RT Journal Article
SR Electronic
T1 Nutritional risk screening 2002 - Application in pneumology
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P3493
VO 40
IS Suppl 56
A1 Christina Priegnitz
A1 Ilona Kietzmann
A1 Kerstin Richter
A1 Wolfgang Galetke
A1 Winfried Randerath
YR 2012
UL http://erj.ersjournals.com/content/40/Suppl_56/P3493.abstract
AB BackgroundMalnutrition has a prevalence of ca. 20-50% of all inpatients and is recognized as a relevant risk factor concerning morbidity and mortality. In a German multicenter study (Pirlich et al., 2006) malnutrition was detected in 27% of patients, affecting significantly more women. Malnutrition according to the WHO (BMI <18.5 kg/m²) was found in 4.1%. Especially in those over 65 years age was the most important factor for malnutrition. The aim of the current study was to assess the prevalence of malnutrition in pneumologic patients using the Nutritional Risk Screening 2002 (NRS) and to analyze possible relations to age, sex, disease or length of stay.Methods:705 consecutive patients in our clinic specialized in pneumology were analyzed in respect of age, sex, BMI, disease, malnutrition risk (NRS) and length of stay.ResultsRisk of malnutrition (MN risk) according to NRS was found in 14.3% of patients, while according to WHO only 2.5% were malnourished. In those older than 65 years, these values were 19.6% and 1.5% respectively. There was no relevant difference between sexes. Age significantly contributed to MN risk (OR 1.054, p<0.001). A tumorous disease markedly increased MN risk (OR 2.33, p<0.001), while it was highly reduced in sleep-related breathing disorders (OR 0.04, p<0.001). MN risk was also associated with a significantly longer length of stay (10.2±9.5 vs. 5.4±6.0 days).ConclusionThe application of a validated screening tool significantly contributes to detected patients at risk for malnutrition. Especially patients older than 65 as well as those with specific diseases need increased attention regarding MN risk. An early intervention could help to reduce length of stay.