Clinical nutrition ESPEN · 2026
Prevalence of the risk of malnutrition and early monitoring of caloric-protein intake in patients hospitalized in an internal medicine unit.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
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Manzanedo-Basilio Lucía, Manzanedo-Basilio Laura, Arias-Rivera Susana
Аннотация
BACKGROUND AND OBJECTIVES: Disease-related malnutrition is a widespread challenge associated with increased morbidity and mortality, longer average hospital stays and higher healthcare costs.
OBJECTIVES: 1) To evaluate the nutritional status of hospitalized adults; 2) To evaluate the intake of patients at risk of malnutrition (MR) during the first 3 days of admission.
METHODS: Two-phase observational study: retrospective phase: analysis of nutritional status over the course of one year; 2) prospective phase: analysis of nutritional status and intake of patients with MR in an inpatient internal medicine unit over a four-week period. Screening carried out using the NRS-2002 and MNA-SF scales. Monitoring of calorie and protein intake during the first 72 h of admission through plate observation.
RESULTS: Retrospective phase: nutritional assessment of 66% of admissions in 2023 (1546/2344). MR prevalence of 36.5%. Prospective phase: nutritional assessment of 96.1% of admissions in 2024 (74/77). MR Prevalence of 18.9%. MR independent predictors: pre-admission reduction in intake, persistent anorexia and neuropsychological disorders. Initial intake appears to be appropriate, with complaints about taste or quantity from patients.
CONCLUSIONS: A significant percentage of patients admitted at risk of MR was observed, although intake during the first 3 days of admission was adequate. Malnutrition in hospital environments is common and increases morbidity and mortality. Protocols are needed in order to detect it on admission and to monitor food intake, particularly in patients with former anorexia or neuropsychological problems. Food intake monitoring in the first 72 h helps to identify deficiencies and to improve nutritional prognosis.
OBJECTIVES: 1) To evaluate the nutritional status of hospitalized adults; 2) To evaluate the intake of patients at risk of malnutrition (MR) during the first 3 days of admission.
METHODS: Two-phase observational study: retrospective phase: analysis of nutritional status over the course of one year; 2) prospective phase: analysis of nutritional status and intake of patients with MR in an inpatient internal medicine unit over a four-week period. Screening carried out using the NRS-2002 and MNA-SF scales. Monitoring of calorie and protein intake during the first 72 h of admission through plate observation.
RESULTS: Retrospective phase: nutritional assessment of 66% of admissions in 2023 (1546/2344). MR prevalence of 36.5%. Prospective phase: nutritional assessment of 96.1% of admissions in 2024 (74/77). MR Prevalence of 18.9%. MR independent predictors: pre-admission reduction in intake, persistent anorexia and neuropsychological disorders. Initial intake appears to be appropriate, with complaints about taste or quantity from patients.
CONCLUSIONS: A significant percentage of patients admitted at risk of MR was observed, although intake during the first 3 days of admission was adequate. Malnutrition in hospital environments is common and increases morbidity and mortality. Protocols are needed in order to detect it on admission and to monitor food intake, particularly in patients with former anorexia or neuropsychological problems. Food intake monitoring in the first 72 h helps to identify deficiencies and to improve nutritional prognosis.