Risk, prevalence, and impact of hospital malnutrition in a Tertiary Care Referral University Hospital: a cross-sectional study

Internal and Emergency Medicine
Emanuele RinninellaMaria Cristina Mele

Abstract

Hospital malnutrition is still underestimated among physicians, even in internal medicine settings. This is a cross-sectional study, aiming to estimate the risk, the prevalence and the impact of malnutrition in an Internal Medicine and Gastroenterology Department of a large Italian hospital (Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome). Patients were evaluated within 72 h from admission according to Nutritional Risk Screening-2002 (NRS-2002) and European Society for Clinical Nutrition and Metabolism (ESPEN) Criteria. Anthropometric, laboratory tests and Bioelectrical Impedance Analysis (BIA) derived phase angle were also performed. Length of hospital stay (LOS) and in-hospital mortality were collected. Univariate and multivariate analyses were conducted to correlate nutritional status with LOS and hospital mortality. In 10 months, 300 patients were enrolled: male patients were 172 (57.3%); mean age was 63.7 (± 17.6). At admission, 157 (52.3%) patients were at risk of malnutrition; 116 (38.7%) were malnourished. Malnourished patients had a mean LOS of 11.5 (± 8.0) days, not-malnourished 9.4 (± 6.2) days (p < 0.05). In-hospital mortality did not significantly differ between the two groups. Multivariate analysis sh...Continue Reading

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Citations

Sep 8, 2018·Internal and Emergency Medicine·Emanuele RinninellaMaria Cristina Mele
Apr 8, 2020·European Journal of Clinical Nutrition·Marco CintoniMaria Cristina Mele
Oct 20, 2020·Internal and Emergency Medicine·Valentina PonzoSimona Bo
Dec 2, 2020·Journal of Clinical Medicine·Gabriele A Vassallo On Behalf Of The Gemelli Olt Group
Mar 2, 2021·International Journal of Nursing Studies·Gerda H van den BergMarian A E de van der Schueren
Dec 12, 2020·Clinical Lung Cancer·Maria Cristina MeleEmilio Bria

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