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High prevalence of malnutrition in Internal Medicine wards–a multicentre ANUMEDI study

2020Journal article Open access
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dc.contributor.authorMarinho, Ricardo
dc.contributor.authorPessoa, Ana
dc.contributor.authorLopes, Marta
dc.contributor.authorRosinhas, João
dc.contributor.authorPinho, João
dc.contributor.authorSilveira, Joana
dc.contributor.authorAmado, Ana
dc.contributor.authorSilva, Sandra
dc.contributor.authorOliveira, Bruno M. P. M.
dc.contributor.authorMarinho, Anibal
dc.contributor.authorJager-Wittenaar, Harriet
dc.date.accessioned2020-04-20T16:59:06Z
dc.date.available2020-04-20T16:59:06Z
dc.date.issued2020
dc.description.abstractBackground Disease-related malnutrition is a significant problem in hospitalized patients, with high prevalence rates depending on the studied population. Internal Medicine wards are the backbone of the hospital setting. However, prevalence and determinants of malnutrition in these patients remain unclear. We aimed to determine the prevalence of malnutrition in Internal Medicine wards and to identify and characterize malnourished patients. Methods A cross-sectional observational multicentre study was performed in Internal Medicine wards of 24 Portuguese hospitals during 2017. Demographics, hospital admissions during the previous year, type of admission, primary diagnosis, Charlson comorbidity index, and education level were registered. Malnutrition at admission was assessed using Patient-Generated Subjective Global Assessment (PG-SGA). Demographic characteristics were compared between well-nourished and malnourished patients. Logistic regression analysis was used to identify determinants of malnutrition. Results 729 participants were included (mean age 74 years, 51% male). Main reason for admission was respiratory disease (32%). Mean Charlson comorbidity index was 5.8 ± 2.8. Prevalence of malnutrition was 73% (56% moderate/suspected malnutrition and 17% severe malnutrition), and 54% had a critical need for multidisciplinary intervention (PG-SGA score ≥9). No education (odds ratio [OR] 1.88, 95% confidence interval [CI]: 1.16–3.04), hospital admissions during previous year (OR 1.53, 95%CI: 1.05–2.26), and multiple comorbidities (OR 1.22, 95%CI: 1.14–1.32) significantly increased the odds of being malnourished. Conclusions Prevalence of malnutrition in the Internal Medicine population is very high, with the majority of patients having critical need for multidisciplinary intervention. Low education level, admissions during previous year, and multiple comorbidities increase the odds of being malnourished.pt_PT
dc.description.versionN/Apt_PT
dc.identifier.citationMarinho, R., Pessoa, A., Lopes, M., Rosinhas, J., Pinho, J., Silveira, J., … Jager-Wittenaar, H. (2020). High prevalence of malnutrition in Internal Medicine wards–a multicentre ANUMEDI study. European Journal of Internal Medicinept_PT
dc.identifier.doi10.1016/j.ejim.2020.02.031pt_PT
dc.identifier.eid85081202865
dc.identifier.issn0953-6205
dc.identifier.pmid32165113
dc.identifier.urihttp://hdl.handle.net/10400.14/30294
dc.identifier.wos000539254000017
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.subjectInternal Medicinept_PT
dc.subjectMalnutritionpt_PT
dc.subjectNutritional assessmentpt_PT
dc.subjectHospitalizationpt_PT
dc.subjectPG-SGApt_PT
dc.titleHigh prevalence of malnutrition in Internal Medicine wards–a multicentre ANUMEDI studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleEuropean Journal of Internal Medicinept_PT
person.familyNameMarinho
person.familyNamePessoa
person.givenNameRicardo Cleto
person.givenNameAna
person.identifier.orcid0000-0001-7091-3911
person.identifier.orcid0000-0002-6881-1657
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication738c205d-3019-42c3-842b-fd68cf645054
relation.isAuthorOfPublicationda1d61e8-7816-4264-85d2-0e92178f4b5e
relation.isAuthorOfPublication.latestForDiscoveryda1d61e8-7816-4264-85d2-0e92178f4b5e

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