scholarly journals Pengaruh Perubahan Status Gizi Pasien Dewasa terhadap Lama Rawat Inap dan Biaya Rumah Sakit

2004 ◽  
Vol 1 (1) ◽  
pp. 35
Author(s):  
R Dwi Budiningsari
Keyword(s):  
Length Of Stay ◽  
Nutritional Status ◽  
Global Assessment ◽  
Reference Group ◽  
Hospital Charge ◽  
Hospitalized Patients ◽  
Adult Patients ◽  
Hospital Charges ◽  
Subjective Global Assessment ◽  
Hospital Outcomes

Background: The decline in nutritional status of hospitalized patients was reported to be assossiated with longer length of stay and higher hospital charges. However, the effect of changes in nutritional status on hospital outcomes in Indonesia is still unknown.Objective: To determine the effect of changes in nutritional status on length of stay and hospital charge among adult hospitalized patients.Method: A total subjects of 262 adult patients who were admitted to internal and neurology departments of Dr. Sardjito, Dr.M.Jamil, and Sanglah hospitals were included in this study. Nutritional status of each patient was assessed using Subjective Global Assessment (SGA) method. Information on length of stay and hospital charge was collected based on medical records.Results: Subjects with nutritional status declined from normally to moderately, normally to severely, and moderately to severely malnourished were 6,3 (OR=6.32, 95% CI=1,3-29,8); 11,9 (OR=11.94, 95% CI=1,02-139,1); and 6,90 (OR=6.9, 95%CI=1,5-32,0 )times more likely to stay longer than those with nutritional status stayed normal during hospitalitation. They also had 3,3; unlimited; and 1,76 times risk on higher hospital charges than reference group (95% CI=1,123-9,529; unlimited; and 0,590-5,245).Conclusions: The declines of nutritional status from normally to moderately, normally to severely, and moderately to severely malnourished in hospitalized patients influenced to longer length of stay. Normally to moderately and normally to severely malnourished in hospitalized patients influenced to higher hospital charges.

scholarly journals The importance of dysphagia screening and nutritional assessment in hospitalized patients

2018 ◽  
Vol 16 (2) ◽  
Author(s):  
Patrícia Amaro Andrade ◽  
Carolina Araújo dos Santos ◽  
Heloísa Helena Firmino ◽  
Carla de Oliveira Barbosa Rosa
Keyword(s):  
Nutritional Status ◽  
Global Assessment ◽  
Assessment Tool ◽  
Nutritional Assessment ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
The Body ◽  
Subjective Global Assessment ◽  
Cross Sectional ◽  
Knee Height

ABSTRACT Objective: To determine frequency of dysphagia risk and associated factors in hospitalized patients as well as to evaluate nutritional status by using different methods and correlate the status with scores of the Eating Assessment Tool (EAT-10). Methods: This was a cross-sectional study including 909 inpatients of a philanthropic hospital. For the diagnosis of dysphagia we used an adapted and validated Brazilian version of the Eating Assessment Tool (EAT-10). The nutritional status was evaluated through the subjective global assessment, and anthropometric measurements included weight, calf and arm circumference, and knee height. The Mann-Whitney test, associations using the Pearson’s χ2 and Spearman’s correlation were used to verify differences between the groups. Results: The prevalence of dysphagia risk was 10.5%, and aging was the associated factor with this condition. Patients at risk presented lower values of arm and calf circumference, variables that correlated inversely with the Eating Assessment Tool (EAT-10) score. Malnutrition was observed in 13.2% of patients based on the subjective global assessment and in 15.2% based on the Body Mass Index. Conclusion: Screening for dysphagia and malnutrition should be introduced in hospitals routine to avoid or minimize damages caused by dysphagia or malnutrition, especially among older people.

scholarly journals Hubungan antara Status Gizi Awal dengan Status Pulang dan Lama Rawat Inap Pasien Dewasa di Rumah Sakit

