Araştırma Makalesi
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Evaluation of nutritional status (Nutritional Risk Screening-2002) of hospitalized inpatients and comparison with various variables

Yıl 2024, , 125 - 129, 30.08.2024
https://doi.org/10.30565/medalanya.1491463

Öz

Aim: This study aimed to evaluate the nutritional status of hospitalized patients according to Nutritional Risk Screening-2002 (NRS-2002) and to examine the effects of various variables on nutritional status.

Methods: The sample of the cross-sectional study consisted of 469 inpatients reached by simple random sampling method. Data was collected from hospitalized patients with a survey form using face-to-face interview method between January and March 2024. Personal information and hospital stay characteristics form, NRS-2002 form was used in the survey used to collect data.

Results: The average age of the patients included in the study was found to be 59.8±18.1 years. Of the patients, 51.4% were male and 48.6% were female. According to the total NRS-2002 score result, 410 (87.3%) of the patients were classified as no risk of malnutrition and 59 (12.6%) were classified as risk of malnutrition. No statistically significant difference was found between patients’ malnutrition risk and gender, education level, hospital diets, hospital clinics (p>0.05). However, a statistically significant difference was found between the malnutrition risk of the patients and their age, body mass index (BMI) and length of hospital stay (p<0.05).

Conclusion: Nutrition screening tools should be applied more frequently to these patients, especially since the risk of malnutrition is higher in patients who are elderly, have a long hospital stay, and have a low BMI.

