A prospective and descriptive study on the nutritional risks, undernutrition, and application of nutritional support among inpatients with later but non-end-stage cancer in a Beijing-based second grade hospital
10.3760/cma.j.issn.1674-635X.2014.01.006
- VernacularTitle:北京某二甲医院非终末期晚期肿瘤患者营养风险、营养不足及营养支持情况前瞻性描述性研究
- Author:
Xiaoqin ZHANG
;
Yang WANG
;
Hong WANG
;
Jiayi LI
;
Kang YU
;
Xiaotian ZHANG
;
Zhuming JIANG
- Publication Type:Journal Article
- Keywords:
Later but non-end stage cancer patients;
Nutritional Risk Screening 2002;
Nutritional risk;
Undernntrition;
Nutritional support;
Electronic data collection system
- From:
Chinese Journal of Clinical Nutrition
2014;22(1):28-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate prospectively the nutritional risks,undernutrition,and nutritional support in hospitalized patients with later but non-end-stage malignancies in a second grade hospital in Beijing.Methods All patients who were admitted in the department of oncology in this hospital from October 2011 to April 2013 were consecutively recorded.Nutritional Risk Screening (NRS 2002) was used for screening nutrition risks,the undernutrition assessment was performed on the first morning for patients meet the inclusion criteria,and nutritional support was evaluated until the discharge.For patients with no nutritional risk,NRS 2002 was repeated weekly during the hospitalization.Results A total of 305 cases of inpatients admitted,and 224cases meeting the inclusion criteria were screened by NRS 2002,among whom only 171 patients with non-endstage later stage cancer entered the final analysis.Among these 171 patients,116 (67.8％) were at nutritional risks.Furthermore,for different types of tumor,the nutritional risk was 45.7％ for lung cancer,89.4％ for digestive-tract cancers,81.3％ for liver-biliary and pancreatic cancers,and 83.3％ for head-and-neck cancers.The undernutrition rate was 12.3％ (21/171) if based on body mass index ＜ 18.5 kg/m2 and 19.9％ (34/171) if evaluated from the score of nutritional defect part of NRS 2002.Only 71 patients (61.2％) at nutritional risk received nutritional support,while 5 of 55 patients (9.1％) without nutritional risk received nutritional support.The average ratio of parenteral nutrition to enteral nutrition was 23∶ 1.Intravenous calories intake was 56.78 ± 8.20 k J/ (kg · d) ; the intake of nitrogen was 0.06 ± 0.01 g/ (kg · d),and the ratio of calories to nitrogen was 204∶ 1.Conclusions A large proportion of inpatients with non-end-stage later cancer were at nutritional risk,which is associated with tumor types.The application of nutritional support should be further standardized,particularly for patients at nutritional risk but with low nutritional support.Furthermore,whether the clinical outcome of inpatients at nutritional risk may be improved by nutritional support still requires further investigation.
