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Analysis of Outcomes of the NRS 2002 in Patients Hospitalized in Nephrology Wards

Introduction: Malnutrition is a common problem among hospitalized patients. In chronic kidney disease, it affects up to 50% of the population. Undernourishment has an adverse effect on prognosis and prolongs convalescence. The aim of the study was to test the effectiveness of NRS (Nutrition Risk Scr...

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Autores principales: Borek, Paulina, Chmielewski, Michał, Małgorzewicz, Sylwia, Dębska Ślizień, Alicja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5372950/
https://www.ncbi.nlm.nih.gov/pubmed/28300757
http://dx.doi.org/10.3390/nu9030287
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author Borek, Paulina
Chmielewski, Michał
Małgorzewicz, Sylwia
Dębska Ślizień, Alicja
author_facet Borek, Paulina
Chmielewski, Michał
Małgorzewicz, Sylwia
Dębska Ślizień, Alicja
author_sort Borek, Paulina
collection PubMed
description Introduction: Malnutrition is a common problem among hospitalized patients. In chronic kidney disease, it affects up to 50% of the population. Undernourishment has an adverse effect on prognosis and prolongs convalescence. The aim of the study was to test the effectiveness of NRS (Nutrition Risk Screening) -2002 in the assessment of risk of malnutrition for patients hospitalized in nephrology wards. The aim was to develop clinical characteristics of malnourished patients and to assess the relationship between nutritional status and patient outcome. Methods: The analysis included 292 patients, consecutively admitted to nephrology wards. NRS-2002 was assessed in comparison to subjective global assessment. Associations with patient characteristics and outcome were evaluated. Results: Out of all the respondents, 119 patients (40%) suffered from malnutrition. The NRS-2002 showed a very strong relationship with Subjective Global Assessment (SGA) (p < 0.0001). Malnourished patients were older, were characterized by a significantly lower body mass index (BMI), and had a much longer hospitalization duration. In multiple regression analysis, the presence of malnutrition proved to be an independent predictor of the duration of hospital stay. CONCLUSIONS: Malnutrition is highly prevalent among patients hospitalized in nephrology wards, and it affects the length of hospitalization. Identification of malnourished patients and patients at serious risk of malnutrition progression allows the implementation of appropriate nutritional intervention.
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spelling pubmed-53729502017-04-05 Analysis of Outcomes of the NRS 2002 in Patients Hospitalized in Nephrology Wards Borek, Paulina Chmielewski, Michał Małgorzewicz, Sylwia Dębska Ślizień, Alicja Nutrients Article Introduction: Malnutrition is a common problem among hospitalized patients. In chronic kidney disease, it affects up to 50% of the population. Undernourishment has an adverse effect on prognosis and prolongs convalescence. The aim of the study was to test the effectiveness of NRS (Nutrition Risk Screening) -2002 in the assessment of risk of malnutrition for patients hospitalized in nephrology wards. The aim was to develop clinical characteristics of malnourished patients and to assess the relationship between nutritional status and patient outcome. Methods: The analysis included 292 patients, consecutively admitted to nephrology wards. NRS-2002 was assessed in comparison to subjective global assessment. Associations with patient characteristics and outcome were evaluated. Results: Out of all the respondents, 119 patients (40%) suffered from malnutrition. The NRS-2002 showed a very strong relationship with Subjective Global Assessment (SGA) (p < 0.0001). Malnourished patients were older, were characterized by a significantly lower body mass index (BMI), and had a much longer hospitalization duration. In multiple regression analysis, the presence of malnutrition proved to be an independent predictor of the duration of hospital stay. CONCLUSIONS: Malnutrition is highly prevalent among patients hospitalized in nephrology wards, and it affects the length of hospitalization. Identification of malnourished patients and patients at serious risk of malnutrition progression allows the implementation of appropriate nutritional intervention. MDPI 2017-03-16 /pmc/articles/PMC5372950/ /pubmed/28300757 http://dx.doi.org/10.3390/nu9030287 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Borek, Paulina
Chmielewski, Michał
Małgorzewicz, Sylwia
Dębska Ślizień, Alicja
Analysis of Outcomes of the NRS 2002 in Patients Hospitalized in Nephrology Wards
title Analysis of Outcomes of the NRS 2002 in Patients Hospitalized in Nephrology Wards
title_full Analysis of Outcomes of the NRS 2002 in Patients Hospitalized in Nephrology Wards
title_fullStr Analysis of Outcomes of the NRS 2002 in Patients Hospitalized in Nephrology Wards
title_full_unstemmed Analysis of Outcomes of the NRS 2002 in Patients Hospitalized in Nephrology Wards
title_short Analysis of Outcomes of the NRS 2002 in Patients Hospitalized in Nephrology Wards
title_sort analysis of outcomes of the nrs 2002 in patients hospitalized in nephrology wards
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5372950/
https://www.ncbi.nlm.nih.gov/pubmed/28300757
http://dx.doi.org/10.3390/nu9030287
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