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Assessment of nutritional status in a population of recently hospitalized patients
D F Wyszynski1, A Crivelli, S Ezquerro
1Department of Epidemiology, School of Hygiene and Public Health, John Hopkins University, Baltimore, MD 212051, USA. dfw@welchlink.welch.jhu.edu
Insights
Hospitalized patients frequently face unrecognized malnutrition, increasing medical complication risks. Early nutrition assessment and intervention are crucial for improving patient outcomes and reducing healthcare costs.
Area of Science:
- Clinical Nutrition
- Hospital Medicine
- Patient Outcomes
Background:
- Hospital malnutrition is a prevalent yet often overlooked issue.
- Nutritional status significantly impacts patient health and recovery.
- Early identification of malnutrition is key to effective management.
Purpose of the Study:
- To determine the baseline nutritional characteristics of recently hospitalized patients.
- To assess the prevalence of malnutrition indicators in medical and surgical wards.
- To establish the need for early nutrition assessment in hospitalized populations.
Main Methods:
- Nutritional status was assessed in 170 Internal Medicine and 176 General Surgery patients between April and December 1994.
- Data collected included weight loss percentage (%WL), body mass index (BMI), and mid-upper arm muscle circumference (MUAMC).
- Patient demographics and common medical conditions were also recorded.
Main Results:
- About 5% of patients had a BMI < 19 kg/m2, and 12% experienced >10% weight loss.
- Overweight prevalence was 10% in Medicine and 14% in Surgery patients.
- Low mid-upper arm muscle circumference (<5th percentile) was more common in Medicine patients (11%) than Surgery patients (3%).
Conclusions:
- Recently hospitalized patients exhibit nutritional characteristics indicating a high risk for medical complications.
- Implementing early nutrition assessment and intervention strategies is essential.
- Proactive nutritional support can improve clinical outcomes and potentially lower healthcare costs.
Abstract:
Malnutrition in the hospital is not a new or rare problem, however, it is often unrecognized. In order to determine the baseline nutritional characteristics of recently hospitalized patients, we assessed the nutritional status of all medical in-patients between April and December 1994 in a large hospital in the province of Buenos Aires. One hundred and seventy patients were derived from the Internal Medicine ward and 176 patients from the General Surgery ward. Surgery patients were younger (median: 46 years vs 58 years of the Medicine patients). Among Medicine patients, cardiovascular and respiratory afflictions were the most common (30%), while gastrointestinal disorders were more often seen in Surgical patients (71%). A weight loss of more than 10% (%WL) was found in 12% of the Medicine and Surgery patients and a body mass index (BMI) of less than 19 kg/m2 was observed in about 5% of both groups. Ten percent of the Medicine patients and 14% of the Surgery patients were overweight. A mid-upper arm muscle circumference (MUAMC) less than the fifth percentile was found in 11% of the Medicine patients but in only 3% of the Surgery patients. These results suggest that this population of recently hospitalized patients is at high-risk for medical complications. Therefore, early nutrition assessment and appropriate nutrition intervention are required to improve clinical outcome and help reduce the cost of health care.
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