Invest 2023; 4: e230357. https://doi.org/10.5577/jomdi.e230357

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Journal of Medical and Dental Investigations

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