Nutritional Status of Hospitalized Nonsurgery Patients at A Nationwide Referral Hospital in Indonesia

Ari Fahrial Syam ； Cecep Suryani Sobur ； Murdani Abdullah ； Dadang Makmun

《Journal of International Dental and Medical Research》 11卷2期 (2018/07) Pp. 732-739

摘要

This study investigated the prevalence of malnutrition and its risk factors in hospitalized adult nonsurgery patients at Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia. A total of 210 patients were hospitalized from June to November 2013. Sociodemographic characteristics were collected at admission. Nutritional status was assessed at admission and discharge using subjective global assessment, anthropometric (body mass index, hand grip, and subcutaneous fat) and body impedance analyses, and albumin level. Only 176 patients completed the study. Prevalence of malnutrition was 65.5% and 70.1% at admission and discharge, respectively, and 65.9% of patients had no improvement in nutritional condition. Female patients or those with anemia or tuberculosis were at risk for nutritional worsening. Male patients or those with dyslipidemia had more improvement than others. The nutritional intake target was met in 89.3% patients, but their nutritional status did not change significantly. Nutritional status did not influence length of hospitalization, but patients with worsening nutritional status had an insignificantly longer hospitalization. It can be concluded that prevalence of hospital malnutrition is high at Dr. Cipto Mangunkusumo National General Hospital. Although the nutritional intake improved, the nutritional status at discharge did not change significantly from that at admission.

關鍵字

Hospital malnutrition ； subjective global assessment