Nutritional risk screening and application of nutritional support in Guangzhou hospitalized patients

doi:10.3877/cma.j.issn.1674-0793.2010.05.023

Abstract

Abstract:

Objective

To investigate the prevalence of nutritional risk, undernutrition, and nutritional support in Guangzhou′s hospitals.

Methods

Totally 1682 adult patients in 6 departments (Digestive Medicine, Respiratory Medicine, Neurology Medicine, Urology Medicine, General Surgery, and Thoracic Surgery) were enrolled from April 2008 to December 2008 by fix-point consecutive sampling. Nutritional Risk Screening 2002 (NRS2002) was performed and nutritional support was evaluated in all patients.

Results

Overall prevalence of undernutrition was 17.7% and nutritional risk was 40.0%. Among the 6 departments, Respiratory Medicine had the highest prevalence of both undernutrition and nutritional risk, which were 36.0% and 64.0%, respectively. Among all the patients, the rate of nutritional support was 31.4%, including 47.7%% of patients with nutritional risk and 20.5% of non-risk patients.

Conclusions

A large proportion of inpatients are at nutritional risk or undernutrition in Guangzhou′s hospitals. The application of nutritional support is somehow inappropriate. Evidence-based guidelines are required to improve this situation.

Key words: Hospitalized patient, Nutritional risk, Undernutrition, Nutritional Risk Screening 2002, Nutritional support

Shi FANG, Hai-yan MAI, Feng YAN, Rong-shao TAN, Yan-ping DU, Yu-qin HE, Ying LIU, Tongmei ZENG, Jun-sheng PENG. Nutritional risk screening and application of nutritional support in Guangzhou hospitalized patients[J]. Chinese Archives of General Surgery(Electronic Edition), 2010, 04(05): 480-483.

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URL: https://zhptwkxwx.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-0793.2010.05.023

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Figures/Tables 2

References 13

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科室	例数	营养不足	营养风险	超重	肥胖
消化内科	376	12.2(46/376)	31.1(117/376)	23.1(61/264)	3.8(10/264)
呼吸内科	247	36.0(89/247)	64.0(158/247)	13.5(27/200)	3.5(7/200)
神经内科	211	3.8(8/211)	40.8(86/211)	24.1(32/133)	2.2(3/133)
肾内科	211	26.5(56/211)	59.2(125/211)	24.4(32/131)	9.2(12/131)
普外科	433	13.4(58/433)	27.2(118433)	19.6(69/352)	3.7(13/352)
胸外科	204	19.1(39/204)	33.3(68/204)	26.3(52/198)	3.5(7/198)
合计	1682	17.7(297/1682)	40.0(673/1682)	21.4(274/1278)	4.1(52/1278)
χ²值		109.1	136.1	12.8	10.3
P值		<0.01	<0.01	0.026	0.068

科室	例数	营养不足	营养风险	超重	肥胖
消化内科	376	12.2(46/376)	31.1(117/376)	23.1(61/264)	3.8(10/264)
呼吸内科	247	36.0(89/247)	64.0(158/247)	13.5(27/200)	3.5(7/200)
神经内科	211	3.8(8/211)	40.8(86/211)	24.1(32/133)	2.2(3/133)
肾内科	211	26.5(56/211)	59.2(125/211)	24.4(32/131)	9.2(12/131)
普外科	433	13.4(58/433)	27.2(118433)	19.6(69/352)	3.7(13/352)
胸外科	204	19.1(39/204)	33.3(68/204)	26.3(52/198)	3.5(7/198)
合计	1682	17.7(297/1682)	40.0(673/1682)	21.4(274/1278)	4.1(52/1278)
χ²值		109.1	136.1	12.8	10.3
P值		<0.01	<0.01	0.026	0.068

科室	营养支持	肠外营养	肠内营养	同时行肠内肠外营养	有营养风险行营养支持	无营养风险行营养支持
消化内科	42.3(159/376)	41.5(156/376)	2.9(11/376)	2.1(8/376)	59.0(69/117)	34.7(90/259)
呼吸内科	32.4(80/247)	30.8(76/247)	7.7(19/247)	6.1(15/247)	40.5(64/158)	18.0(16/89)
神经内科	13.3(28/211)	11.4(24/211)	2.8(6/211)	0.9(2/211)	19.8(17/86)	8.8(11/125)
肾内科	37.9(80/211)	32.2(68/211)	10.4(22/211)	4.7(10/211)	49.6(62/125)	20.9(18/86)
普外科	27.2(118/433)	26.8(116/433)	2.3(10/433)	1.8(8/433)	61.9(73/118)	14.3(45/315)
胸外科	30.9(63/204)	26.0(53/204)	9.3(19/204)	4.4(9/204)	52.9(36/68)	19.8(27/136)
合计	31.4(528/1682)	29.3(493/1682)	5.2(87/1682)	3.1(52/1682)	47.7(321/673)	20.5(208/1009)
χ²值	56.7	64.8	35.4	43.1	46.5	52.5
P值	<0.01	<0.01	<0.01	<0.01	<0.01	<0.01

科室	营养支持	肠外营养	肠内营养	同时行肠内肠外营养	有营养风险行营养支持	无营养风险行营养支持
消化内科	42.3(159/376)	41.5(156/376)	2.9(11/376)	2.1(8/376)	59.0(69/117)	34.7(90/259)
呼吸内科	32.4(80/247)	30.8(76/247)	7.7(19/247)	6.1(15/247)	40.5(64/158)	18.0(16/89)
神经内科	13.3(28/211)	11.4(24/211)	2.8(6/211)	0.9(2/211)	19.8(17/86)	8.8(11/125)
肾内科	37.9(80/211)	32.2(68/211)	10.4(22/211)	4.7(10/211)	49.6(62/125)	20.9(18/86)
普外科	27.2(118/433)	26.8(116/433)	2.3(10/433)	1.8(8/433)	61.9(73/118)	14.3(45/315)
胸外科	30.9(63/204)	26.0(53/204)	9.3(19/204)	4.4(9/204)	52.9(36/68)	19.8(27/136)
合计	31.4(528/1682)	29.3(493/1682)	5.2(87/1682)	3.1(52/1682)	47.7(321/673)	20.5(208/1009)
χ²值	56.7	64.8	35.4	43.1	46.5	52.5
P值	<0.01	<0.01	<0.01	<0.01	<0.01	<0.01

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