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Title:
Prevalence of hospital malnutrition in cancer patients: a sub-analysis of the PREDyCES® study | Supportive Care in Cancer
Description:
In oncology patients, hospital malnutrition is associated with a greater risk of morbidity and mortality. The objective of this study was to determine the prevalence of nutritional risk and the clinical and economic consequences of hospital malnutrition in oncology patients hospitalised in Spanish centres. This was an observational, cross-sectional, multicentre study. The prevalence of nutritional risk was determined using the Nutrition Risk Screening®-2002 (NRS®-2002). Four hundred one oncology patients were included; 33.9 % (136/401) were at nutritional risk (NRS®-2002 ≥ 3) at admission and 36.4 % (135/371) at discharge. On average, patients at nutritional risk were more elderly and had lower weights, body mass indices and arm and calf circumferences, as well as lower serum albumin levels than patients not at risk. Mean duration of hospitalisation and healthcare costs were greater in patients at nutritional risk at discharge (12.1 days; 95 % confidence interval (CI) 10.83–13.39) than in well-nourished patients (8.6 days; 95 % CI 7.86–9.40). Only a third of the patients at risk of malnutrition at discharge had received any kind of nutritional support. This study shows that hospital malnutrition is a prevalent and undertreated condition in oncology patients that is associated with longer hospital stays and increased healthcare costs.
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pubmed, article, google, scholar, cancer, patients, malnutrition, nutritional, risk, cas, study, nutrition, nutr, hospital, oncology, prevalence, screening, support, predyces, clin, central, clinical, spain, care, quality, life, planas, garcía, nrs, access, head, neck, espen, privacy, cookies, content, eur, parenteral, van, gastrointestinal, society, enteral, hosp, economic, standards, publish, research, search, álvarezhernández, leónsanz,
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month download article/chapter low-dose induction chemotherapy regimen-induced inflammatory responses article supportive care julia álvarez-hernández garcía de lorenzo miguel león-sanz universitat de vic van oort rp full article pdf de las pr privacy choices/manage cookies related subjects national research committee sebastián celaya-pérez comprehensive nutrition index disease-related malnutrition nutrition risk screening®-2002 nutrition risk screening-2002 university hospital population article planas enteral medical nutrition intensity-modulated radiotherapy nutrition impact symptoms longer hospital stays scrinio working group mexican oncology population portuguese oncology centre evidence-based recommendations raber-durlacher je norman ar /archivos/pubs/libroconsenso transdermal fentanyl patch mercè planas global study group medical oncology patients lung cancer patients early nutritional screening clinical practice committee conditions privacy policy nasopharyngeal carcinoma treated subsequent parenteral nutrition nutritional risk screening cross-sectional check access douglass jr ho systemic inflammatory response individual participants included instant access nutritional screening tools
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headline:Prevalence of hospital malnutrition in cancer patients: a sub-analysis of the PREDyCES® study
description:In oncology patients, hospital malnutrition is associated with a greater risk of morbidity and mortality. The objective of this study was to determine the prevalence of nutritional risk and the clinical and economic consequences of hospital malnutrition in oncology patients hospitalised in Spanish centres. This was an observational, cross-sectional, multicentre study. The prevalence of nutritional risk was determined using the Nutrition Risk Screening®-2002 (NRS®-2002). Four hundred one oncology patients were included; 33.9 % (136/401) were at nutritional risk (NRS®-2002 ≥ 3) at admission and 36.4 % (135/371) at discharge. On average, patients at nutritional risk were more elderly and had lower weights, body mass indices and arm and calf circumferences, as well as lower serum albumin levels than patients not at risk. Mean duration of hospitalisation and healthcare costs were greater in patients at nutritional risk at discharge (12.1 days; 95 % confidence interval (CI) 10.83–13.39) than in well-nourished patients (8.6 days; 95 % CI 7.86–9.40). Only a third of the patients at risk of malnutrition at discharge had received any kind of nutritional support. This study shows that hospital malnutrition is a prevalent and undertreated condition in oncology patients that is associated with longer hospital stays and increased healthcare costs.
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