Kaynakça

  • 1. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN). ESPEN guidelines for nutrition screening 2002. Clin Nutr. 2003;22(4):415–21.  doi: 10.1016/s0261-5614(03)00098-0.
  • 2. Correia MITD, Perman MI, Waitzberg DL. Hospital malnutrition in Latin America: A systematic review. Clin Nutr. 2017;36(4):958-67. doi: 10.1016/j.clnu.2016.06.025.
  • 3. Sahli L, Hagenbuch N, Ballmer PE, Rühlin M, Imoberdorf R. NRS-2002 components, nutritional score and severity of disease score, and their association with hospital length of stay and mortality. Swiss Med Wkly. 2021;14:151:w20517. doi: 10.4414/smw.2021.20517.
  • 4. Wooley JA. American Dietetic Association endorses A.S.P.E.N. enteral nutrition practice recommendations. J Am Diet Assoc 2010;110(5):683-5. doi: 10.1016/j.jada.2010.02.024.
  • 5. Kondrup J, Rasmussen HH, Hamberg O, Stanga Z, Group AHEW. Nutritional risk screening (NRS 2002): A new method based on an analysis of controlled clinical trials. Clin Nutr. 2003;22(3):321-36. doi: 10.1016/s0261-5614(02)00214-5.
  • 6. Field LB, Hand RK. Differentiating malnutrition screening and assessment: a nutrition care process perspective. J Acad Nutr Diet 2015;115(5):824-8. doi: 10.1016/j.jand.2014.11.010.
  • 7. Thomas MN, Kufeldt J, Kisser U, Hornung HM, Hoffmann J, Andraschko M, et al. Effects of malnutrition on complication rates, length of hospital stay, and revenue in elective surgical patients in the G-DRG-system. Nutrition. 2016;32(2):249–54.  doi: 10.1016/j.nut.2015.08.021.
  • 8. Sanson G, Sadiraj M, Barbin I, Confezione C, De Matteis D, Boscutti G, et al. Prediction of early- and long-term mortality in adult patients acutely admitted to internal medicine: NRS-2002 and beyond. Clin Nutr. 2020;39(4):1092–100. doi: 10.1016/j.clnu.2019.04.011.
  • 9. Tangvik RJ, Tell GS, Eisman JA, Guttormsen AB, Henriksen A, Nilsen RM, et al. The nutritional strategy: four questions predict morbidity, mortality and health care costs. Clin Nutr. 2014;33(4):634–41.  doi: 10.1016/j.clnu.2013.09.008.
  • 10. Mercadal-Orfila G, Lluch-Taltavull J, Campillo-Artero C, Torrent-Quetglas M. Association between nutritional risk based on the NRS-2002 test and hospital morbidity and mortality. Nutr Hosp. 2012;27(4):1248–54. doi: 10.3305/nh.2012.27.4.5791.
  • 11. Waitzberg DL, Caiaffa WT, Correia MI. Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients. Nutrition. 2001;17(7-8), 573–580. doi: 10.1016/s0899-9007(01)00573-1.
  • 12. Barker LA, Gout BS, Crowe TC. Hospital Malnutrition: Prevalence, Identification and Impact on Patients and the Healthcare System. Int J Environ Res Public Health. 2011;8:514–527. doi: 10.3390/ijerph8020514.
  • 13. World Health Organization (WHO). BMI classification, Global database on Body Mass Index. (2004): http://www.assessmentpsychology.com/icbmi.htm. erişim; 17 Nisan 2024.
  • 14. Bolayir B, Arik G, Yeşil Y, Kuyumcu ME, Varan HD, Kara Ö, et al. Validation of Nutritional Risk Screening-2002 in a Hospitalized Adult Population. Nutr Clin Pract. 2019;34(2), 297–303. doi: 10.1002/ncp.10082.
  • 15. Pirlich M, Schütz T, Norman K, Gastell S, Lübke HJ, Bischoff SC,et al. The German hospital malnutrition study. Clin Nutr. 2006:25(4), 563–572. doi: 10.1016/j.clnu.2006.03.005.
  • 16. Korfalı G, Gündoğdu H, Aydıntuğ S, Bahar M, Besler T, Moral AR, et al. Nutritional risk of hospitalized patients in Turkey. Clin Nutr. 2009;28(5):533- 7. doi: 10.1016/j.clnu.2009.04.015.
  • 17. Nişancı Kılınç, F., Özenir, Ç., Eşer Durmaz, S., Bayındır Gümüş, A., et al. Determination of Malnutrition and Quality of Life at the Time of Hospitalization of Patients. BSJ Health Sci. 2023;6(4):640-9. doi: 10.19127/bshealthscience.1329255.
  • 18. Güngör AE, Kılınç FN, Alparslan I, Çakır B, Asil E, Esatoglu AE, et al. Being “Nutritionally at Risk”: Its Effect on Health Expenses and Length of Hospital Stay. Progr Nutrit, 2022;24(2):e2021320. doi: 10.23751/pn.v24i2.12057.
  • 19. Ruiz AJ, Buitrago G, Rodríguez N, Gómez G, Sulo S, Gómez C, et al. Clinical and economic outcomes associ-ated with malnutrition in hospitalized patients. Clin Nutr 2019;38(3):1310-6. doi: 10.1016/j.clnu.2018.05.016.
  • 20. Ongun N. Nutritional status of the patients in neurology clinic and its relation with polypharmacy and length of hospital stay. Pam Tıp Derg. 2019;12(3):467-73. doi: 10.31362/patd.535646.
  • 21. Kroc L, Fife E, Piechocka-Wochniak E, Sołtysik B, Kostka T. Comparison of nutrition risk screening 2002 and subjective global assessment form as short nutrition assessment tools in older hospitalized adults. Nutrients. 2021;13(1):1-10. doi: 10.3390/nu13010225.
  • 22. Simsek H, Meseri R, Sahin S, Ucku R. Prevalence of food insecurity and malnutrition, factors related to malnutrition in the elderly: A community-based, cross-sectional study from Turkey. European Geriatric Medicine. 2013;4(4):226-30. doi: 10.1016/j.eurger.2013.06.001.
  • 23. Zhang Z, Pereira SL, Luo M, Matheson EM. Evaluation of blood biomarkers associated with risk of malnutrition in older adults: a systematic review and meta-analysis. Nutrients. 2017;9(8):829. doi: 10.3390/nu9080829.

Hastanede Yatan Hastaların Beslenme Durumunun (Nütrisyonel Risk Taraması-2002) Değerlendirilmesi ve Çeşitli Değişkenlerle Karşılaştırılması

Yıl 2024, , 125 - 129, 30.08.2024
https://doi.org/10.30565/medalanya.1491463

Öz

Amaç: Bu çalışmada, hastanede yatan hastaların beslenme durumlarının Nütrisyonel Risk Taraması-2002 (NRS-2002)'ye göre değerlendirilmesi ve çeşitli değişkenlerin beslenme durumu üzerindeki etkilerinin incelenmesi amaçlandı.

