Deprivation linked to malnutrition risk and mortality in hospital.

作者: Rebecca J. Stratton , Marinos Elia

DOI: 10.1017/BJN20061852

关键词:

摘要: This study aimed to investigate the link between deprivation and in-hospital malnutrition assess any independent interrelated effects of on clinical outcome in hospital. One thousand patients (mean age 71 (SD 19) years, mean BMI 25.6 5.4) kg/m(2)) were screened for (using Malnutrition Universal Screening Tool ('MUST')) their assessed prospectively. The patients' locality residence prior admission was recorded using Index Multiple Deprivation 2000 (IMD). Patients with medium high risk (42 %, n 420) admitted from areas significantly greater (lower ranks) than low-risk (IMD 3731 v. 3946; P<0.02). prevalence increased by multiples 1.14 (95 % CI 1.02, 1.28) each increment quartile IMD rank. odds most deprived those least a factor 1.59 1.11, 2.28). They also five six components (and 1.73 1.20, 2.49) income 1.69 1.18, 2.42) employment). Greater mortality associated malnutrition, independently (or its individual components; ratio 2.04 1.22, 3.44)). Length stay only (P<0.0005). highlights that are interrelated, yet have independent, adverse associations patient outcome. Effective strategies required tackle these common health inequalities both public settings.

参考文章(22)
Betty R. Kirkwood, Jonathan A. C. Sterne, Essential Medical Statistics ,(2014)
Peter Phillimore, Peter Townsend, Alastair Beattie, Health and Deprivation: Inequality and the North ,(1987)
Georgios Lyratzopoulos, Daniel Havely, Islay Gemmell, Gary A Cook, Factors influencing emergency medical readmission risk in a UK district general hospital: A prospective study BMC Emergency Medicine. ,vol. 5, pp. 1- 9 ,(2005) , 10.1186/1471-227X-5-1
Aphrodite Niggebrugge, Robin Haynes, Andrew Jones, Andrew Lovett, Ian Harvey, The index of multiple deprivation 2000 access domain: a useful indicator for public health? Social Science & Medicine. ,vol. 60, pp. 2743- 2753 ,(2005) , 10.1016/J.SOCSCIMED.2004.11.026
D.K Whynes, E.J Frew, C.M Manghan, J.H Scholefield, J.D Hardcastle, Colorectal cancer, screening and survival: the influence of socio-economic deprivation Public Health. ,vol. 117, pp. 389- 395 ,(2003) , 10.1016/S0033-3506(03)00146-X
Andrew Hutchings, Rosalind Raine, Anthony Brady, Martin Wildman, Kathy Rowan, Socioeconomic status and outcome from intensive care in England and Wales. Medical Care. ,vol. 42, pp. 943- 951 ,(2004) , 10.1097/00005650-200410000-00002
Laura M Woods, Bernard Rachet, Michael Riga, Noell Stone, Anjali Shah, Michel P Coleman, Geographical variation in life expectancy at birth in England and Wales is largely explained by deprivation Journal of Epidemiology and Community Health. ,vol. 59, pp. 115- 120 ,(2005) , 10.1136/JECH.2003.013003
Morris Fishbein, Health and Social Security The Journal of the American Dental Association. ,vol. 38, pp. 592- 598 ,(1949) , 10.14219/JADA.ARCHIVE.1949.0184