INCIDENCE AND RECOGNITION OF MALNUTRITION IN-HOSPITAL
INCIDENCE AND RECOGNITION OF MALNUTRITION IN-HOSPITAL
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DOI：
10.1136/bmj.308.6934.945
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发表时间：
1994-04-09
影响因子：
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通讯作者：
PENNINGTON, CR
中科院分区：
文献类型：
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作者：
MCWHIRTER, JP;PENNINGTON, CR
目的-确定患者入院时营养不良的发生率，监测其住院期间营养状况的变化，并确定不同临床科室的营养意识。设计-连续入院的前瞻性研究。背景-急性教学医院。受试者-500名入院患者：普通外科、普通内科、呼吸内科、骨科外科和老年医学各100名。主要结局指标-患者入院时的营养状况和重新评估结果-入院时，500 名患者中有 200 名营养不良（体重指数小于 20），34% 超重（体重指数 >25）。出院时重新评估的 112 名患者平均体重减轻了 5.4%，其中体重减轻最严重的是那些最初营养不良的患者。但转诊寻求营养支持的 10 名患者的平均体重增加了 7.9%。对病例记录的审查显示，在 200 名营养不良患者中，只有 96 名记录了任何营养信息。 结论：营养不良在医院中仍然是一个很大程度上未被认识到的问题，凸显了临床营养教育的必要性。
Objectives-To determine incidence of malnutrition among patients on admission to hospital, to monitor their changes in nutritional status during stay, and to determine awareness of nutrition in different clinical units.Design-Prospective study of consecutive admissions.Setting-Acute teaching hospital.Subjects-500 patients admitted to hospital: 100 each from general surgery, general medicine, respiratory medicine, orthopaedic surgery, and medicine for the elderly.Main outcome measures-Nutritional status of patients on admission and reassessment on discharge, review of case notes for information about nutritional status.Results-On admission, 200 of the 500 patients were undernourished (body mass index less than 20) and 34% were overweight (body mass index >25). The 112 patients reassessed on discharge had mean weight loss of 5.4%, with greatest weight loss in those initially most undernourished. But the 10 patients referred for nutritional support showed mean weight gain of 7.9%. Review of case notes revealed that, of the 200 undernourished patients, only 96 had any nutritional information documented.Conclusion-Malnutrition remains a largely unrecognised problem in hospital and highlights the need for education on clinical nutrition.