Decreased food intake is a risk factor for mortality in hospitalised patients: The NutritionDay survey 2006
Decreased food intake is a risk factor for mortality in hospitalised patients: The NutritionDay survey 2006
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DOI：
10.1016/j.clnu.2009.05.013
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发表时间：
2009-10-01
影响因子：
6.3
通讯作者：
Ljungqvist, O.
中科院分区：
文献类型：
--
作者：
Hiesmayr, M.;Schindler, K.;Ljungqvist, O.
背景与目的：营养不良是住院患者发生并发症的已知危险因素。我们确定只吃一部分食物是否是死亡的独立风险因素。方法：营养日是一项为期一天的跨国横断面调查，于2006年1月19日对16290名成年住院患者的营养因素和食物摄入进行调查。在竞争风险分析中评估了食物摄入和营养因素对30天内住院死亡的影响。结果：超过一半的患者没有吃医院提供的全肉。在营养日或前一周减少食物摄入量与死亡风险增加有关，即使在调整了各种患者和疾病相关因素之后也是如此。在营养日吃四分之一的食物死亡的校正风险比为2.10 (1.53-2.89)；不吃东西时3.02（2.11-4.32）。超过一半的患者吃不到四分之一的饭没有接受人工营养支持。只有25%的患者在午餐时不吃东西，接受人工营养支持。结论：欧洲医院的许多住院患者吃的食物少于正常膳食。这种食物摄入量的减少是住院死亡率的一个独立风险因素。(C) 2009爱思唯尔有限公司和欧洲临床营养与代谢学会。版权所有。
Background & aims: Malnutrition is a known risk factor for the development of complications in hospitalised patients. We determined whether eating only fractions of the meals served is an independent risk factor for mortality.Methods: The NutritionDay is a multinational one-day cross-sectional survey of nutritional factors and food intake in 16,290 adult hospitalised patients on January 19th 2006. The effect of food intake and nutritional factors on death in hospital within 30 days was assessed in a competing risk analysis.Results: More than half of the patients did not eat their full meat provided by the hospital. Decreased food intake on NutritionDay or during the previous week was associated with an increased risk of dying, even after adjustment for various patient and disease related factors. Adjusted hazard ratio for dying when eating about a quarter of the meal on NutritionDay was 2.10 (1.53-2.89); when eating nothing 3.02 (2.11-4.32). More than half of the patients who ate less than a quarter of their meal did not receive artificial nutrition support. Only 25% patients eating nothing at lunch receive artificial nutrition support.Conclusion: Many hospitalised patients in European hospitals eat less food than provided as regular meal. This decreased food intake represents an independent risk factor for hospital mortality. (C) 2009 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.