Undernutriton and nutritional risk in elderly inpatients with benign orthopedic diseases in Department ;of Orthopedics
10.3760/cma.j.issn.1674-635X.2016.02.001
- VernacularTitle:老年骨科良性疾病住院患者的营养不足和营养风险
- Author:
Huan XI
;
Xin YANG
;
Xuejiao ZHOU
;
Hongyuan CUI
;
Liang ZHANG
;
Mingwei ZHU
;
Junmin WEI
- Publication Type:Journal Article
- Keywords:
Elderly patients;
Benign orthopedic disease;
Undernutrition;
Nutritional Risk Screening 2002;
Clinical outcomes
- From:
Chinese Journal of Clinical Nutrition
2016;24(2):65-69
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the nutritional status of elderly inpatients with benign orthopedic diseases and to assess its relationship with clinical outcomes.Methods Nutritional Risk Screening 2002 ( NRS 2002) was used to prospectively investigate undernutrition and nutritional risk in elderly patients hospitalized between April 1 and May 31, 2012 in Beijing Hospital for benign orthopedic diseases.Associations between nu-tritional status and clinical outcomes were analyzed.Results A total of 520 patients were included, with a mean age of (75 ±7.09) years.The mean body mass index (BMI) was (23.20 ±3.83) kg/m2, mean dominant-hand grip strength was (16.87 ±19.19) kg, mean mid-upper arm circumference was (25.62 ±3.81) cm, mean calf circumference was (31.92 ±4.02) cm.Compared with patients aged 65-79 years, patients≥80 years showed significantly lower hand grip strength [ (13.58 ±15.92) kg vs.(18.48 ±20.42) kg, P=0.004].All the pa-tients completed NRS 2002, which showed that 9.31%of the patients had undernutrition (BMI≤18.5 kg/m2), and 45.19%had nutritional risk (NRS 2002 score≥3).Compared with patients aged 65-79 years, patients≥80 years had significantly higher incidence of undernutrition (13.97% vs.7.21%, P=0.024) and nutritional risk (52.38%vs.41.76%, P=0.024), higher incidence of infectious complications in patients with nutritional risk (10.21%vs.5.26%, P=0.044), longer hospital stay [ (11.66 ±5.76) days vs.(10.42 ±4.37) days, P=0.016], and higher hospital expense [(20.28 ±1.811) thousand yuan vs.(16.39 ±1.362) thousand yuan, P=0.016].Conclusion Elderly patients hospitalized for benign orthopedic diseases have a high incidence of undernutrition and nutritional risk, which is associated with worse clinical outcomes.
