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Nutrición Hospitalaria 00657 / http://dx.doi.org/10.20960/nh.657
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Hospital malnutrition screening at admission: malnutrition increases mortality and length of stay

Elisabet Leiva Badosa, Maria Badia Tahull, Nuria Virgili Casas, Gema Elguezabal Sangrador, Concepción Faz Méndez, Ignacio Herrero Meseguer, Àngels Izquierdo González, Rafael López Urdiales, Francisco Javier Oca Burguete, María Tubau Molas, Concepció Vilarasau Farré, Josep Manel Llop Talaveron

VOLUMEN 34, NÚM. 4, julio-agosto (2017), PAG. 907-913

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Introduction: Malnutrition is common in patients admitted to hospital and is associated with morbidity and mortality. We conducted a study to assess the prevalence of nutritional risk, risk factors associated and its consequences in a third-level hospital.Methods: This is a prospective nutritional screening study of hospitalized patients evaluated within the first 72 hours of admission, by Malnutrition Universal Screening Tool (MUST) and Short Nutritional Assessment Questionnaire (SNAQ) screening tests. The variables recorded included demographic, anthropometric, hospitalization and clinical data.Results: Out of 409 patients, 12.7% and 15.3% were nutritionally at risk according to MUST and SNAQ, respectively, with the highest prevalence in critical care units (33.3%; 25.5%), amongst oncologic patients (17.5%; 28.4%) and those with higher Charlson comorbidity indices (CCI). Length of stay (LOS) was longer in patients at severe malnutrition risk (15.4 vs 9.9 days for MUST; 13.3 vs 9.9 days for SNAQ). Mortality was higher in those with high malnutrition risk (66.7% vs 10.9% for MUST; 50.0% vs 14.2% for SNAQ). Multivariate analysis showed that malnutrition was associated with CCI and mortality. Risk factors associated with LOS were admission as emergencies for both MUST and SNAQ tests.Conclusions: The prevalence of malnutrition is high in patients on admission to a third-level hospital, with a higher prevalence in critical care units, amongst oncologic patients and those with a higher CCI. Malnutrition is associated with longer LOS and higher mortality. The systematic clinical use of screening tools enables to detect patients at risk of malnutrition and take appropriate action.

Palabras Clave: Malnutrition. Nutritional assessment. Nutrition surveys.



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Sibila Reck De Jesus , Bruna Pessoa Alves , Anieli Golin , Schott Mairin , Leonardo dos Santos Dachi , Andrea Rodrigues Marques , Elisângela Colpo

Publicado: 2017-10-10 / http://dx.doi.org/10.20960/nh.1628
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Trabajo Original: Score of “eat-ability”as a predictor of malnutrition in patients with gastrointestinal tract cancer: a pilot study

Taiane Dias Barreiro , Maurício Guidi Saueressig , Geórgia Brum Kabke , Pâmela Kraemer Ferreira , Ana Valéria Gonçalves Fruchtenicht , Oly Campos Corleta , Luis Fernando Moreira

Publicado: 2017-11-08 / http://dx.doi.org/10.20960/nh.1668
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Trabajo Original: Parasitic infections, malnutrition and anemia among preschool children living in rural areas of peshawar, pakistan

Zia Ud Din , Lubna Pervez , Muhammad Abbas , Imran Khan , Zafar Iqbal , Mudassar Iqbal

Publicado: 2017-11-20 / http://dx.doi.org/10.20960/nh.1685
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Trabajo Original: Agreement between graz malnutrition screening (gms) with subjective nutritional assessment instruments in hospitalized patients

Emanuella Mardegani Batista Lima , Betullya Lucas Almeida , Hanna Barbosa Gomes , Janine Alexandre Borges Bartochevis , Tatiana Salgado Toniato , Thailiny Ricatti Lazzarini , Taísa Sabrina Silva Pereira , Valdete Regina Guandalini

Publicado: 2018-02-21 / http://dx.doi.org/10.20960/nh.1853
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Trabajo Original: Valoración del riesgo de malnutrición en pacientes institucionalizados en función del grado de dependencia

María Ángeles Penacho Lázaro , Alicia Calleja Fernández , Sandra Castro Penacho , Ana María Tierra Rodríguez , Alfonso Vidal-Casariego

Publicado: 2018-07-16 / http://dx.doi.org/10.20960/nh.2196
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Trabajo Original: Evaluación de la aplicación de un protocolo de cribado nutricional en pacientes ingresados en el Servicio de Medicina de un hospital comarcal

M.ª Asuncion Recasens Gracia , Cèlia Puig Cepero , Gabriel Giménez-Pérez , Cristina Soldevilla Barbosa , Olga Simó Guerrero , Gemma Pérez Giménez , Olga Navarro Alé , Gemma Pujol Martín , Ignasi Castells Fuster , Esteve Llargués Rocabruna

