1. SeDREno study - Prevalence of hospital malnutrition according to GLIM criteria, ten years after the PREDyCES study
- Author
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Maddalen Dublang-Irazabal, Ihintza Larrañaga-Unanue, Margarita Díez-Muñiz-Alique, Ana Zugasti Murillo, Ángela Martín-Palmero, José Luis Salsamendi-Pérez, Juan J. de la Cruz, María Estrella Petrina-Jáuregui, Josefa Rengel-Jiménez, María Luisa Abínzano-Guillén, Carmen Fernández-López, Carmen Ripa-Ciáurriz, Ángela González-Díaz Faes, Rebeca Sánchez Sánchez, Olatz Olariaga, Laura Calles-Romero, María Riestra-Fernández, Francisco Villazón-González, and José Javier Agorreta-Ruiz
- Subjects
Male ,medicine.medical_specialty ,Population ,Iatrogenic Disease ,Medicine (miscellaneous) ,GLIM ,Early detection ,Nutritional Status ,Body Mass Index ,Diagnosis ,Prevalence ,Disease-related malnutrition ,Medicine ,Humans ,Cognitive impairment ,education ,Nutritional risk ,Aged ,Quality Indicators, Health Care ,Quality of Health Care ,Gynecology ,Polypharmacy ,education.field_of_study ,Nutrition and Dietetics ,business.industry ,GLIM criteria ,Estudio transversal ,Malnutrition ,Middle Aged ,medicine.disease ,Spain ,Screening ,Female ,business - Abstract
espanolAntecedentes y objetivos: el ultimo gran estudio multicentrico sobre desnutricion relacionada con la enfermedad (DRE) en Espana (el estudio PREDyCES) mostro una prevalencia de desnutricion del 23,7 % segun la herramienta Nutritional Risk Screening (NRS-2002). El principal objetivo del estudio SeDREno fue evaluar la prevalencia de la desnutricion hospitalaria al ingreso segun los criterios GLIM diez anos despues. Metodos: estudio transversal, observacional, multicentrico, segun la practica clinica estandar, realizado en 17 hospitales durante un periodo de cinco a siete dias. Los pacientes fueron evaluados inicialmente con la herramienta de deteccion universal de desnutricion (MUST) y luego con los criterios GLIM para el diagnostico de DRE y la clasificacion de la gravedad. Resultados: se evaluaron 2185 pacientes, con un 54,8 % de varones, una edad media de 67,1 (17,0) anos (50,2 % ≥ 70 anos). Se observo desnutricion en el 29,7 % de los pacientes segun los criterios GLIM (12,5 % grave, 17,2 % moderada). Entre los pacientes ≥ 70 anos se observo desnutricion en el 34,8 %. Las condiciones clinicas asociadas significativamente con una mayor prevalencia de desnutricion fueron la disfagia (47,6 %), el deterioro cognitivo (43,4 %), el cancer (39,1 %), las enfermedades gastrointestinales (37,7 %), la diabetes (34,8 %) y la patologia cardiovascular (33,4 %). El analisis multivariante revelo que el sexo, el IMC, la diabetes, el cancer, los trastornos gastrointestinales y la polimedicacion eran los principales factores independientes asociados a la DRE. La desnutricion se asocio a un aumento de la duracion de la estancia hospitalaria y la muerte (p Conclusiones: la DRE en pacientes ingresados ha aumentado en Espana en los ultimos 10 anos en paralelo con el aumento del envejecimiento de la poblacion. En el estudio SeDREno, casi uno de cada tres pacientes esta desnutrido. La evaluacion sistematica del estado nutricional permite la deteccion e implementacion precoces de intervenciones nutricionales para lograr un mejor resultado clinico. EnglishBackground & aims: the last large multicenter study on disease-related malnutrition (DRM) in Spain (the PREDyCES study) showed a 23.7 % prevalence of malnutrition, according to the Nutritional Risk Screening (NRS-2002) tool. The main objective of the SeDREno study was to assess the prevalence of hospital malnutrition upon admission, according to GLIM criteria, ten years later. Methods: a cross-sectional, observational, multicenter study in standard clinical practice, conducted in 17 hospitals during a period of five to seven days. Patients were initially screened using the Malnutrition Universal Screening Tool (MUST), and then assessed using the GLIM criteria for diagnosis and severity grading. Results: a total of 2,185 patients, 54.8 % males, mean age 67.1 (17.0) years (50.2 % aged ≥ 70 years), were evaluated. Malnutrition was observed in 29.7 % of patients according to GLIM criteria (12.5 % severe, 17.2 % moderate). In patients ≥ 70 years malnutrition was observed in 34.8 %. The clinical conditions significantly associated with a higher prevalence of malnutrition were dysphagia (47.6 %), cognitive impairment (43.4 %), cancer (39.1 %), gastrointestinal disease (37.7 %), diabetes (34.8 %), and cardiovascular disease (33.4 %). The multivariate analysis revealed that gender, BMI, diabetes, cancer, gastrointestinal disorders, and polypharmacy were the main independent factors associated with DRM. Malnutrition was associated with an increase in length of hospital stay and death (p Conclusions: DRM in admitted patients has increased in Spain in the last 10 years paralleling ageing of the population. In the SeDREno study almost one in three patients are malnourished. A systematic assessment of nutritional status allows early detection and implementation of nutritional interventions to achieve a better clinical outcome.
- Published
- 2021