2004 ◽  
Vol 1 (1) ◽  
pp. 27
Author(s):  
Nurul Huda Syamsiatun ◽  
Hamam Hadi ◽  
Muhammad Juffrie
Keyword(s):  
Body Mass Index ◽  
Length Of Stay ◽  
Nutritional Status ◽  
Energy Intake ◽  
Body Mass ◽  
Hospital Charge ◽  
Low Energy ◽  
Adult Patients ◽  
Hospital Malnutrition

Background: Hospital malnutrition is reported to be prevalent in Indonesia. Wether nutritional status at admission is associated with nutritional status at discharge and length of stay remains unclear.Objective: To assess the association between nutritional status at the admission and nutritional status at discharge and length of stay in adult hospitalized patients.Methods: A total subjects of 293 adult patients who were admitted to internal and neurology departments of Dr. Sardjito, Dr.M.Jamil, and Sanglah hospitals were included in this study. Nutritional status of each patient was assessed using Body Mass Index (BMI) measured at admission and on discharge. Information on length of stay and hospital charge was collected based on medical records.Results: Low energy intake was associated with worse outcome (OR 1,2 95%CI 1,74-11,94). Non infection diseases were also found to be associated with worse outcome (OR 6,91 95%CI 4,03-11,85) and length of stay (OR 1,83 95%CI 1,10-3,05). Prehospitalized and class of hospitalized were associated with length of stay (OR 2,34 95%CI 1,36-8,57).Conclusion: Low nutritional status on admission and low energy intake were associated with higher risk of worse outcome (OR 2,34 95%CI 1,05-5,24) and (OR 3,41 95%CI 1,36-8,57).

Accuracy of three tools for malnutrition diagnosis in hospitalized patients: comparison to subjective global assessment

2021 ◽  
Author(s):  
Camila Ferri Burgel ◽  
Igor da Conceição Eckert ◽  
Julia Epping Brito ◽  
Fernanda Winterscheidt Rodrigues ◽  
Flávia Moraes Silva
Keyword(s):  
Global Assessment ◽  
Hospitalized Patients ◽  
Subjective Global Assessment

Assessment of nutritional status of hemodialysis patients by subjective global assessment score: a single centre study from Karachi, Pakistan

2022 ◽  
Vol 71 (12) ◽  
pp. 2761-2765
Author(s):  
Lubna Ghazi ◽  
Murtaza Dhrolia ◽  
Aamna Hamid ◽  
Ruqaya Qureshi ◽  
Kiran Nasir ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Global Assessment ◽  
Practical Method ◽  
Hemodialysis Patients ◽  
Normal Weight ◽  
Maintenance Hemodialysis ◽  
P Value ◽  
Binary Logistic Regression Analysis ◽  
Subjective Global Assessment ◽  
Cross Sectional

Objective: Despite being an important predictor of morbidity and mortality, routine screening for malnutrition in dialysis patients is not a common practice in Pakistan. Modified Subjective Global Assessment (SGA) is a convenient, inexpensive and practical method to assess nutritional status particularly in resource limited setup. Methods: This cross sectional study was conducted in The Kidney Center Post Graduate Training institute (TKC-PGTI). Patients on maintenance hemodialysis (MHD) were included through non-probability consecutive sampling. A one-time SGA score was calculated based on the history and physical examinations using modified SGA or Dialysis Malnutrition Score (DMS). Chi square test was applied to find association between variables, while to observe the amount of effect of factors on SGA score; binary logistic regression analysis was run. P value of ? 0.05 considered significant. Results: Mild-Moderately malnourished patients were the most frequent in our study 96(64%).None of patient had severe malnourishment. Females were 2.6 times more prone for malnourishment (p value=0.009). More than 5- years on hemodialysis also increased the risk of malnourishment by 12.5 times (p value <0.001). Overweight patients had 85 % less chance of being malnourished as compare to patients with normal weight (p value=0.004). Conclusion: Malnutrition is quite common in hemodialysis patients, which necessitates its regular assessment and monitoring. There is a need to assess the reasons of more malnourishment in female as compared to male. Similarly, the longer duration (> 5 years) on hemodialysis also need attention for prevention and cure of malnourishment.  Continuous...

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