Survey on nutritional risk of hospitalized patients from 23 hospitals in 12 cities of Jiangsu Province from 2020 to 2021
10.3760/cma.j.cn112150-20241111-00892
- VernacularTitle:2020—2021年江苏省12个城市23家医院住院患者营养风险状况调查
- Author:
Tingting YANG
1
;
Wei CHEN
;
Xianghua MA
;
Yan ZHAO
Author Information
1. 河南省人民医院/郑州大学人民医院临床营养科，郑州 450003
- Publication Type:Journal Article
- Keywords:
Inpatients;
Nutritional assessment;
Screening;
Cross-sectional studies
- From:
Chinese Journal of Preventive Medicine
2025;59(10):1648-1654
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current status and related factors of nutritional risk among hospitalized patients in Jiangsu Province.Methods:A multi-center cluster sampling method was used to select 4 590 hospitalized patients from 23 hospitals in 12 cities of Jiangsu Province from October 2020 to June 2021. Nutritional risk screening was conducted using the Nutritional Risk Screening 2002 scale, and the social demographic characteristics and disease information of the subjects were collected. The multivariate logistic regression model was used to analyze the related factors of nutritional risk among hospitalized patients.Results:The age of patients was (60±14) years, ranging from 18 to 99 years, with 2 640 males (57.5%). The detection rate of nutritional risk was 14.0% (642/4 590). The detection rate of nutritional risk decreased first and then increased with age groups, with the highest rate in the 90-99 age group (45.5%) and the lowest in the 30-39 age group (5.2%). Among different regions, the detection rate was the highest in southern Jiangsu (16.1%) and the lowest in Nanjing (10.8%). Among different cities, the detection rate was the highest in Wuxi (27.8%) and the lowest in Changzhou (9.7%). Among different diseases, the detection rate was the highest in malnutrition-related diseases (22.2%), and no nutritional risk was detected in patients with pregnancy, childbirth and postpartum complications. Multivariate logistic regression model showed that compared with the reference groups of 30-39 years old, Nanjing area, college degree or above, no corresponding diseases and having <2 diseases, 70-79 years old [ OR (95% CI): 4.71 (2.56-8.67)], 80-89 years old [ OR (95% CI): 6.48 (3.36-12.50)], 90-99 years old [ OR (95% CI): 11.12 (3.85-32.06)], 18-29 years old [ OR (95% CI): 3.24(1.52-6.94)], southern Jiangsu [ OR (95% CI): 1.72 (1.32-2.26)], central Jiangsu [ OR (95% CI): 1.67 (1.27-2.21)], northern Jiangsu [ OR (95% CI): 1.37 (1.02-1.83)], never attended school [ OR (95% CI): 1.64 (1.05-2.56)], having tumors [ OR (95% CI): 2.16 (1.66-2.81)], neurological diseases [ OR (95% CI): 1.96 (1.48-2.58)], and having ≥2 diseases [ OR (95% CI): 1.49 (1.13-1.96)] were positively correlated with nutritional risk, while having endocrine, nutritional and metabolic diseases [ OR (95% CI): 0.74 (0.57-0.97)] was negatively correlated with nutritional risk. Conclusion:The detection rate of nutritional risk among hospitalized patients in Jiangsu Province is at a relatively low level in China. Special attention should be paid to the nutritional risk of patients over 70 years old, 18-29 years old, with low educational attainment, tumors, neurological diseases, and having ≥2 diseases.
