title: Nutritional risk, malnutrition and nutritional support among hospitalized patients in orthopedics/spinal surgery of a Hohhot teaching hospital.
abstract: The evolution of nutritional status (the prevalence of nutritional risk, malnutrition, overweight and obesity) and the nutritional support of the hospitalized patients from admission to discharge or over a two-week period in orthopedics/ spinal surgery of a teaching hospital in Hohhot were investigated. 432 patients from two wards of the orthopedics/spinal surgery from Jan to Dec 2013, the traditional spinal surgery and the minimally invasive spinal surgery, were selected and detected in this study. The Nutritional Risk Score 2002 (NRS 2002) was used to determine the patients' nutritional status within 48 h after admission and during their hospitalization. The overall prevalence of nutritional risk, malnutrition, overweight and obesity at admission was 11.6%, 12.7%, 35.9% and 7.41%, respectively. Overall, there were 88.0% of the patients who were at nutritional risk received nutritional support, while 14.1% of non-risk patients received a redundant nutritional support. The overall prevalence of nutritional risk changed from 11.6% at admission to 19.4% upon discharge (p<0.05), and the prevalence of malnutrition changed from 12.7% to 20.6% (p<0.05). The prevalence of overweight and obesity, which changed from 35.9% to 31.0% and from 7.41% to 5.79% respectively, didn't experience statistically significant evolution. NRS 2002 was a feasible nutritional risk screening tool for patients in spinal surgery of orthopedics department. Patients' prevalence of nutritional risk and malnutrition increased significantly in spinal surgery of this hospital. Some inappropriate uses of nutritional support were observed in orthopedics/spinal surgery, and nutritional support guidelines or protocols should be promoted by a professional committee.
authors.affiliation: Department of Pharmacy, the First Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, China.|Department of Pharmacy, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
authors.forename: Nannan
authors.initials: N
authors.lastname: Wang
authors.affiliation: Department of Pharmacy, the First Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, China. Email: dongyalin@mail.xjtu.edu.cn.
authors.forename: Yalin
authors.initials: Y
authors.lastname: Dong
authors.affiliation: Department of Pharmacy, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
authors.forename: Ting
authors.initials: T
authors.lastname: Huo
authors.affiliation: Department of Pharmacy, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
authors.forename: Yanqing
authors.initials: Y
authors.lastname: Shao
authors.affiliation: Department of Spinal Surgery, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
authors.forename: Wenhua
authors.initials: W
authors.lastname: Xing
authors.affiliation: Department of Minimally Invasive Spinal Surgery, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
authors.forename: Shuwen
authors.initials: S
authors.lastname: Li
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China / Q000453:epidemiology; D015897:Comorbidity; D005260:Female; D006760:Hospitalization; D006784:Hospitals, Teaching; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D008297:Male; D044342:Malnutrition / Q000453:epidemiology*; D008875:Middle Aged; D015596:Nutrition Assessment; D009752:Nutritional Status; D018529:Nutritional Support / Q000706:statistics & numerical data*; D019637:Orthopedic Procedures; D050177:Overweight / Q000453:epidemiology*; D015995:Prevalence; D011446:Prospective Studies; D018570:Risk Assessment; D013131:Spine / Q000601:surgery; D055815:Young Adult