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[Malnutrition in hospitals--a pilot study]

Burri, E. and Meier, R.. (2008) [Malnutrition in hospitals--a pilot study]. Schweizerische Rundschau für Medizin PRAXIS, Vol. 97, H. 12. pp. 657-663.

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Official URL: http://edoc.unibas.ch/dok/A6004624

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Abstract

RATIONALE: Malnutrition in hospitals is often not assessed and malnourished patients rarely receive specific nutritional therapy. METHODS: 50 consecutive patients were assessed using the Nutritional Risk Score (NRS). 22 patients (intervention group, IG) with < or = 3 points were treated with 3 daily servings of a high-protein, high-caloric supplement. 28 patients (non-intervention-group, NIG) with > 3 points received standard hospital food. Body weight, body-mass-index (BMI) and laboratory values were obtained at admission and discharge. The amount of calorie and protein intake was compared to daily requirements. RESULTS: Median duration of hospital stay was longer in the IG (24 d vs. 13 d, p > 0.01) and duration raised with the number of points in the NRS. Patients in the IG only had decreased albumin values (-2.9 g/l, p > 0.01), whereas patients in the NIG showed loss of body weight (-1.3 kg, p > 0.01), BMI (-0.45 kg/m2, p > 0.01) and albumin values (-2.4 g/l, p >0.01) during their stay. Transferrin levels remained unchanged. Median daily intake of calories and proteins was similar in both groups. In the IG, the percentage of required calorie (94% vs. 79%, p > 0.01) and protein (80% vs. 68%, p > 0.01) intake was higher and the number of patients with intake of > 75% of estimated calorie (7 (32%) vs. 11 (39%), p = 0.01) and protein (13 (59%) vs. 22 (79%), p = 0.04) requirements was lower. CONCLUSIONS: Patients in the IG were more likely to maintain their nutritional status although their hospital stay was significantly longer.
Faculties and Departments:03 Faculty of Medicine > Bereich Medizinische Fächer (Klinik) > Ehemalige Einheiten Medizinische Fächer (Klinik) > Allgemeine innere Medizin Liestal (Zimmerli)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Medizinische Fächer (Klinik) > Ehemalige Einheiten Medizinische Fächer (Klinik) > Allgemeine innere Medizin Liestal (Zimmerli)
UniBasel Contributors:Meier, Rémy F.
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Huber
ISSN:0369-8394
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:23 May 2014 08:33
Deposited On:23 May 2014 08:33

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