A multicenter survey on changes in nutritional risk and malnutrition incidence of elderly patients in Chinese large hospitals during hospitalization

作者：Jie Pan, Hongyuan Cui, Mingwei Zhu, Wei Chen, Xin Yang, Pianhong Zhang, Xiaoyu Liang, Jianqin Sun, Yan Shi, Hongyu Zhang, Y Y Gao, Sainan Zhu · 发表于：Zhonghua linchuang yingyang zazhi · 年份：2019 · DOI：10.3760/cma.j.issn.1674-635x.2019.02.001 · 被引用次数：3 · 研究领域：Nutrition and Health in Aging、Frailty in Older Adults

Objective To investigate the change of the nutritional status of elderly patients in Chinese major hospitals dynamically with nutritional risk screening 2002 (NRS 2002) and subjective global assessment (SGA) during hospitalization. Methods A prospective, multi-center survey was conducted on over 65 years old patients who were admitted in departments of gastroenterology, respiratory medicine, general surgery, geriatrics, thoracic surgery, neurology, orthopedics and medical oncology of 9 large hospitals in China for 7-30 days between June 2014 and September 2014. On admission and within 24 hours after discharge, the clinical data were recorded, physical indices were measured, and laboratory examination were conducted. NRS 2002 and SGA were used to make an evaluation. The nutritional supports and clinical outcomes were also recorded and then the correlation between nutritional status and clinical outcomes were analyzed. Results A total of 2558 patients above 65 years old were included into the study. Compared with their status on admission, their grip strength, upper arm circumference and crural circumference were reduced significantly at discharge (P<0.05). The total protein, albumin and hemoglobin levels were significantly lower than those on admission (P<0.05). The incidence of nutritional risk (NRS 2002 score≥3)and malnutrition (SGA B+ C) on admission were lower than those at discharge (51.1% vs 53.0%, 32.6% vs 35.6%). The hospitalization time and medical expens...