Prevalence of Malnutrition in Hospitalized Patients: a Multicenter Cross-sectional Study

被引：86

作者：

Kang, Min Chang ^{[1
]}

Kim, Ji Hoon ^{[2
]}

Ryu, Seung-Wan ^{[3
]}

Moon, Jae Young ^{[4
]}

Park, Je Hoon ^{[5
]}

Park, Jong Kyung ^{[6
]}

Park, Jong Hoon ^{[7
]}

Baik, Hyun-Wook ^{[8
]}

Seo, Jeong-Meen ^{[9
]}

Son, Myoung-Won ^{[10
]}

Song, Geun Am ^{[11
]}

Shin, Dong Woo ^{[12
]}

Shin, Yeon Myung ^{[13
]}

Ahn, Hong-yup ^{[14
]}

Yang, Han-Kwang ^{[15
,16
]}

Yu, Hee Chul ^{[17
]}

Yun, Ik Jin ^{[18
]}

Lee, Jae Gil ^{[19
]}

Lee, Jae Myeong ^{[20
]}

Lee, Jung Hwa ^{[21
]}

Lee, Tae Hee ^{[22
]}

Yim, Haejun ^{[23
]}

Jeon, Hyun Jeong ^{[24
]}

Jung, Kyuwhan ^{[25
]}

Jung, Mi Ran ^{[26
]}

Jeong, Chi-Young ^{[27
]}

Lim, Hee-Sook ^{[28
]}

Hong, Suk-Kyung ^{[29
]}

机构：

[1] Soonchunhyang Univ, Dept Surg, Seoul Hosp, Seoul, South Korea

[2] Univ Ulsan, Gangneung Asan Hosp, Dept Surg, Coll Med, Kangnung, South Korea

[3] Keimyung Univ, Dongsan Med Ctr, Dept Surg, Sch Med, Daegu, South Korea

[4] Chungnam Natl Univ Hosp, Dept Internal Med, Daejeon, South Korea

[5] Catholic Kwandong Univ, Int St Marys Hosp, Dept Surg, Coll Med, Incheon, South Korea

[6] Catholic Univ Korea, St Pauls Hosp, Div Colorectal Surg, Dept Surg,Coll Med, Seoul, South Korea

[7] Daegu Fatima Hosp, Dept Surg, Daegu, South Korea

[8] Bundang Jesaeng Hosp, Dept Internal Med, Seongnam, South Korea

[9] Sungkyunkwan Univ, Div Pediat Surg, Dept Surg, Samsung Med Ctr,Sch Med, Seoul, South Korea

[10] Soonchunhyang Univ, Dept Surg, Cheonan Hosp, Cheonan, South Korea

[11] Pusan Natl Univ, Div Gastroenterol, Dept Internal Med, Coll Med, Busan, South Korea

[12] Hallym Univ, Dongtan Sacred Heart Hosp, Dept Surg, Coll Med, Hwaseong, South Korea

[13] Kosin Univ, Gospel Hosp, Div Gastrointestinal Surg, Dept Surg,Coll Med, Busan, South Korea

[14] Dongguk Univ, Dept Stat, Seoul, South Korea

[15] Seoul Natl Univ, Dept Surg, Coll Med, Seoul, South Korea

[16] Seoul Natl Univ, Canc Res Inst, Coll Med, Seoul, South Korea

[17] Chonbuk Natl Univ, Dept Surg, Med Sch, Jeonju, South Korea

[18] Konkuk Univ, Dept Surg, Sch Med, Seoul, South Korea

[19] Yonsei Univ, Dept Surg, Coll Med, Seoul, South Korea

[20] Korea Univ, Anam Hosp, Dept Surg, Coll Med, Seoul, South Korea

[21] Kyung Hee Univ, Nutr Team, Med Ctr, Seoul, South Korea

[22] Konyang Univ, Div Gastroenterol & Hepatol, Dept Internal Med, Coll Med, Daejeon, South Korea

[23] Hallym Univ, Hangang Sacred Heart Hosp, Dept Burn Surg & Crit Care, Burn Ctr,Coll Med, Seoul, South Korea

[24] Chungbuk Natl Univ, Dept Internal Med, Coll Med, Cheongju, South Korea

[25] Jeju Natl Univ Hosp, Dept Surg, Jeju, South Korea

[26] Chonnam Natl Univ, Div Gastroenterol Surg, Dept Surg, Hwasun Hosp, Hwasun, South Korea

[27] Gyeongsang Natl Univ Hosp, Dept Surg, Jinju, South Korea

[28] Yeonsung Univ, Dept Food & Nutr, Anyang, South Korea

[29] Univ Ulsan, Div Acute Care Surg, Dept Surg, Coll Med,Asan Med Ctr, 88 Olymp Ro 43 Gil, Seoul 05505, South Korea

来源：

JOURNAL OF KOREAN MEDICAL SCIENCE | 2018年 / 33卷 / 02期

关键词：

Malnutrition; Nutrition Assessment; Hospitalization; Prevalence; Subjective Global Assessment; NUTRITIONAL SUPPORT; ESPEN GUIDELINES; CARE; IDENTIFICATION; IMPACT;

D O I：

10.3346/jkms.2018.33.e10

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Malnutrition is associated with many adverse clinical outcomes. The present study aimed to identify the prevalence of malnutrition in hospitalized patients in Korea, evaluate the association between malnutrition and clinical outcomes, and ascertain the risk factors of malnutrition. Methods: A multicenter cross-sectional study was performed with 300 patients recruited from among the patients admitted in 25 hospitals on January 6, 2014. Nutritional status was assessed by using the Subjective Global Assessment (SGA). Demographic characteristics and underlying diseases were compared according to nutritional status. Logistic regression analysis was performed to identify the risk factors of malnutrition. Clinical outcomes such as rate of admission in intensive care units, length of hospital stay, and survival rate were evaluated. Results: The prevalence of malnutrition in the hospitalized patients was 22.0%. Old age (>= 70 years), admission for medical treatment or diagnostic work-up, and underlying pulmonary or oncological disease were associated with malnutrition. Old age and admission for medical treatment or diagnostic work-up were identified to be risk factors of malnutrition in the multivariate analysis. Patients with malnutrition had longer hospital stay (SGA A = 7.63 +/- 6.03 days, B = 9.02 +/- 9.96 days, and C = 12.18 +/- 7.24 days, P = 0.018) and lower 90-day survival rate (SGA A = 97.9%, B = 90.7%, and C = 58.3%, P < 0.001). Conclusion: Malnutrition was common in hospitalized patients, and resulted in longer hospitalization and associated lower survival rate. The rate of malnutrition tended to be higher when the patient was older than 70 years old or hospitalized for medical treatment or diagnostic work-up compared to elective surgery.

引用

页数：10

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