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

Medicina
|July 23, 1998
PubMed

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.

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