Yöntem: Kesitsel tipte yapılan araştırmanın örneklemini basit tesadüfi örnekleme yöntemiyle ulaşılan 469 yatan hasta oluşturmuştur. Veriler, Ocak-Mart 2024 tarihleri arasında hastanede yatan hastalardan yüz yüze görüşme yöntemi kullanılarak anket ile toplandı. Verilerin toplanmasında kullanılan ankette kişisel bilgilervehastanede kalış özellikleri formu, NRS-2002 formu kullanıldı.

Bulgular: Çalışmaya alınan hastaların yaş ortalaması 59,8±18,1 yıl olarak bulundu. Hastaların %51,4'ü erkek, %48,6'sı kadındı. NRS-2002 skoru sonucuna göre hastaların 410'u (%87,3) malnütrisyon riski yok, 59'u (%12,6) malnütrisyon riskli olarak sınıflandırıldı. Hastaların malnütrisyon riski ile cinsiyet, eğitim düzeyi, hastane diyeti ve hastane klinikleri arasında istatistiksel olarak anlamlı bir farklılık bulunamadı (p>0,05). Ancak hastaların malnütrisyon riski ile yaş, beden kütle indeksi (BKİ) ve hastanede kalış süresi arasında istatistiksel olarak anlamlı bir farklılık bulundu (p<0,05).

Sonuç: Özellikle yaşlı, hastanede yatış süresi uzun ve BKİ düşük olan hastaların malnütrisyon riskinin daha yüksek olması nedeniyle bu hastalara beslenme tarama araçlarının daha sık uygulanması gerekmektedir.

