Nutrición Hospitalaria
ISSN 1699-5198 ISSN 0212-1611
MILLA TOBARRA, Marta et al. Malnutrition prevalence at admission to Hospital General Nuestra Señora del Prado, Talavera de la Reina. []. , 38, 2, pp.298-305. 24--2021. ISSN 1699-5198. https://dx.doi.org/10.20960/nh.03263.
Introduction:
malnutrition is a global problem. In developed countries, malnutrition due to alterations in the population's eating habits or the presence of disease cannot be ignored, and affects hospitalized patients in particular.
Objective:
to determine the prevalence of malnutrition risk upon admission to Hospital General Nuestra Señora del Prado in Talavera de la Reina (Toledo, Spain).
Methods:
this was an observational, cross-sectional, descriptive study. From September 2017 to October 2018 all patients admitted to hospital who met the selection criteria were assessed for nutritional status using the NRS-2002® test. Anthropometric and clinical data were collected from patients at nutritional risk (NRS-2002® score ≥ 3). The malnutrition observed was diagnosed according to type and severity, and nutritional indications were given, which were recorded in the report to the clinician and in the discharge report.
Results:
a total of 476 patients took the NRS-2002® test, which detected risk of malnutrition upon admission in 137 (28.8 %; 95 % CI: 24.8 % to 33.0 %). Average BMI (SD) was 24.6 (5.4) kg/m2. The dietitian-nutritionist recommended nutritional supplementation for 78.4 % of patients, and coding of nutritional status (ICD-10) for 82.1 %. In the discharge report, more than 70 % of these recommendations were omitted.
Conclusions:
in all, 28.8 % of the patients analyzed were at risk of malnutrition or undernourished on admission. Hospital malnutrition continues to be a problem, so it is vitally important that screening methods be included at admission to allow early nutritional intervention in hospitalized patients, and that trained healthcare personnel be incorporated to this end.
: Prevalence; Hospital malnutrition; NRS-2002 test; ICD-10.