The Research Of Nutritional Risk In Hospitalized Patients Of Gastroenterology In Meizhou

Objective:To assess the nutritional risk and the nutritional support rate in hospitalized patients of gastroenterology by Nutritional Risk Screening 2002(NRS2002).Methods:Nutritional risk screen and the status of nutrition support were evaluated in hospitalized patients in gastroenterology department of two hospitals in Meizhou city, Guangdong province. The NRS2002 includes three parts:â‘ the severity of disease;â‘¡the nutrition status including BMI (or sALB);â‘¢the ages of patients. The total score greater than 3 was justified as at nutritional risk.Results:1. Totally 1190 patients were evaluated with NRS2002. Among them 460 patients which account for 38.7% were considered at nutritional risk, and 730 patients which account for 61.3% were not considered at nutritional risk.2. There were 254 male patients that account for 39.7% of all male patients at nutrition risk, and 206 female patients that account for 37.5% of all female patients were at nutritional risk. There was no significant difference between male patients and female patients(x2=0.622, P =0.430).3. There were 434 patients greater than or equal to 65-year-old, among them 214 patients which account for 49.3% were considered at nutritional risk, which was significantly higher than that of patients younger than 65 years old(32.5%)(x2=32.969, P=0.000).4. In the total 1190 patients, nutritional support was given to 435 patients that account for 36.6%.5. In 460 patients with nutritional risk,270 of them which account for 58.7% received nutritional support, the nutritional support rate in 730 patients without nutritional risk was 22.6%.6. BMI was measured in 1047 patients. Among them 316 ones with their BMI<18.5kg/m2 were judged as malnutrition which account for 30.2%.7. In 316 patients judged as malnutrition by BMI 168 ones that account for 53.2% received nutritional support.8. BMI was measured in 1047 patients. Among them 423 patients which account for 40.4% were considered at nutritional risk, and 224 of these 423 patients which account for 53.0% received nutritional support,624 of these 1047 patients mentioned above, which account for 60.0% were not considered at nutritional risk, and 164 of these 624 patients which account for 26.3% received nutritional support.Conclusions:1. The prevalence of nutritional risk and malnutrition were high in hospital patients of gastroenterology in Meizhou, but the rate of nutritional support was low. The results indicated that the actual nutritional support had not met the need of hospitalized patients.2. The application rate of parenteral nutrition was higher than that of enteral nutrition.3. The present study showed that the NRS2002 was simple, rapid and economic. Combining with the normal value of BMI, it was feasible to screen the nutritional risk of hospitalized patients in China.