The Subjective Global Assessment Predicts In-Hospital Mortality Better than Other Nutrition-Related Risk Indexes in Noncritically Ill Inpatients Who Receive Total Parenteral Nutrition in Spain (Prospective Multicenter Study)

被引:16
作者
Olveira, Gabriel [1 ]
Tapia, Maria Jose [2 ]
Ocon, Julia [3 ]
Cabrejas-Gomez, Carmen [3 ]
Ballesteros-Pomar, Maria D. [4 ]
Vidal-Casariego, Alfonso [4 ]
Arraiza-Irigoyen, Carmen [5 ]
Olivares, Josefina [6 ]
Conde-Garcia, Ma Carmen [7 ]
Garcia-Manzanares, Alvaro [7 ]
Botella-Romero, Francisco [8 ]
Quilez-Toboso, Rosa P. [9 ]
Cabrerizo, Lucio
Rubio, Miguel A. [10 ]
Chicharro, Luisa [11 ]
Burgos, Rosa
Pujante, Pedro [12 ]
Ferrer, Mercedes
Zugasti, Ana [13 ]
Manjon, Laura [14 ]
Dieguez, Marta
Carrera, Ma Jose [15 ]
Vila-Bundo, Anna
Urgeles, Juan Ramon [16 ]
Aragon-Valera, Carmen
Rovira, Adela [17 ]
Breton, Irene [17 ]
Garcia-Peris, Pilar [18 ]
Munoz-Garach, Araceli [19 ]
Marquez, Efren
Del Olmo, Dolores [20 ]
Pereira, Jose Luis [21 ]
Tous, Maria C.
机构
[1] Carlos Haya Univ Hosp, IBIMA, Endocrinol & Nutr Serv, Malaga, Spain
[2] Carlos Haya Univ Hosp, Inst Biomed Malaga IBIMA, Endocrinol & Nutr Serv, Malaga, Spain
[3] Hosp Clin Univ Lozano Blesa, Endocrinol & Nutr Serv, Zaragoza, Spain
[4] Complejo Asistencial Univ Leon, Endocrinol & Nutr Serv, Leon, Spain
[5] Complejo Hosp Jaen, Endocrinol & Nutr Serv, Jaen, Spain
[6] Hosp Son Llatzer, Endocrinol & Nutr Serv, Islas Baleares, Spain
[7] Hosp Gen Mancha Ctr, Endocrinol & Nutr Serv, Ciudad Real, Spain
[8] Univ Albacete, Compiejo Hosp, Endocrinol & Nutr Serv, Albacete, Spain
[9] Univ Albacete, Complejo Hosp, Endocrinol & Nutr Serv, Albacete, Spain
[10] Hosp Clin San Carlos, Endocrinol & Nutr Serv, Madrid, Spain
[11] Univ Hosp Vall Hebron, Nutr Support Unit, Barcelona, Spain
[12] Hosp Univ Virgen Arrixaca, Endocrinol & Nutr Serv, Murcia, Spain
[13] Complejo Hosp Navarra, Clin Nutr Unit, Navarra, Spain
[14] Hosp Cabuenes, Endocrinol & Nutr Serv, Gijon, Asturias, Spain
[15] Hosp Mar, Hosp Pharm, Endocrinol & Nutr Serv, Barcelona, Spain
[16] Hosp Univ Son Dureta, Endocrinol & Nutr Serv, Palma de Mallorca, Spain
[17] Fdn Jimenez Diaz, Endocrinol & Nutr Serv, E-28040 Madrid, Spain
[18] Hosp Univ Gregorio Maranon, Endocrinol & Nutr Serv, Madrid, Spain
[19] Hosp Clin Univ Virgen Victoria, Endocrinol & Nutr Serv, Malaga, Spain
[20] Hosp Univ Sever Ochoa, Endocrinol & Nutr Serv, Madrid, Spain
[21] Hosp Univ Virgen Rocio, Endocrinol & Nutr Serv, Seville, Spain
关键词
Nutritional assessment; Subjective Global Assessment; Total parenteral nutrition; Mortality; SHORT-TERM MORTALITY; CLINICAL-OUTCOMES; OLDER; ALBUMIN; LENGTH; TOOLS; STAY;
D O I
10.1016/j.jand.2013.05.027
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Malnutrition in hospitalized patients is associated with an increased risk of death and complications. The purpose of this study was to determine which nutrition-related risk index predicts mortality better in patients receiving total parenteral nutrition. This prospective, multicenter study involved noncritically ill patients who were prescribed total parenteral nutrition. Data were collected on Subjective Global Assessment (SGA), Nutritional Risk Index, Geriatric Nutritional Risk Index, body mass index, albumin and prealbumin, as well as in-hospital mortality, length of stay, and infectious complications. Of the 605 patients included in the study, 18.8% developed infectious complications and 9.6% died in the hospital. SGA, albumin, Nutritional Risk Index and Geriatric Nutritional Risk Index were associated with longer hospital stay. Prealbumin levels were associated with infectious complications. Multiple logistic regression analysis showed (after adjustment for age, sex, C-reactive protein levels, mean blood glucose levels, use of corticoids, prior comorbidity, carbohydrates infused, diagnosis, and infectious complications) that the SGA, Geriatric Nutritional Risk Index, body mass index, albumin, and prealbumin were associated with an increased risk for in-hospital mortality. SGA was the tool that best predicted mortality and adequately discriminated the values of the other nutrition-related risk indexes studied. The SGA is a clinically effective and simple tool for nutrition assessment in noncritically ill patients receiving total parenteral nutrition and detects the risk of inpatient mortality better than others.
引用
收藏
页码:1209 / 1218
页数:10
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