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Are Undernutrition and Obesity Associated with Post-Discharge Mortality and Re-Hospitalization after Hospitalization with Community-Acquired Pneumonia?
Undernutrition is associated with increased mortality after hospitalization with community-acquired pneumonia (CAP), whereas obesity is associated with decreased mortality in most studies. We aimed to determine whether undernutrition and obesity are associated with increased risk of re-hospitalizati...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9697837/ https://www.ncbi.nlm.nih.gov/pubmed/36432592 http://dx.doi.org/10.3390/nu14224906 |
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author | Hegelund, Maria H. Ryrsø, Camilla K. Ritz, Christian Dungu, Arnold M. Sejdic, Adin Jensen, Andreas V. Hansen, Nikita M. Mølgaard, Christian Krogh-Madsen, Rikke Lindegaard, Birgitte Faurholt-Jepsen, Daniel |
author_facet | Hegelund, Maria H. Ryrsø, Camilla K. Ritz, Christian Dungu, Arnold M. Sejdic, Adin Jensen, Andreas V. Hansen, Nikita M. Mølgaard, Christian Krogh-Madsen, Rikke Lindegaard, Birgitte Faurholt-Jepsen, Daniel |
author_sort | Hegelund, Maria H. |
collection | PubMed |
description | Undernutrition is associated with increased mortality after hospitalization with community-acquired pneumonia (CAP), whereas obesity is associated with decreased mortality in most studies. We aimed to determine whether undernutrition and obesity are associated with increased risk of re-hospitalization and post-discharge mortality after hospitalization. This study was nested within the Surviving Pneumonia cohort, which is a prospective cohort of adults hospitalized with CAP. Patients were categorized as undernourished, well-nourished, overweight, or obese. Undernutrition was based on diagnostic criteria by the European Society for Clinical Nutrition and Metabolism. Risk of mortality was investigated using multivariate logistic regression and re-hospitalization with competing risk Cox regression where death was the competing event. Compared to well-nourished patients, undernourished patients had a higher risk of 90-day (OR 3.0, 95% CI 1.0; 21.4) mortality, but a similar 30-day and 180-day mortality risk. Obese patients had a similar re-hospitalization and mortality risk as well-nourished patients. In conclusion, among patients with CAP, undernutrition was associated with increased risk of mortality. Undernourished patients are high-risk patients, and our results indicate that in-hospital screening of undernutrition should be implemented to identify patients at mortality risk. Studies are required to investigate whether nutritional therapy after hospitalization with CAP would improve survival. |
format | Online Article Text |
id | pubmed-9697837 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-96978372022-11-26 Are Undernutrition and Obesity Associated with Post-Discharge Mortality and Re-Hospitalization after Hospitalization with Community-Acquired Pneumonia? Hegelund, Maria H. Ryrsø, Camilla K. Ritz, Christian Dungu, Arnold M. Sejdic, Adin Jensen, Andreas V. Hansen, Nikita M. Mølgaard, Christian Krogh-Madsen, Rikke Lindegaard, Birgitte Faurholt-Jepsen, Daniel Nutrients Article Undernutrition is associated with increased mortality after hospitalization with community-acquired pneumonia (CAP), whereas obesity is associated with decreased mortality in most studies. We aimed to determine whether undernutrition and obesity are associated with increased risk of re-hospitalization and post-discharge mortality after hospitalization. This study was nested within the Surviving Pneumonia cohort, which is a prospective cohort of adults hospitalized with CAP. Patients were categorized as undernourished, well-nourished, overweight, or obese. Undernutrition was based on diagnostic criteria by the European Society for Clinical Nutrition and Metabolism. Risk of mortality was investigated using multivariate logistic regression and re-hospitalization with competing risk Cox regression where death was the competing event. Compared to well-nourished patients, undernourished patients had a higher risk of 90-day (OR 3.0, 95% CI 1.0; 21.4) mortality, but a similar 30-day and 180-day mortality risk. Obese patients had a similar re-hospitalization and mortality risk as well-nourished patients. In conclusion, among patients with CAP, undernutrition was associated with increased risk of mortality. Undernourished patients are high-risk patients, and our results indicate that in-hospital screening of undernutrition should be implemented to identify patients at mortality risk. Studies are required to investigate whether nutritional therapy after hospitalization with CAP would improve survival. MDPI 2022-11-19 /pmc/articles/PMC9697837/ /pubmed/36432592 http://dx.doi.org/10.3390/nu14224906 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Hegelund, Maria H. Ryrsø, Camilla K. Ritz, Christian Dungu, Arnold M. Sejdic, Adin Jensen, Andreas V. Hansen, Nikita M. Mølgaard, Christian Krogh-Madsen, Rikke Lindegaard, Birgitte Faurholt-Jepsen, Daniel Are Undernutrition and Obesity Associated with Post-Discharge Mortality and Re-Hospitalization after Hospitalization with Community-Acquired Pneumonia? |
title | Are Undernutrition and Obesity Associated with Post-Discharge Mortality and Re-Hospitalization after Hospitalization with Community-Acquired Pneumonia? |
title_full | Are Undernutrition and Obesity Associated with Post-Discharge Mortality and Re-Hospitalization after Hospitalization with Community-Acquired Pneumonia? |
title_fullStr | Are Undernutrition and Obesity Associated with Post-Discharge Mortality and Re-Hospitalization after Hospitalization with Community-Acquired Pneumonia? |
title_full_unstemmed | Are Undernutrition and Obesity Associated with Post-Discharge Mortality and Re-Hospitalization after Hospitalization with Community-Acquired Pneumonia? |
title_short | Are Undernutrition and Obesity Associated with Post-Discharge Mortality and Re-Hospitalization after Hospitalization with Community-Acquired Pneumonia? |
title_sort | are undernutrition and obesity associated with post-discharge mortality and re-hospitalization after hospitalization with community-acquired pneumonia? |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9697837/ https://www.ncbi.nlm.nih.gov/pubmed/36432592 http://dx.doi.org/10.3390/nu14224906 |
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