Prevalencia de desnutrición del adulto mayor al ingreso hospitalario

作者: M. Guevara Cruz , J. G. Gutiérrez Reyes , A. Serralde Zúñiga

DOI: 10.3305/NUTR

关键词: MedicineMalnutritionElderly peoplePediatricsUnder nutritionNutritional statusGerontologyObservational studyPsychological interventionPopulationMini nutritional assessment

摘要: Background: The population older than 60 years in Mexico is growing changing the classic pyramidal demographic structure. This fact increasing risk of malnutrition elderly, specially under nutrition which a common problem among elderly people living at home and during hospitalizations, condition that closely related to morbidity, mortality costs. Objective: Describe prevalence malnourished who needs hospital admission. Design: Cross-sectional observational study. Setting: Third-level reference hospital. Subjects: Ninety seven consecutive subjects admitted hospitalization. Interventions: During first three days admission all were evaluated determine their nutritional status using Mini Nutritional Assessment Subjective Global Assessment; albumin, total lymphocytes, level income school grade also included. Results: Just 48% patients have finished primary 66% had middle economic incomes. According 69% associated (18% high 50% moderate risk). short form described 73% correlation with complete Assessment. 46% 20% classified severe respectively Kappa between was 42%. Risk Index mean value 85.9 ± 11, 80% when 11%. 70% serum albumin values 3 g/dl. Chang’s method 52% caloric undernutrition, 29% protein undernutrition 18% mixed undernutrition. Conclusions: Malnutrition admissions according different methods used. are useful low cost replicable evaluation tools population. could better

参考文章(17)
Y Guigoz, B Vellas, Test d'évaluation de l'état nutritionnel de la personne âgée : le mini nutritional assessment (MNA) Medecine Et Hygiene. ,vol. 53, pp. 1965- 1969 ,(1995)
F D Wolinsky, J M Prendergast, M N Chavez, D K Miller, R M Coe, Further assessment of the reliability and validity of a Nutritional Risk Index: analysis of a three-wave panel study of elderly adults. Health Services Research. ,vol. 20, pp. 977- 990 ,(1986)
Judith Bauer, Sandra Capra, None, Comparison of a malnutrition screening tool with subjective global assessment in hospitalised patients with cancer--sensitivity and specificity. Asia Pacific Journal of Clinical Nutrition. ,vol. 12, pp. 257- 260 ,(2003)
P. Quadri, C. Fragiacomo, W. Pertoldi, Y. Quigoz, F. Herrmann, Ch.H. Rapin, MNA and cost of care. Mini nutritional assessment (MNA): research and practice in the elderly.. ,vol. 1, pp. 141- 148 ,(1999) , 10.1159/000062962
R Cohendy, The Mini Nutritional Assessment for preoperative nutritional evaluation: a study on 419 elderly surgical patients. Mini nutritional assessment (MNA): research and practice in the elderly.. ,vol. 1, pp. 117- 121 ,(1999) , 10.1159/000062959
Roberto Ham-Chande, El envejecimiento: una nueva dimensión de la salud en México Salud Publica De Mexico. ,vol. 38, pp. 409- 418 ,(1996)
M Cristina G Barbosa-Silva, Aluísio JD Barros, None, Indications and limitations of the use of subjective global assessment in clinical practice: an update. Current Opinion in Clinical Nutrition and Metabolic Care. ,vol. 9, pp. 263- 269 ,(2006) , 10.1097/01.MCO.0000222109.53665.ED
CINDA S. CHIMA, KATHY BARCO, MARCI L.A. DEWITT, MICHELLE MAEDA, J.CARLOS TERAN, KEVIN D. MULLEN, Relationship of Nutritional Status to Length of Stay, Hospital Costs, and Discharge Status of Patients Hospitalized in the Medicine Service Journal of The American Dietetic Association. ,vol. 97, pp. 975- 978 ,(1997) , 10.1016/S0002-8223(97)00235-6
Margareta D. Persson, Kerstin E. Brismar, Krassimir S. Katzarski, Jorgen Nordenstrom, Tommy E. Cederholm, Nutritional Status Using Mini Nutritional Assessment and Subjective Global Assessment Predict Mortality in Geriatric Patients Journal of the American Geriatrics Society. ,vol. 50, pp. 1996- 2002 ,(2002) , 10.1046/J.1532-5415.2002.50611.X