Hernández FE, Quiles GL, Abdo CA, Álvarez RA, Noriega D

Language: Spanish
References: 22
Page:
PDF size: 194.66 Kb.

ABSTRACT

Introduction. Malnutrition in the hospital setting is an important problem due to its prevalence and associated morbidity, despite which it continues to go unnoticed by most professionals and health officials. Determining the nutritional risk would serve to effectively intervene in the prognosis of the patient. Objective: To determine the prevalence of malnutrition upon admission to the intensive care unit and to analyze possible factors associated with it. Methods. Retrospective and longitudinal observational study in140 critically ill patients admitted to the CIMEQ intensive care unit during the period from January 1, 2018 to January 1, 2019. For the diagnosis of malnutrition, a tool based on levels of albumin, total cholesterol and lymphocytes, Control Nutritional (CONUT). Results. According to the tool used (CONUT), 17.2 % of the patients had a normal nutritional status upon admission, while 82.9 % had malnutrition criteria: 50.7% mild malnutrition, 24.4 % moderate and 7.7 % severe. Malnutrition was associated with older age, presence of pressure ulcers, use of a nasogastric tube, liver disease, sepsis, shock of any etiology, mechanical ventilation, and ICU stay longer than 15 days. Conclusions. In our intensive care unit, the prevalence of patients with some degree of malnutrition is high, however, the highest percentage of malnourished patients were mild and moderate in intensity, increasing hospital stay and being associated with higher mortality.

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