Procjena nutritivnog rizika kod gastroenteroloških bolesnika u Kliničkom bolničkom centru Rijeka

Malnutrition is usually related to some diseases such as inflammatory bowel disease, chronic pancreatitis, chronic liver disease and malignant tumors. It is characterized by weight loss, protein deficiency, and deficit of specific nutrients. The aim was to estimate the prevalence of nutritional risk among 160 gastrointestinal patients by use of the Nutritional Risk Screening (NRS-2002) score at hospital admission and discharge. The patients stayed in the hospital between 5 and 15 days or longer. Results showed that 40% of patients at admission and 36.2% at discharge were malnourished. There were 53.1% of patients with recognized malnutrition at admission that received nutritional support, whereas at discharge 34.4% of patients at risk were not dietary supported. Malnourished patients were significantly older, had lower body mass index, longer hospital stay and higher rate of malignant diseases than properly nourished patients. Regular screening for malnutrition should be conveyed in hospitals as to provide appropriate dietary support for all patients at risk.Malnutricija se povezuje s nekim bolestima kao što su upalna bolest crijeva, kronični pankreatitis, kronična bolest jetre i zloćudni tumori. Kod malnutricije dolazi do gubitka težine, manjka proteina te nedostatka nekih specifičnih hranjivih tvari. Cilj ovoga rada bio je procijeniti učestalost nutritivnog rizika kod 160 gastroenteroloških bolesnika metodom procjene nutritivnog rizika (NRS-2002) pri prijmu i otpustu bolesnika. Bolesnici su boravili u bolnici između 5 i 15 dana ili duže. Rezultati su pokazali da je kod prijma u bolnicu 40%, a na otpustu 36,2% bolesnika bilo pothranjeno. Na prijmu je 53,1% pothranjenih bolesnika dobilo odgovarajuću nutritivnu potporu, dok 34,4% bolesnika nije dobilo takvu potporu pri otpustu iz bolnice. Pothranjeni bolesnici bili su značajno mlađi, imali su značajno niži indeks tjelesne mase, značajno su dulje boravili u bolnici te su češće bolovali od zloćudnih bolesti. Procjena nutritivnog rizika treba biti rutinska kako bi se osigurala odgovarajuća nutritivna potpora za sve bolesnike koji su u riziku od malnutricije