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  • Impact Factor: 1,106 (2016)
  • SCImago Journal Rank (SJR):0,314
  • Source Normalized Impact per Paper (SNIP):0,383

© Thomson Reuters, Journal Citation Reports, 2016

Endocrinol Nutr 2005;52:547-50 - DOI: 10.1016/S1575-0922(05)71062-7
Originales
Prevalencia de desnutrición en un servicio de medicina interna
Prevalence of malnutrition in an internal medicine service
F.G. Baccaro, J. Balza-Moreno, C. Borlenghi, L. Albani
Servicio de Clínica Médica. Complejo Médico Policial Churruca-Visca. Buenos Aires. Argentina
Received 31 January 2005, Accepted 11 July 2005
Abstract
Objetivo

Evaluación del estado nutricional en pacientes internados en un servicio de medicina interna.

Material y métodos

Estudio longitudinal, prospectivo y observacional sobre una población de 412 pacientes, utilizando la valoración global subjetiva. En cuanto a la estadística, se utilizaron los métodos de la χ2 para análisis univariado y regresión logística.

Resultados

Se incluyó a 412 pacientes, de los que el 47,58% presentó desnutrición, el 39% desnutrición moderada (grupo B) y el 8,58% desnutrición grave (grupo C). La desnutrición se relacionó con edad mayor de 65 años, el sexo varón y el diagnóstico de enfermedades oncológicas e infecciosas, así como con una mayor estancia hospitalaria

Conclusiones

La incidencia de desnutrición en el servicio de medicina interna es elevada y se aprecia un alto desinterés sobre el estado nutricional de los pacientes internados. Los resultados hallados son comparables a los de otros estudios latinoamericanos.

Abstract
Objective

To evaluate nutritional status in patients admitted to an Internal Medicine Service.

Material and methods

We performed a longitudinal, prospective, observational study in 412 patients, using Subjective Global Assessment. The chi-square test for univariate analysis and logistic regression were used.

Results

Of the 412 patients included,47.58% had malnutrition, which was moderate in 39% (group B) and severe in 8.58% (group C). Malnutrition was related to age older than 65 years, male sex, oncologic and infectious diseases, and longer length of hospital stay.

Conclusions

The incidence of malnutrition in our Internal Medicine Service is high,and little interest is shown in the nutritional status of admitted patients. The results of the present study are similar to those of other studies performed in Latin America.

