Study Of Nutritional Support And Nutritional Risk Screening Assessment In Hospitalized Patients

Objective: To survey incidence of malnutrition, incidence of nutritional riskscreening, estimate if need nutritional support(including reasonable and unreasonablenutritional support) or not in hospitalized patients in five departments of our hospital, andhow many inpatients could be evaluated completely by nutritional risk screening 2002?Methods: One thousand patients were enrolled in this protocol, includingdepartment of gastroenterology, department of respiratory, department of neurology,general surgery, and thoracic surgery. Patients were evaluated if according to assessmentcondition. The assessment of nutritional risk were carded out in the next morningenrolled, but the patients who could not use NRS because of could not stand, edema orascites would examine the serum albumin(sALB) which＜35g/L as malnutrition. Thebody mass index was adopted by Chinese standard which lowered than 18.5kg/m~2 asmalnutrition. The patients who could not obtain exactly body mass index could not beused by NRS. The method of NRS was instituted by ESPEN in 2002, which wascomposed of four parts, for body mass index(BMI), the change of body weight, thechange of diet intake and severity of diseases. The total scores which equal to or washigher than 3 were justified nutritional risk and needed to nutritional support.Results: (1) There were 826 patients could be evaluated by NRS, and there were174 patients could not be evaluated by NRS. There were significant differences in fivedepartments. (2)55 patients were judged by malnutrition. There were significantdifferences in five departments. (3) 23.2% patients were judged at the risk ofmalnutrition by NRS. There were significant differences in five departments. (4) 76patients used nutritional support 1 to 3 days, and 85 patients used it 3 to 5 days, and 135patients used it more than 5 days. There were significant differences in five departments. Conclusion: Used by NRS (2002) to assess the nutritional state in the hospitalizedpatients was feasible. There were statistic differences in five departments. The patientswho could not used by NRS because of could not stand or ascites could be assessedthrough sALB＜35g/L. The materials were significant for using parenteral or enternalnutrition reasonalbly.