[Screening for malnutrition among hospitalized patients in a Colombian University Hospital]

Rev Med Chil. 2017 Apr;145(4):449-457. doi: 10.4067/S0034-98872017000400005.
[Article in Spanish]

Abstract

Background: On admission, 30 to 50% of hospitalized patients have some degree of malnutrition, which is associated with longer length of stay, higher rates of complications, mortality and greater costs.

Aim: To determine the frequency of screening for risk of malnutrition in medical records and assess the usefulness of the Malnutrition Screening Tool (MST).

Material and methods: In a cross-sectional study, we searched for malnutrition screening in medical records, and we applied the MST tool to hospitalized patients at the Internal Medicine Wards of San Ignacio University Hospital.

Results: Of 295 patients included, none had been screened for malnutrition since hospital admission. Sixty one percent were at nutritional risk, with a higher prevalence among patients with HIV (85.7%), cancer (77.5%) and pneumonia. A positive MST result was associated with a 3.2 days increase in length of hospital stay (p = 0.024).

Conclusions: The prevalence of malnutrition risk in hospitalized patients is high, but its screening is inadequate and it is underdiagnosed. The MST tool is simple, fast, low-cost, and has a good diagnostic performance.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Colombia / epidemiology
  • Cross-Sectional Studies
  • Female
  • Hospitals, University
  • Humans
  • Male
  • Malnutrition / diagnosis*
  • Malnutrition / epidemiology
  • Malnutrition / etiology
  • Middle Aged
  • Nutrition Assessment*
  • Prevalence
  • Risk Factors