Palabras clave
Valoración global subjetiva, Valoración nutricional, Desnutrición, Desnutrición hospitalaria
Key words
Subjective Global Assessment, Nutritional assessment, Malnutrition, Hospital malnutrition
This article is only available in PDF
Bibliografía
1.
R.K. Chandra,A. Imbach,C. Moore,D. Skelton,D. Woolcott
Nutrition of the elderly
Can Med Assoc J, 145 (1991), pp. 1475-1478
2.
J.P. McWhirter,C.R. Pennington
Incidence and recognition of malnutrition in hospital
BMJ, 308 (1994), pp. 945-949
3.
G.M. Levine,M. Goldstein,G. Robinson
Impact of nutritional status on DRG length of stay
J Parent Enter Nutr, 11 (1987), pp. 49-53
4.
D.L. Waitzberg,W.T. Caiaffa,M.I.T.D. Correia
Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients
Nutrition, 17 (2001), pp. 573-576
5.
J. Kehr
Aguayo B: Chilean survey of hospital nutrition status
J Parent Enter Nutr, 24 (2000), pp. S14
6.
D.F. Wyszynski,M. Perman,A. Crivelli
Prevalence of hospital malnutrition in Argentina: preliminary results of a populationbased study
Nutrition, 19 (2003), pp. 115-119
7.
A.S. Detsky,J.P. Baker,R.A. Mendelson,S.L. Wolman,D.E. Wesson,K.N. Jeejeebhoy
Evaluating the accuracy of nutritional assessment techniques applied to hospitalized patients: methodology and comparisons
J Parent Enter Nutr, 8 (1984), pp. 153-158
8.
H. Tucker,M.G. Stanley
Cost containment through nutrition intervention
Nutr Rev, 54 (1996), pp. 111-115
9.
S.P. Allison
Malnutrition, disease, and outcome
Nutrition, 16 (2000), pp. 590-593
10.
A.S. Detsky,J.R. McLaughlin,J.P. Baker,N. Johnston,S. Whittaker,R.A. Mendelson
What is subjective global assessment of nutritional status?
J Parent Enter Nutr, 11 (1987), pp. 8-13
11.
K.N. Jeejeebhoy
Nutritional assessment
Gastroenterol Clin North Am, 27 (1998), pp. 347-369
12.
A.S. Detsky,J.R. McLaughlin,J.P. Baker
What is subjective global assessment of nutritional status?
J Parent Enter Nutr, 11 (1987), pp. 8-12
13.
E. Fiaccadori,M. Lombardi,S. Leonardi
Prevalence and clinical outcome associated with preexisting malnutrition in acute renal failure: a prospective cohort study
J Am Soc Nephrol, 10 (1999), pp. 581-593
14.
D.B. Jellife
The assessment of the nutritional status of the community: with special reference to field surveys in developing regions of the world
World Health Organization, (1966)
15.
A.R. Frisancho
New norms of upper limb fat and muscle areas for assessment of nutritional status
Am J Clin Nutr, 34 (1981), pp. 2540-2545
16.
P.J. Thuluvath,D.R. Triger
How valid are our reference standards of nutrition
Nutrition, 11 (1995), pp. 731-733
17.
M.I.T.D. Correia,D.L. Waitzberg
The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis
Clin Nutr, 22 (2003), pp. 235-239
18.
P. Putwatana,P. Reodecha,Y. Sirapo-Ngam,P. Lertsithichai,K. Sumboonnanonda
Nutrition screening tools and the prediction of postoperative infectious and wound complications:comparison of methods in presence of risk adjustment
Nutrition, 21 (2005), pp. 691-697 http://dx.doi.org/10.1016/j.nut.2004.10.015
19.
T.Z. Nursal,T. Noyan,B.G. Atalay,N. Koz,H. Karakayali
Simple two-part tool for screening of malnutrition
Nutrition, 21 (2005), pp. 659-665 http://dx.doi.org/10.1016/j.nut.2004.10.016
20.
C.E. Weekes,M. Elia,P.W. Emery,C.E. Weekes,M. Elia,P.W. Emery
The development, validation and reliability of a nutrition screening tool based on the recommendations of the British Association for Parenteral and Enteral Nutrition (BAPEN)
Clin Nutr, 23 (2004), pp. 1104-1112 http://dx.doi.org/10.1016/j.clnu.2004.02.003
21.
M. Ferguson,S. Capra,J. Bauer,M. Banks
Development of a valid and reliable malnutrition screening tool for adult acute hospital patients
Nutrition, 15 (1999), pp. 458-467
22.
A.M. Rocandio Pablo,M. Arroyo Izaga,L. Ansotegui Alday
Assessment of nutritional status on hospital admission: nutritional scores
Eur J Clin Nut, 57 (2003), pp. 824-831
23.
M.I.T.D. Correia,D.L. Waitzberg
Nutritional assessment in the hospitalized patient
Curr Opin Clin Nutr Metab Care, 6 (2003), pp. 531-538 http://dx.doi.org/10.1097/01.mco.0000087968.83880.de
24.
M.D. Persson,K.E. Brismar,K.S. Katzarski,J. Nordenstrom,T.E. Cederholm
Nutritional status using mini nutritional assessment and subjective global assessment predict mortality in geriatric patients
J Am Geriatr Soc, 50 (2002), pp. 1996-2002
25.
D.C. Heimburger
Intersociety Professional Nutrition Education Consortium Physician-nutrition-specialist track: if we build it, will they come?
Am J Clin Nutr, 71 (2000), pp. 1048-1053
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Correspondencia: Dr. F.G. Baccaro. Arenales 2896 PB, 1425. Buenos Aires. Argentina (F.G. Baccaro )
Copyright © 2005. Sociedad Española de Endocrinología y Nutrición