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Subjective global assessment in the clinical setting
Fernando Baccaro1, Jose Balza Moreno, Cecilia Borlenghi
1Servicio de Clínica Medica, Complejo Medico-Policial Churruca-Visca, Buenos Aires, Argentina. fbaccaro@2vias.com.ar
High rates of malnutrition were observed in hospitalized internal medicine patients. This highlights a critical need for improved nutrition assessment and intervention in healthcare settings.
Area of Science:
- Clinical Nutrition
- Internal Medicine
- Patient Outcomes
Background:
- Hospitalized patients in internal medicine services often face nutritional challenges.
- Effective nutrition assessment is crucial for patient care and recovery.
Purpose of the Study:
- To assess the prevalence of malnutrition in hospitalized patients within an internal medicine service.
- To identify factors associated with malnutrition in this patient population.
Main Methods:
- A longitudinal, prospective, observational study was conducted.
- Four hundred twelve patients were evaluated using Subjective Global Assessment (SGA).
- Statistical analyses included chi-squared tests and logistic regression.
Main Results:
- Nearly half (47.6%) of the patients exhibited malnutrition.
- Moderate malnutrition affected 38.8%, while 8.58% had severe malnutrition.
- Malnutrition was linked to older males (>65 years), oncologic/infectious diseases, and extended hospital stays.
Conclusions:
- The incidence of malnutrition in internal medicine services is notably high.
- There is a significant gap in attention to hospitalized patients' nutritional status.
- Findings align with previous research from Latin America, underscoring a regional concern.
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