title: Nutritional risk screening in hospitalized and haemodialysis patients.
abstract: Malnutrition is an independent risk factor impacting on higher complications and increased length of hospital stay and costs. The aim of this study was to determine the prevalence of nutritional risk among patients on regular haemodialysis (HD) (Group I, N = 105) and among the patients at Gastroenterology, Endocrinology, Hematology and Clinical Immunology (Group II, N = 652). Cross-sectional nutritional evaluation was done using Nottingham Hospital Screening Tool (NS). The prevalence of nutritional risk was 9% in Group I and 21% in Group II (p = 0.0002). We found statistically significant larger quantity of malnourished patients among acute internistic patients than among chronic from the same Group II. Malnutrition among patients on HD didn't differ statistically to chronic internistic patients. We didn't found a significantly higher percentage of nutritional risk among elderly patients (65 years and more). Correlation between body mass index (BMI) and NS was significant, but weak (r = -0.32). We can conclude that the prevalence of nutritional risk among HD patients was lower than we had expected. It seems that the screening tool we used is not sensitive enough for HD patients and needs further investigations.
authors.affiliation: Department of Internal Medicine, University Hospital Center "Rijeka", Rijeka, Croatia. brankica.sincic@medri.hr
authors.forename: Brankica Mijandrusić
authors.initials: BM
authors.lastname: Sincić
authors.forename: Lidija
authors.initials: L
authors.lastname: Orlić
authors.forename: Dubravka Erzen
authors.initials: DE
authors.lastname: Jurisić
authors.forename: Gordana
authors.initials: G
authors.lastname: Kendel
authors.forename: Elena
authors.initials: E
authors.lastname: Gombac
authors.forename: Barbara
authors.initials: B
authors.lastname: Kvenić
authors.forename: Davor
authors.initials: D
authors.lastname: Stimac
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006760:Hospitalization; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology* / Q000628:therapy; D008297:Male; D044342:Malnutrition / Q000175:diagnosis / Q000453:epidemiology*; D008403:Mass Screening; D008875:Middle Aged; D015596:Nutrition Assessment; D006435:Renal Dialysis / Q000706:statistics & numerical data*; D012307:Risk Factors