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Master thesis

Risque nutritionnel au CHU de Fort de France

Abstract : Background and aims: Malnutrition related to hospitalization is a frequent and often unrecognized syndrome. Its consequences are important both medically and financially as it can significantly contribute to longer hospital stay, increased morbidity, and mortality. This study evaluated prevalence of nutritional risk on admission and management of patients at risk in different clinical units.Patients and methods: Thirty-day studies were conducted in the departments of Gastroenterology, Internal Medicine and Pediatrics from March 1st to August 31st, 1999.The study evaluated 203 adults (mean age: 67 ± 1 years) and 42 children (mean age: 6 ± 0.5 years) hospitalized for more than 48 hours. Patients suffering from oedema or AIDS were not included. On admission, the Reilly score was used to assess nutritional risk. By comparing nutritional supply versus recommended dietary allowances (RDA), we were able to assess management of patients.Evaluation was based on the changes in anthropometrie measurements of weight, skin folds, mid-arm circumference (MAC) and mid-arm muscle circumference (MAMC) observed at least at a weekly interval. Results: On admission, 35% of children exhibited a weight for height ratio of < 90% and 17% of adults had a BMI of < 20 kg/rn". A mean or major risk for malnutrition (score of> 5 on the Reilly scale) was observed in 54% of patients admitted. Patients consumed 67 ± 10% of thedaily RDA. During a mean hospitalization of 12 ± 1 days, variations in MAC (mean: - 0.85 ± 0.05 cm), MAMC (mean: - 0.58 ± 0.04 cm) and total skin folds (mean: - 1.95 ± 0.14 mm) were significant (p < 0,01). Variations in weight were not significant (mean: -0,08 ± 0,13 kg). Conclusion: The results of our study illustrate the prevalence of malnutrition during hospitalization as well as the need to improve patient nutritional management in our hospital. The creation of a local Nutritional Team will facilitate this goal.
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https://hal.univ-lorraine.fr/hal-01738914
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  • HAL Id : hal-01738914, version 1

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Sylvie Popovic-Lacôte. Risque nutritionnel au CHU de Fort de France. Sciences du Vivant [q-bio]. 2002. ⟨hal-01738914⟩

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