Publicado: 2019-07-08 / http://dx.doi.org/10.20960/nh.02778
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Trabajo Original: Presencia de malnutrición y riesgo de malnutrición en ancianos institucionalizados con demencia en función del tipo y estadío evolutivo

Publicado: 2021-09-28 / http://dx.doi.org/
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Trabajo Original: Assessing risk screening methods of malnutrition in geriatric patients; Mini Nutritional Assessment (MNA) versus Geriatric Nutritional Risk Index (GNRI)

Publicado: 2021-09-28 / http://dx.doi.org/
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Trabajo Original: MNA® Mini Nutritional Assessment as a nutritional screening tool for hospitalized older adults; rationales and feasibility

Publicado: 2021-10-05 / http://dx.doi.org/
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Trabajo Original: Cambios en la composición corporal en función del grado de demencia en un grupo de ancianos institucionalizados

Publicado: 2021-10-26 / http://dx.doi.org/
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Trabajo Original: Non-institutionalized nonagenarians health-related quality of life and nutritional status: is there a link between them?

Publicado: 2021-11-08 / http://dx.doi.org/
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Trabajo Original: Nutritional status of institutionalized elderly Brazilians: a study with the Mini Nutritional Assessment

Publicado: 2021-11-25 / http://dx.doi.org/
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Trabajo Original: Assessment of the reliability and consistency of the “Malnutrition Inflammation Score” (MIS) in Mexican adults with chronic kidney disease for diagnosis of protein-energy wasting syndrome (PEW)

Publicado: 2021-11-25 / http://dx.doi.org/
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Trabajo Original: Consistency of mini nutritional assessment to identify sarcopenia in older adults in nursing homes in Bogota, Colombia

Publicado: 2021-12-01 / http://dx.doi.org/
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Trabajo Original: Adaptación en español y validación en México de la herramienta de tamizaje nutricional STAMP (Screening Tool for the Assessment of Malnutrition in Paediatrics)

Yahiel Osorio-Alamillo , Jimena Fuentes-Cummings , Alejandra Ruíz-Barranco , Paulina Bidart-Behar , Patricia Clark , Guillermo Meléndez-Mier , Nallely Bueno Hernández

Publicado: 2022-06-29 / http://dx.doi.org/10.20960/nh.04333
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Trabajo Original: Validación del instrumento Infant Malnutrition and Feeding Checklist for Congenital Heart Disease, una herramienta para identificar riesgo de desnutrición y dificultades de alimentación en lactantes con cardiopatías congénitas

Martha Guevara-Cruz , Carlos Corona-Villalobos , Ana Laura Pardo-Gutiérrez , Judith Ileana Gris-Calvo , Beatriz A. Pinzón-Navarro , Jimena Fuentes-Servin , Salvador Ortiz-Gutiérrez , Azalia Avila-Nava , Alda D. García-Guzmán , Juan Gerardo Reyes-García , Isabel de Jesús Medina-Vera

Publicado: 2022-08-03 / http://dx.doi.org/10.20960/nh.04388
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Revisión: Ecografía en la valoración de la masa muscular. Criterios GLIM (Global Leadership Initiative on Malnutrition) a cuestión (I)

Alejandro Sanz Paris

Publicado: 2023-03-10 / http://dx.doi.org/10.20960/nh.04672
Resumen | PDF

Revisión: Ecografía en la valoración de la masa muscular. Criterios GLIM (Global Leadership Initiative on Malnutrition) a cuestión (II)

José Manuel García Almeida

Publicado: 2023-03-10 / http://dx.doi.org/10.20960/nh.04673
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Trabajo Original: Usefulness of the Mini-Nutritional Assessment in screening for sarcopenia in a sample of institutionalized older persons - A cross-sectional study

Ashuin Kammar-García , Esmeralda Garza-Santiago , Javier Mancilla-Galindo , Orietta Lizet Segura-Badilla , Martín Lazcano-Hernández , Obdulia Vera-López , Addi Rhode Navarro-Cruz

Publicado: 2024-08-22 / http://dx.doi.org/10.20960/nh.05491
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Trabajo Original: Renal Inpatient Nutrition Screening Tool (Renal iNUT) - A validity and reliability assesment for Turkey

Ayfer Beyaz Coşkun , Emine Elibol , Fatih Genç , Esin Erdoğan

Publicado: 2025-01-03 / http://dx.doi.org/10.20960/nh.05697
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Carta Editor: Diagnostic research for older persons in resource-limited settings

Ashuin Kammar-García , Esmeralda Garza-Santiago , Javier Mancilla-Galindo , Orietta Lizet Segura-Badilla , Martín Lazcano-Hernández , Obdulia Vera-López , Addi Rhode Navarro-Cruz

Publicado: 2025-03-29 / http://dx.doi.org/10.20960/nh.05865
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