title: [Introducing a mixed nutritional screening tool (CIPA) in a tertiary hospital].
abstract: BACKGROUND
  Malnourishment in hospitalized patients is very prevalent and therefore it is important to implement screening methods. A mixed nutritional screening method (CIPA) has been developed at our center; this method includes four parameters: (a) control of intakes for 72 h; (b) BMI; (c) proteins; and (d) albumin.
  
  
  OBJECTIVE
  (1) To know the prevalence of malnourishment at the Internal Medicine Department of our Center; (2) To analyze the variables associated to higher prevalence of malnourishment.
  
  
  METHODS
  The results of the nutritional screening tests carried out in 305 patients admitted to the Internal Medicine Department in the period of November of 2012-October of 2013 were retrospectively reviewed. The prevalence of hospital malnourishment was analyzed, as well as the association of a positive screening test (at least one positive item) with the following variables: BMI, age, gender, underlying disease, hospital staying, early re-admittance (< 1 month) and hospital mortality.
  
  
  RESULTS
  The test yielded a positive result in 23% of the patients. Patients with a positive screening test had lower BMI (24.9 ± 7.2 vs. 27.8 ± 6.4 kg/m; p = 0.002). Neoplastic and infectious pathologies were associated with greater positivity (35.3 and 28.9%, respectively; p = 0.006). Gender and age were not associated with a positive screening test. Patients with a positive screening test had longer mean hospital staying (26.7 ± 25 vs. 19.4 ± 16.5; p = 0.005), higher early re-admittance rates (18.6 vs. 6.8%; p = 0.003) and higher mortality (30 vs. 10.3%; p < 0.001).
  
  
  CONCLUSIONS
  The CIPA screening test can detect malnourished patients and predict worse clinical prognosis (mortality, mean hospital staying and early readmittance).
authors.affiliation: Unidad de Nutrición y Dietética. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. psuarezllanos@gmail.com.
authors.forename: José Pablo
authors.initials: JP
authors.lastname: Suárez Llanos
authors.affiliation: Unidad de Nutrición y Dietética. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. nestor.benitez.brito@gmail.com.
authors.forename: Nestor
authors.initials: N
authors.lastname: Benitez Brito
authors.affiliation: Unidad de Nutrición y Dietética. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. olivajg@gmail.com.
authors.forename: José Gregorio
authors.initials: JG
authors.lastname: Oliva García
authors.affiliation: Unidad de Nutrición y Dietética. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. FRANCISPEREYRA@telefonica.net.
authors.forename: Francisca
authors.initials: F
authors.lastname: Pereyra-García Castro
authors.affiliation: Unidad de Medicina Interna. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. alicialf1212@yahoo.es.
authors.forename: María Alicia
authors.initials: MA
authors.lastname: López Frías
authors.affiliation: Alumno de prácticas de Medicina de la Universidad de La Laguna.. abezellemaximo@hotmail.com.
authors.forename: Alberto
authors.initials: A
authors.lastname: García Hernández
authors.affiliation: Unidad de Medicina Interna. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. bdiasir@hotmail.com.
authors.forename: Belarmina
authors.initials: B
authors.lastname: Díaz Sirgo
authors.affiliation: Servicio de Endocrinología y Nutrición. Hospital Universitario Nuestra Señora de Candelaria. Santa Cruz de Tenerife. España.. illorentegomez@gmail.com.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Llorente Gómez de Segura
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D005260:Female; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000175:diagnosis*; D008875:Middle Aged; D015596:Nutrition Assessment; D009752:Nutritional Status; D011379:Prognosis; D012189:Retrospective Studies; D013030:Spain; D062606:Tertiary Care Centers / Q000458:organization & administration*; D055815:Young Adult