Kaynakça

  • 1. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN). ESPEN guidelines for nutrition screening 2002. Clin Nutr. 2003;22(4):415–21.  doi: 10.1016/s0261-5614(03)00098-0.
  • 2. Correia MITD, Perman MI, Waitzberg DL. Hospital malnutrition in Latin America: A systematic review. Clin Nutr. 2017;36(4):958-67. doi: 10.1016/j.clnu.2016.06.025.
  • 3. Sahli L, Hagenbuch N, Ballmer PE, Rühlin M, Imoberdorf R. NRS-2002 components, nutritional score and severity of disease score, and their association with hospital length of stay and mortality. Swiss Med Wkly. 2021;14:151:w20517. doi: 10.4414/smw.2021.20517.
  • 4. Wooley JA. American Dietetic Association endorses A.S.P.E.N. enteral nutrition practice recommendations. J Am Diet Assoc 2010;110(5):683-5. doi: 10.1016/j.jada.2010.02.024.
  • 5. Kondrup J, Rasmussen HH, Hamberg O, Stanga Z, Group AHEW. Nutritional risk screening (NRS 2002): A new method based on an analysis of controlled clinical trials. Clin Nutr. 2003;22(3):321-36. doi: 10.1016/s0261-5614(02)00214-5.
  • 6. Field LB, Hand RK. Differentiating malnutrition screening and assessment: a nutrition care process perspective. J Acad Nutr Diet 2015;115(5):824-8. doi: 10.1016/j.jand.2014.11.010.
  • 7. Thomas MN, Kufeldt J, Kisser U, Hornung HM, Hoffmann J, Andraschko M, et al. Effects of malnutrition on complication rates, length of hospital stay, and revenue in elective surgical patients in the G-DRG-system. Nutrition. 2016;32(2):249–54.  doi: 10.1016/j.nut.2015.08.021.
  • 8. Sanson G, Sadiraj M, Barbin I, Confezione C, De Matteis D, Boscutti G, et al. Prediction of early- and long-term mortality in adult patients acutely admitted to internal medicine: NRS-2002 and beyond. Clin Nutr. 2020;39(4):1092–100. doi: 10.1016/j.clnu.2019.04.011.
  • 9. Tangvik RJ, Tell GS, Eisman JA, Guttormsen AB, Henriksen A, Nilsen RM, et al. The nutritional strategy: four questions predict morbidity, mortality and health care costs. Clin Nutr. 2014;33(4):634–41.  doi: 10.1016/j.clnu.2013.09.008.
  • 10. Mercadal-Orfila G, Lluch-Taltavull J, Campillo-Artero C, Torrent-Quetglas M. Association between nutritional risk based on the NRS-2002 test and hospital morbidity and mortality. Nutr Hosp. 2012;27(4):1248–54. doi: 10.3305/nh.2012.27.4.5791.
  • 11. Waitzberg DL, Caiaffa WT, Correia MI. Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients. Nutrition. 2001;17(7-8), 573–580. doi: 10.1016/s0899-9007(01)00573-1.
  • 12. Barker LA, Gout BS, Crowe TC. Hospital Malnutrition: Prevalence, Identification and Impact on Patients and the Healthcare System. Int J Environ Res Public Health. 2011;8:514–527. doi: 10.3390/ijerph8020514.
  • 13. World Health Organization (WHO). BMI classification, Global database on Body Mass Index. (2004): http://www.assessmentpsychology.com/icbmi.htm. erişim; 17 Nisan 2024.
  • 14. Bolayir B, Arik G, Yeşil Y, Kuyumcu ME, Varan HD, Kara Ö, et al. Validation of Nutritional Risk Screening-2002 in a Hospitalized Adult Population. Nutr Clin Pract. 2019;34(2), 297–303. doi: 10.1002/ncp.10082.
  • 15. Pirlich M, Schütz T, Norman K, Gastell S, Lübke HJ, Bischoff SC,et al. The German hospital malnutrition study. Clin Nutr. 2006:25(4), 563–572. doi: 10.1016/j.clnu.2006.03.005.
  • 16. Korfalı G, Gündoğdu H, Aydıntuğ S, Bahar M, Besler T, Moral AR, et al. Nutritional risk of hospitalized patients in Turkey. Clin Nutr. 2009;28(5):533- 7. doi: 10.1016/j.clnu.2009.04.015.
  • 17. Nişancı Kılınç, F., Özenir, Ç., Eşer Durmaz, S., Bayındır Gümüş, A., et al. Determination of Malnutrition and Quality of Life at the Time of Hospitalization of Patients. BSJ Health Sci. 2023;6(4):640-9. doi: 10.19127/bshealthscience.1329255.
  • 18. Güngör AE, Kılınç FN, Alparslan I, Çakır B, Asil E, Esatoglu AE, et al. Being “Nutritionally at Risk”: Its Effect on Health Expenses and Length of Hospital Stay. Progr Nutrit, 2022;24(2):e2021320. doi: 10.23751/pn.v24i2.12057.
  • 19. Ruiz AJ, Buitrago G, Rodríguez N, Gómez G, Sulo S, Gómez C, et al. Clinical and economic outcomes associ-ated with malnutrition in hospitalized patients. Clin Nutr 2019;38(3):1310-6. doi: 10.1016/j.clnu.2018.05.016.
  • 20. Ongun N. Nutritional status of the patients in neurology clinic and its relation with polypharmacy and length of hospital stay. Pam Tıp Derg. 2019;12(3):467-73. doi: 10.31362/patd.535646.
  • 21. Kroc L, Fife E, Piechocka-Wochniak E, Sołtysik B, Kostka T. Comparison of nutrition risk screening 2002 and subjective global assessment form as short nutrition assessment tools in older hospitalized adults. Nutrients. 2021;13(1):1-10. doi: 10.3390/nu13010225.
  • 22. Simsek H, Meseri R, Sahin S, Ucku R. Prevalence of food insecurity and malnutrition, factors related to malnutrition in the elderly: A community-based, cross-sectional study from Turkey. European Geriatric Medicine. 2013;4(4):226-30. doi: 10.1016/j.eurger.2013.06.001.
  • 23. Zhang Z, Pereira SL, Luo M, Matheson EM. Evaluation of blood biomarkers associated with risk of malnutrition in older adults: a systematic review and meta-analysis. Nutrients. 2017;9(8):829. doi: 10.3390/nu9080829.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Ezgi Toptaş Bıyıklı 0000-0002-9277-100X

Ali Emrah Bıyıklı 0000-0003-2254-2348

Yayımlanma Tarihi 30 Ağustos 2024
Gönderilme Tarihi 28 Mayıs 2024
Kabul Tarihi 4 Temmuz 2024
Yayımlandığı Sayı Yıl 2024

Kaynak Göster

Vancouver Toptaş Bıyıklı E, Bıyıklı AE. Evaluation of nutritional status (Nutritional Risk Screening-2002) of hospitalized inpatients and comparison with various variables. Acta Med. Alanya. 2024;8(2):125-9.

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