covid
Buscar en
Endocrinología y Nutrición
Toda la web
Inicio Endocrinología y Nutrición Prevalencia de desnutrición en un servicio de medicina interna
Información de la revista
Vol. 52. Núm. 10.
Páginas 547-550 (diciembre 2005)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 52. Núm. 10.
Páginas 547-550 (diciembre 2005)
Originales
Acceso a texto completo
Prevalencia de desnutrición en un servicio de medicina interna
Prevalence of malnutrition in an internal medicine service
Visitas
5267
F.G. Baccaro
, J. Balza-Moreno, C. Borlenghi, L. Albani
Servicio de Clínica Médica. Complejo Médico Policial Churruca-Visca. Buenos Aires. Argentina
Este artículo ha recibido
Información del artículo
Resumen
Bibliografía
Descargar PDF
Estadísticas
Objetivo

Evaluación del estado nutricional en pacientes internados en un servicio de medicina interna.

Material y métodos

Estudio longitudinal, prospectivo y observacional sobre una población de 412 pacientes, utilizando la valoración global subjetiva. En cuanto a la estadística, se utilizaron los métodos de la χ2 para análisis univariado y regresión logística.

Resultados

Se incluyó a 412 pacientes, de los que el 47,58% presentó desnutrición, el 39% desnutrición moderada (grupo B) y el 8,58% desnutrición grave (grupo C). La desnutrición se relacionó con edad mayor de 65 años, el sexo varón y el diagnóstico de enfermedades oncológicas e infecciosas, así como con una mayor estancia hospitalaria

Conclusiones

La incidencia de desnutrición en el servicio de medicina interna es elevada y se aprecia un alto desinterés sobre el estado nutricional de los pacientes internados. Los resultados hallados son comparables a los de otros estudios latinoamericanos.

Palabras clave:
Valoración global subjetiva
Valoración nutricional
Desnutrición
Desnutrición hospitalaria
Objective

To evaluate nutritional status in patients admitted to an Internal Medicine Service.

Material and methods

We performed a longitudinal, prospective, observational study in 412 patients, using Subjective Global Assessment. The chi-square test for univariate analysis and logistic regression were used.

Results

Of the 412 patients included,47.58% had malnutrition, which was moderate in 39% (group B) and severe in 8.58% (group C). Malnutrition was related to age older than 65 years, male sex, oncologic and infectious diseases, and longer length of hospital stay.

Conclusions

The incidence of malnutrition in our Internal Medicine Service is high,and little interest is shown in the nutritional status of admitted patients. The results of the present study are similar to those of other studies performed in Latin America.

