Therapeutic outcome of patients at nutritional risk upon admission to a university hospital

Authors

  • Ann Kristine Jansen Belo HorizonteMG, Universidade Federal de Minas Gerais, Escola de Enfermagem , Departamento de Enfermagem Básica, Brasil
  • Ana Letícia Malheiros Silveira Belo HorizonteMG, UFMG, Instituto de Ciências Biológicas , Programa de Pós-Graduação, Brasil
  • Marcella Amorim Braga de Oliveira Belo HorizonteMG, Hospital Municipal Odilon Behrens, Programa de Residência Multiprofissional , Brasil
  • Adriano Marçal Pimenta Belo HorizonteMG, UFMG, Escola de Enfermagem , Departamento Materno Infantil e Saúde Pública, Brasil

DOI:

https://doi.org/10.35699/2316-9389.2013.50219

Keywords:

Nutritional Assessment, Outcome, Inpatients, Risk, Screening

Abstract

OBJECTIVE: to investigate the influence of nutritional risk, detected upon being admitted to a hospital, on therapeutic outcomes in patients. METHODS: This prospective cohort study was conducted with 495 patients admitted to the emergency clinic of a public hospital, where they were screened for nutritional risk based on the Nutritional Risk Screening 2002. At the end of hospitalization, the outcome, complications, and the presence of nutritional therapy were evaluated based on the medical records. RESULTS: Of the total patients, 53.9% were female, 71.3% were less than 60 years of age, and 11.7% had the therapeutic outcome of palliative care / death. According to Body Mass Index (BMI), 15.5% of the patients were classified as malnourished. Nutritional risk was found in 54.5%, which correlated strongly with the therapeutic outcome of palliative care/death (HR: 5.92, 95% CI: 2.68 to 13.08) as well as their components of increased nutritional requirements (HR: 3.33, 95% CI: 1.61 to 6.86) and impaired nutritional status (HR = moderate: 3.24, 95% CI: 1.31 to 8.00, severe = HR: 6.45, 95% CI: 2.36 to 17.63) after adjustment for potential confounding factors. CONCLUSION: The prevalence of nutritional risk detected in the sample was high, and its presence was related to a poor therapeutic outcome.

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Published

2013-09-01

How to Cite

1.
Jansen AK, Silveira ALM, Oliveira MAB de, Pimenta AM. Therapeutic outcome of patients at nutritional risk upon admission to a university hospital. REME Rev Min Enferm. [Internet]. 2013 Sep. 1 [cited 2024 Jun. 20];17(3). Available from: https://periodicos.ufmg.br/index.php/reme/article/view/50219

Issue

Vol. 17 No. 3 (2013)

Section

Research

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