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Information Journal Paper

Title

PREVALENCE OF MALNUTRITION IN HOSPITALIZED PATIENTS IN TALEGHANI HOSPITAL IN TEHRAN

Pages

 Start Page 97 | End Page 106

Abstract

 Background and Objective: MALNUTRITION in hospital increases the mortality of patients. The aim of this study was to investigate the PREVALENCE of MALNUTRITION and related risk factors in HOSPITALIZED PATIENTs.Materials and Methods: This descriptive study was carried out on 446 patients (217 males, 229 females) during 6 months, admitted to the Taleghani hospital in Tehran, Iran during 2005. Anthropometric measurements and previous admission to hospital in previous 6 months for each patient was recorded. Mild, moderate and severe MALNUTRITION were considered as BMI=18-20 kg/m2 and TSF, or MAMC<10th, or weight loss<5%; as BMI=16-18kg/m2 and TSF, or MAMC<5th, or weight loss 5-10% and severe as BMI<16kg/m2 and TSF, or MAMC<5th or weight loss>10% in previous 6 months respectively.Results: The PREVALENCE rate of MALNUTRITION as a general was 52% with following subdivision: 14%, 10% and 28% in mild, moderate and severe, respectively. The highest PREVALENCE of MALNUTRITION observed in gastrointestinal ward, males, those aged 18-29 year and patients with secondary and high school education. In malnourished patients, the PREVALENCE of TSF, MAC and MAMC<5th were significantly more than of well-nourished subjects (P<0.05). Increase BMI per unit decreased the risk of MALNUTRITION by 17% (OR: 0.83; CI: 0.79-0.87). MALNUTRITION was 64% higher in patients with 1³ gastrointestinal disturbances, compared with those without it and 2.1 higher in patients with 2³-hospitalized readmission, compared with subjects without readmission in previous 6 month. Odds ratio of at least one hospitalized admission in previous 6 month was 1.64 in patients with MAC<5th, compared with those with MAC 50-75th (P<0.017).Conclusion: This study showed that MALNUTRITION upon hospitalization is common in Tehran. BMI, gastrointestinal disturbances, and readmission were associated with MALNUTRITION.

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