Prevalence and associated factors of hospital malnutrition in a general hospital; Perú, 2012

L. E. Veramendi-Espinoza, J. H. Zafra-Tanaka, O. Salazar-Saavedra, J. E. Basilio-Flores, E. Millones-Sánchez, G. A. Pérez-Casquino, L. M. Quispe-Moore, M. E. Tapia-Vicente, D. I. Ticona-Rebagliati, N. B. Asato, L. Quispe-Calderón, H. J. Ruiz García, A. Chia-Gil, D. E. Rey-Rodríguez, B. Surichaqui, Á Whittembury

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Abstract

Introduction: Hospital malnutrition is a prevalent problem that cause higher morbidity and mortality, poorer response to treatment and higher hospital stay and cost. Objectives: To determine the prevalence and factors associated with hospital malnutrition in a peruvian General Hospital. Methods: Cross-sectional study including 211 hospitalized patients in Medicine and Surgery wards. Demographic, clinical and anthropometrical indicators' data was collected. Multivariate analysis was binary logistic regression. All tests had a significance level of 5% (p < 0.05). Results: Prevalence of hospital malnutrition was 46.9%. Prevalences of caloric and protein malnutrition were 21.3% and 37.5%, respectively. Bivariate analysis found that hospitalization in Surgery wards was associated with a major risk of caloric (OR = 4.41, IC 95% [1.65-11.78]) and protein malnutrition (OR = 2.52, IC 95% [1.297-4.89]). During the analysis of quantitative variables, significant associations between number of comorbidities and caloric malnutrition (p = 0.031) was found, and also between the beginning of food intake changes and the presence of protein malnutrition (p = 0.031). Multivariate analysis showed significant association between diagnosis of neoplasm and presence of caloric malnutrition (OR = 5.22, IC [1.43-19.13]). Conclusions: Prevalence of hospital malnutrition was near 50%, as in similar studies. Protein-caloric malnutrition prevalences obtained, differ from the ones in a previous study in this hospital, which is explained by the different diagnostic criteria and particular characteristics of groups of patients, such as procedence ward and comorbidities. An association between protein-caloric and hospitalization in a Surgery ward was found; the reasons should be investigated in further studies.
Original languageAmerican English
Pages (from-to)1236-1243
Number of pages8
JournalNutricion Hospitalaria
DOIs
StatePublished - 12 Aug 2013

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    Veramendi-Espinoza, L. E., Zafra-Tanaka, J. H., Salazar-Saavedra, O., Basilio-Flores, J. E., Millones-Sánchez, E., Pérez-Casquino, G. A., Quispe-Moore, L. M., Tapia-Vicente, M. E., Ticona-Rebagliati, D. I., Asato, N. B., Quispe-Calderón, L., Ruiz García, H. J., Chia-Gil, A., Rey-Rodríguez, D. E., Surichaqui, B., & Whittembury, Á. (2013). Prevalence and associated factors of hospital malnutrition in a general hospital; Perú, 2012. Nutricion Hospitalaria, 1236-1243. https://doi.org/10.3305/nh.2013.28.4.6390