Predicting clinical outcome of cardiac patients by six malnutrition screening tools

被引：5

作者：

Jayawardena R. ^{[1
,2
]}

Lokunarangoda N.C. ^{[3
,4
]}

Ranathunga I. ^{[3
]}

Santharaj W.S. ^{[3
]}

Walawwatta A.O. ^{[3
]}

Pathirana A.K. ^{[3
]}

机构：

[1] Department of Physiology, Faculty of Medicine, University of Colombo, Colombo

[2] Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD

[3] Institute of Cardiology, National Hospital of Sri Lanka, Colombo

[4] Department of Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Mihintale

来源：

BMC Nutrition | / 2卷 / 1期

关键词：

Cardiac patients; Clinical outcome; Malnutrition; Nutrition screening tools; Sri Lanka;

D O I：

10.1186/s40795-016-0044-z

中图分类号：

学科分类号：

摘要：

Background: Malnutrition is highly prevalent among hospital admissions and associated with, poor response to medical treatment, prolonged hospital stay, increased mortality and cost to the state. The aim of this study is to assess the ability of the nutrition screening tools to predict the clinical outcome of cardiac patients. Methods: Five hundred and twenty six patients underwent nutritional screening via Malnutrition Screening Tool (MST), Malnutrition Universal Screening Tool (MUST), Short Nutritional Assessment Questionnaire (SNAQ), Mini Nutritional Assessment-Short Form (MNA-SF), Nutritional Risk Screening (NRS) and Subjective Global Assessment (SGA) tools on admission and each subject was followed up until discharge and after one month to identify the clinical course and outcome. Results: The mean hospital stay was 5.3 days and median hospital stay was 4.0 days. The mean hospital stay is increasing with the malnutrition level in MUST, NRS, MNA-SF, MST, NRS and SGA tools. The inpatient mortality is higher in high risk nutritional categories of all six malnutrition screening tools. MNA-SF, MST and SGA tools demonstrate a positive relationship between non-prophylactic antibiotic usage and poor nutritional status. High risk nutritional categories of MNA-SF and MST are associated with prescription of multivitamin/minerals. According to MNA-SF, MST and SGA the follow up mortality was increased with worsening nutritional status. The incidence of readmissions was increased gradually with deteriorating nutritional status categorized by MUST, SNAQ, MST and SGA tools. Conclusion: Malnutrition may be associated with poor clinical outcome of the cardiac patients during and after the hospital stay. Each tool reported a variable prediction in outcomes such as death, infection and prolonged hospital stay due to the poor nutritional status. © 2016 Jayawardena et al.

引用

共 34 条

[1]

Kruizenga H.M., Van Tulder M.W., Seidell J.C., Thijs A., Ader H.J., Van Bokhorst-De Van Der Schueren M.A., Effectiveness and cost-effectiveness of early screening and treatment of malnourished patients, Am J Clin Nutr, 82, 5, pp. 1082-1089, (2005)

[2]

Correia M.I., Waitzberg D.L., The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis, Clin Nutr, 22, 3, pp. 235-239, (2003)

[3]

Shepherd A.A., Nutrition for optimum wound healing, Nurs Stand, 18, 6, pp. 55-58, (2003)

[4]

Pichard C., Kyle U.G., Morabia A., Perrier A., Vermeulen B., Unger P., Nutritional assessment: Lean body mass depletion at hospital admission is associated with an increased length of stay, Am J Clin Nutr, 79, 4, pp. 613-618, (2004)

[5]

Stratton R.J., Green C.J., Elia M., Disease-related Malnutrition: An Evidence-based Approach to Treatment, (2003)

[6]

Carr J.G., Stevenson L.W., Walden J.A., Heber D., Prevalence and hemodynamic correlates of malnutrition in severe congestive heart failure secondary to ischemic or idiopathic dilated cardiomyopathy, Am J Cardiol, 63, 11, pp. 709-713, (1989)

[7]

Kerstetter J.E., Holthausen B.A., Fitz P.A., Malnutrition in the institutionalized older adult, J Am Diet Assoc, 92, 9, pp. 1109-1116, (1992)

[8]

Anker S.D., Ponikowski P., Varney S., Chua T.P., Clark A.L., Webb-Peploe K.M., Et al., Wasting as independent risk factor for mortality in chronic heart failure, Lancet, 349, 9058, pp. 1050-1053, (1997)

[9]

Neumayer L.A., Smout R.J., Horn H.G.S., Horn S.D., Early and Sufficient Feeding Reduces Length of Stay and Charges in Surgical Patients, J Surg Res, 95, 1, pp. 73-77, (2001)

[10]

Raslan M., Gonzalez M.C., Dias M.C., Nascimento M., Castro M., Marques P., Et al., Comparison of nutritional risk screening tools for predicting clinical outcomes in hospitalized patients, Nutrition, 26, 7-8, pp. 721-726, (2010)

← 1 2 3 4 →