Prevalence of malnutrition in a tertiary care hospital in India.

Indian J Crit Care Med

Department of Critical Care, Apollo Gleneagles Hospitals, Kolkata, West Bengal, India.

Published: May 2013

AI Article Synopsis

  • * A total of 500 patients were assessed using the Subjective Global Nutritional Assessment (SGNA) score, with hypertension, diabetes, and cancer being the most common co-morbidities among the malnourished.
  • * The findings highlight a significant need for improved nutritional care programs in Indian ICUs, especially since 86% of cancer patients were malnourished compared to just 12% of trauma patients.

Article Abstract

Introduction: Malnutrition adversely affects clinical outcome of hospitalized patients. This observational prospective study was done to assess the prevalence of malnutrition and its grade among patients admitted in a mixed intensive care unit (ICU) of a tertiary care hospital in order to help devise a comprehensive nutrition program for the malnourished.

Materials And Methods: A total of 500 sequential patients admitted to the ICU were screened on admission over a year period for malnutrition using the Subjective Global Nutritional Assessment (SGNA) score. Distribution of the degree of malnutrition according to co-morbidities was also documented.

Results: Of the total, 198 (39.6%) patients were malnourished, including one patient qualifying as severely malnourished; 68% patients were male, however, there was no statistically significant difference between nutrition status between sexes. Hypertension, diabetes, and cancer were the three most commonly encountered co-morbidities among the malnourished. A total of 86% of all cancer patients admitted were malnourished against only 12% of trauma patients.

Conclusion: This study showed that almost two-fifth of the patients admitted were malnourished in this tertiary care hospital and that there is an urgent need to develop a comprehensive nutritional care program in many such Indian ICUs.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3777371PMC
http://dx.doi.org/10.4103/0972-5229.117058DOI Listing

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