| خلاصه مقاله | متن چکیده : Background and Aims: In addition to the great scientific advances in the management of malnutrition, it is recognized as an important clinical issue in hospitalized patients. Malnutrition is associated with harmful results and high economic costs. The prevalence of malnutrition is still unidentified. Therefore, the present study was conducted to estimate the prevalence of malnutrition among people on admission to Tabriz Imam Reza hospital.
Methods: The PG-SGA (patient-generated subjective global assessment) tool was settled for the purpose of malnutrition risk screening in a large hospital setting involving 11 medical wards of Imam Reza general hospital in Tabriz, Iran. Four-hundred non-CBR (complete bed rest) patients were randomly included in the study. Clinical data, including appetite and demographic status were collected within 24 hours of admission.
Results: The mean age of the participants was 47.33±16.25years. There were 195 males and 204 females. According to the PG-SGA score, about 5.3 % had a ‘normal’ status, 20.3 % were ‘mildly malnourished’, 51.8 % were ‘moderately malnourished’ and 22.3 % were ‘severely malnourished’. About 3.5 % of patients were recognized with a BMI<18.4, 34.8 % with BMI between 18.5-24.9, 40.8% with a BMI of 25-29.9, and 19.8% of them with a BMI>30. Mid−upper arm circumference (MUAC) value used in the subjects indicated 5.3% (21 patients) under percentile 5th and 94.7% (378 patients) over the percentile 5th.
Conclusions: Malnutrition, weight loss, and nutritional problems are common in Iranian hospitalized patients and can be identified by timely localization of the PG-SGA questionnaire and periodic evaluations to identify nutritional abnormalities in hospitalized patients and utilize beneficial interventions by determining the course of treatment and follow-up as well as priorities of treatment and nutritional care. It is recommended that nutritional screening be performed using a simple procedure like PG-SGA at the time of hospital admission. |