Nutritional Status Of Elderly Inpatients And Its Related Factors

Objectives:The nutritional status and nutritional support of the elderly inpatients were analyzed retrospectively and the influencing factors were analyzed to provide a new basis for the nutrition management of the elderly inpatients.Methods:From the first affiliated Hospital of Kunming Medical University,we collected the information of patients from July 2017 to December 2017,consecutive collection of eligible patient cases based on entry criteria and exclusion criteria.Basic clinical information,anthropometric data and related laboratory indicators were collected,and their clinical characteristics were analyzed by statistical method.Results:A total of 217 patients were enrolled in this study.According to the NRS2002 scale,90 patients(41.47%)had nutritional risk and 127(58.53%)had no nutritional risk.There were 147 males(67.74%)and 70 females(32.26%).The average age of males was 79.67±7.53 years and the average age of females was 79.70±6.02 years.With the increase of age,the nutritional risk also increased,the difference was statistically significant(P<0.05).The nutritional risk patient group had lower values in anthropometric and nutrition-related laboratory indicators than those in the non-nutrition-risk group.Infection-related laboratory indicators and length of hospital stay were higher than those without nutritional risk.BMI,grip strength,length of stay,albumin,retinol-binding protein,hemoglobin,lymphocyte count,neutrophil,and C-reactive protein were statistically different between the two groups(P<0.05).There was no statistical difference in white blood cells.(P>0.05).Among the 13 elderly chronic diseases included in 217 patients,the most common were hypertension(69.12%),104(47.93%)malignant solid tumors,and 90(41.47%)chronic obstructive pulmonary diseases.In the nutritional risk group,77 patients(accounting for 85.56%)were comorbid patients,38 patients(42.2%)were multi-medication patients,and 102 patients(80.31%)accounted for multiple comorbidities in the non-nutrition risk group.Twenty-two patients(accounting for 17.32%)were on medication.There was a statistically significant difference in multiple drug use between the two groups(P<0.05).There was no significant difference in comorbidity among the elderly(P>0.05).Of the 217 patients in this study,70%(63 patients)of nutritional risk patients received nutritional support.Nutritional support patients,nutritional nutrition indicators and infection indicators before and after nutritional intervention were compared to find albumin and retinol after nutritional intervention.The binding protein was higher than before the nutrition intervention,and the leukocyte and C-reactive protein were lower than before nutrition support,the difference was statistically significant(P<0.05).Comparing nutrition and infection indicators of nutritional support patients before and after nutritional intervention,albumin,retinol binding protein,leukocyte and C-reactive protein were significantly different(P<0.05),hemoglobin,lymphocyte count,and There was no significant difference in granulocyte(P>0.05).The age,BMI,grip strength,duration of hospitalization,laboratory nutrition,and laboratory infection were compared between two groups of patients with effective and ineffective nutrition interventions.Before intervention with albumin,after intervention with albumin,and with retinol-binding protein The difference of pre-retinol-binding protein was statistically significant(P<0.05).The comparative analysis of disease distribution in patients with effective nutritional intervention and those without nutritional intervention was performed.There was no significant difference in the above indicators between the two groups(P>0.05).Conclusions:1.With the increase of age,the incidence of nutritional risk in elderly inpatients also increased.2.Patients with nutritional risk had lower anthropometric data,lower laboratory nutritional index,higher laboratory infection index and longer hospital stay than those with no nutritional risk.3.The nutritional risk of multidrug patients was higher than that of non-multidrug patients.4.The laboratory nutritional index and infection index of the patients with nutritional intervention were obviously improved compared with those before nutrition intervention,which indicated that regulating the nutrition management of the elderly inpatients had a positive effect on the nutritional status of the elderly inpatients.