Key words:
Subjective Global Assessment
Nutritional assessment
Malnutrition
Hospital malnutrition
El Texto completo está disponible en PDF
Bibliografía
[1.]
R.K. Chandra, A. Imbach, C. Moore, D. Skelton, D. Woolcott.
Nutrition of the elderly.
Can Med Assoc J, 145 (1991), pp. 1475-1478
[2.]
J.P. McWhirter, C.R. Pennington.
Incidence and recognition of malnutrition in hospital.
BMJ, 308 (1994), pp. 945-949
[3.]
G.M. Levine, M. Goldstein, G. Robinson.
Impact of nutritional status on DRG length of stay.
J Parent Enter Nutr, 11 (1987), pp. 49-53
[4.]
D.L. Waitzberg, W.T. Caiaffa, M.I.T.D. Correia.
Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients.
Nutrition, 17 (2001), pp. 573-576
[5.]
J. Kehr.
Aguayo B: Chilean survey of hospital nutrition status.
J Parent Enter Nutr, 24 (2000), pp. S14
[6.]
D.F. Wyszynski, M. Perman, A. Crivelli.
Prevalence of hospital malnutrition in Argentina: preliminary results of a populationbased study.
Nutrition, 19 (2003), pp. 115-119
[7.]
A.S. Detsky, J.P. Baker, R.A. Mendelson, S.L. Wolman, D.E. Wesson, K.N. Jeejeebhoy.
Evaluating the accuracy of nutritional assessment techniques applied to hospitalized patients: methodology and comparisons.
J Parent Enter Nutr, 8 (1984), pp. 153-158
[8.]
H. Tucker, M.G. Stanley.
Cost containment through nutrition intervention.
Nutr Rev, 54 (1996), pp. 111-115
[9.]
S.P. Allison.
Malnutrition, disease, and outcome.
Nutrition, 16 (2000), pp. 590-593
[10.]
A.S. Detsky, J.R. McLaughlin, J.P. Baker, N. Johnston, S. Whittaker, R.A. Mendelson, et al.
What is subjective global assessment of nutritional status?.
J Parent Enter Nutr, 11 (1987), pp. 8-13
[11.]
K.N. Jeejeebhoy.
Nutritional assessment.
Gastroenterol Clin North Am, 27 (1998), pp. 347-369
[12.]
A.S. Detsky, J.R. McLaughlin, J.P. Baker, et al.
What is subjective global assessment of nutritional status?.
J Parent Enter Nutr, 11 (1987), pp. 8-12
[13.]
E. Fiaccadori, M. Lombardi, S. Leonardi, et al.
Prevalence and clinical outcome associated with preexisting malnutrition in acute renal failure: a prospective cohort study.
J Am Soc Nephrol, 10 (1999), pp. 581-593
[14.]
D.B. Jellife.
The assessment of the nutritional status of the community: with special reference to field surveys in developing regions of the world.
World Health Organization, (1966),
[15.]
A.R. Frisancho.
New norms of upper limb fat and muscle areas for assessment of nutritional status.
Am J Clin Nutr, 34 (1981), pp. 2540-2545
[16.]
P.J. Thuluvath, D.R. Triger.
How valid are our reference standards of nutrition.
Nutrition, 11 (1995), pp. 731-733
[17.]
M.I.T.D. Correia, D.L. Waitzberg.
The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis.
Clin Nutr, 22 (2003), pp. 235-239
[18.]
P. Putwatana, P. Reodecha, Y. Sirapo-Ngam, P. Lertsithichai, K. Sumboonnanonda.
Nutrition screening tools and the prediction of postoperative infectious and wound complications:comparison of methods in presence of risk adjustment.
Nutrition, 21 (2005), pp. 691-697
[19.]
T.Z. Nursal, T. Noyan, B.G. Atalay, N. Koz, H. Karakayali.
Simple two-part tool for screening of malnutrition.
Nutrition, 21 (2005), pp. 659-665
[20.]
C.E. Weekes, M. Elia, P.W. Emery, C.E. Weekes, M. Elia, P.W. Emery.
The development, validation and reliability of a nutrition screening tool based on the recommendations of the British Association for Parenteral and Enteral Nutrition (BAPEN).
Clin Nutr, 23 (2004), pp. 1104-1112
[21.]
M. Ferguson, S. Capra, J. Bauer, M. Banks.
Development of a valid and reliable malnutrition screening tool for adult acute hospital patients.
Nutrition, 15 (1999), pp. 458-467
[22.]
A.M. Rocandio Pablo, M. Arroyo Izaga, L. Ansotegui Alday.
Assessment of nutritional status on hospital admission: nutritional scores.
Eur J Clin Nut, 57 (2003), pp. 824-831
[23.]
M.I.T.D. Correia, D.L. Waitzberg.
Nutritional assessment in the hospitalized patient.
Curr Opin Clin Nutr Metab Care, 6 (2003), pp. 531-538
[24.]
M.D. Persson, K.E. Brismar, K.S. Katzarski, J. Nordenstrom, T.E. Cederholm.
Nutritional status using mini nutritional assessment and subjective global assessment predict mortality in geriatric patients.
J Am Geriatr Soc, 50 (2002), pp. 1996-2002
[25.]
D.C. Heimburger.
Intersociety Professional Nutrition Education Consortium Physician-nutrition-specialist track: if we build it, will they come?.
Am J Clin Nutr, 71 (2000), pp. 1048-1053
Copyright © 2005. Sociedad Española de Endocrinología y Nutrición
Opciones de artículo
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos