학술논문
NUTRITIONAL RISK SCREENING IN GASTROENTEROLOGICAL PATIENTS AT THE RIJEKA UNIVERSITY HOSPITAL CENTRE/PROCJENA NUTRITIVNOG RIZIKA KOD GASTROENTEROLOSKIH BOLESNIKA U KLINICKOM BOLNICKOM CENTRU RIJEKA
Original Scientific Paper
Original Scientific Paper
Document Type
Report
Author
Source
Acta Clinica Croatica. December 2020, Vol. 59 Issue 4, p632, 9 p.
Subject
Language
English
ISSN
0353-9466
Abstract
Introduction According to the European Society for Parenteral and Enteral Nutrition (ESPEN), malnutrition is a condition characterized by a structural and functional change of the body composition (1). Although malnutrition [...]
Malnutrition is usually related to some diseases such as inflammatory bowel disease, chronic pancreatitis, chronic liver disease and malignant tumors. It is characterized by weight loss, protein deficiency, and deficit of specific nutrients. The aim was to estimate the prevalence of nutritional risk among 160 gastrointestinal patients by use of the Nutritional Risk Screening (NRS-2002) score at hospital admission and discharge. The patients stayed in the hospital between 5 and 15 days or longer. Results showed that 40% of patients at admission and 36.2% at discharge were malnourished. There were 53.1% of patients with recognized malnutrition at admission that received nutritional support, whereas at discharge 34.4% of patients at risk were not dietary supported. Malnourished patients were significantly older, had lower body mass index, longer hospital stay and higher rate of malignant diseases than properly nourished patients. Regular screening for malnutrition should be conveyed in hospitals as to provide appropriate dietary support for all patients at risk. Key words: Malnutrition; Gastroenterological patients;Nutrition Risk Screening (NRS 2002) Malnutricija se povezuje s nekim bolestima kao sto su upalna bolest crijeva, kromcni pankreatitis, kronicna bolest jetre i zlocudni tumori. Kod malnutricije dolazi do gubitka tezine, manjka proteina te nedostatka nekih specificnih hranjivih tvari. Cilj ovoga rada bio je procijeniti ucestalost nutritivnog rizika kod 160 gastroenteroloskih bolesnika metodom procjene nutritivnog rizika (NRS-2002) pri prijmu i otpustu bolesnika. Bolesnici su boravili u bolnici izmedu 5 i 15 dana ili duze. Rezultati su pokazali da je kod prijma u bolnicu 40%, a na otpustu 36,2% bolesnika bilo pothranjeno. Na prijmu je 53,1% pothranjenih bolesnika dobilo odgovarajucu nutritivnu potporu, dok 34,4% bolesnika nije dobilo takvu potporu pri otpustu iz bolnice. Pothranjeni bolesnici bili su znacajno mladi, imali su znacajno nizi indeks tjelesne mase, znacajno su dulje boravili u bolnici te su cesce bolovali od zlocudnih bolesti. Procjena nutritivnog rizika treba biti rutinska kako bi se osigurala odgo-varajuca nutritivna potpora za sve bolesnike koji su u riziku od malnutricije. Kljucne rijeci: Pothranjenost; Gastroenteroloski bolesnici; Nutritivnaprocjena rizika (NRS 2002)
Malnutrition is usually related to some diseases such as inflammatory bowel disease, chronic pancreatitis, chronic liver disease and malignant tumors. It is characterized by weight loss, protein deficiency, and deficit of specific nutrients. The aim was to estimate the prevalence of nutritional risk among 160 gastrointestinal patients by use of the Nutritional Risk Screening (NRS-2002) score at hospital admission and discharge. The patients stayed in the hospital between 5 and 15 days or longer. Results showed that 40% of patients at admission and 36.2% at discharge were malnourished. There were 53.1% of patients with recognized malnutrition at admission that received nutritional support, whereas at discharge 34.4% of patients at risk were not dietary supported. Malnourished patients were significantly older, had lower body mass index, longer hospital stay and higher rate of malignant diseases than properly nourished patients. Regular screening for malnutrition should be conveyed in hospitals as to provide appropriate dietary support for all patients at risk. Key words: Malnutrition; Gastroenterological patients;Nutrition Risk Screening (NRS 2002) Malnutricija se povezuje s nekim bolestima kao sto su upalna bolest crijeva, kromcni pankreatitis, kronicna bolest jetre i zlocudni tumori. Kod malnutricije dolazi do gubitka tezine, manjka proteina te nedostatka nekih specificnih hranjivih tvari. Cilj ovoga rada bio je procijeniti ucestalost nutritivnog rizika kod 160 gastroenteroloskih bolesnika metodom procjene nutritivnog rizika (NRS-2002) pri prijmu i otpustu bolesnika. Bolesnici su boravili u bolnici izmedu 5 i 15 dana ili duze. Rezultati su pokazali da je kod prijma u bolnicu 40%, a na otpustu 36,2% bolesnika bilo pothranjeno. Na prijmu je 53,1% pothranjenih bolesnika dobilo odgovarajucu nutritivnu potporu, dok 34,4% bolesnika nije dobilo takvu potporu pri otpustu iz bolnice. Pothranjeni bolesnici bili su znacajno mladi, imali su znacajno nizi indeks tjelesne mase, znacajno su dulje boravili u bolnici te su cesce bolovali od zlocudnih bolesti. Procjena nutritivnog rizika treba biti rutinska kako bi se osigurala odgo-varajuca nutritivna potpora za sve bolesnike koji su u riziku od malnutricije. Kljucne rijeci: Pothranjenost; Gastroenteroloski bolesnici; Nutritivnaprocjena rizika (NRS 2002)