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Analysis on nutritional risk screening and influencing factors of hospitalized patients in central urban area

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Summary

Rational nutritional support shall be based on nutritional screening and nutritional assessment. This study is aimed to explore nutritional risk screening and its influencing factors of hospitalized patients in central urban area. It is helpful for the early detection of problems in nutritional supports, nutrition management and the implementation of intervention measures, which will contribute a lot to improving the patient’s poor clinical outcome. A total of three tertiary medical institutions were enrolled in this study. From October 2015 to June 2016, 1202 hospitalized patients aged ≥18 years were enrolled in Nutrition Risk Screening 2002 (NRS2002) for nutritional risk screening, including 8 cases who refused to participate, 5 cases of same-day surgery and 5 cases of coma. A single-factor chi-square test was performed on 312 patients with nutritional risk and 872 hospitalized patients without nutritional risk. Logistic regression analysis was performed with univariate analysis (P<0.05), to investigate the incidence of nutritional risk and influencing factors. The incidence of nutritional risk was 26.35% in the inpatients, 25.90% in male and 26.84% in female, respectively. The single-factor analysis showed that the age ≥60, sleeping disorder, fasting, intraoperative bleeding, the surgery in recent month, digestive diseases, metabolic diseases and endocrine system diseases had significant effects on nutritional risk (P<0.05). Having considered the above-mentioned factors as independent variables and nutritional risk (Y=1, N=0) as dependent variable, logistic regression analysis revealed that the age ≥60, fasting, sleeping disorders, the surgery in recent month and digestive diseases are hazardous factors for nutritional risk. Nutritional risk exists in hospitalized patients in central urban areas. Nutritional risk screening should be conducted for inpatients. Nutritional intervention programs should be formulated in consideration of those influencing factors, which enable to reduce the nutritional risk and to promote the rehabilitation of inpatients.

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Authors and Affiliations

  1. School of Management, Wuhan University of Technology, Wuhan, 430070, China

    Su-yun Li  (李素云) & Zhao-feng Diao  (刁兆峰)

  2. Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China

    Su-yun Li  (李素云), Jiao-hua Yu  (喻姣花), Li Zeng  (曾 莉), Lin Zhang  (张 琳), Wen-jia Shi  (史雯嘉), Hui Ke  (柯 卉), Huan Wang  (汪 欢) & Xian-na Zhang  (张献娜)

  3. Department of Digestive Diseases, Hunan Provincial People’s Hospital, Changsha, 410002, China

    Min-jie Zeng  (曾敏婕)

  4. Department of Neurology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, 210008, China

    Xiao-fang Shen  (沈小芳)

Authors
  1. Su-yun Li  (李素云)
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  2. Jiao-hua Yu  (喻姣花)
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  3. Zhao-feng Diao  (刁兆峰)
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  4. Li Zeng  (曾 莉)
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  5. Min-jie Zeng  (曾敏婕)
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  6. Xiao-fang Shen  (沈小芳)
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  7. Lin Zhang  (张 琳)
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  8. Wen-jia Shi  (史雯嘉)
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  9. Hui Ke  (柯 卉)
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  10. Huan Wang  (汪 欢)
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  11. Xian-na Zhang  (张献娜)
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Corresponding author

Correspondence to Jiao-hua Yu  (喻姣花).

Additional information

This project was supported by Soft Science Application Program of Wuhan Scientific and Technological Bureau of China (No. 2016040306010211).

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Li, Sy., Yu, Jh., Diao, Zf. et al. Analysis on nutritional risk screening and influencing factors of hospitalized patients in central urban area. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 37, 628–634 (2017). https://doi.org/10.1007/s11596-017-1782-0

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  • DOI: https://doi.org/10.1007/s11596-017-1782-0

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