Decreased food intake is a risk factor for mortality in hospitalised patients: The NutritionDay survey 2006

被引：346

作者：

Hiesmayr, M. ^{[1
]}

Schindler, K. ^{[2
]}

Pernicka, E. ^{[3
]}

Schuh, C. ^{[4
]}

Schoeniger-Hekele, A. ^{[1
]}

Bauer, P. ^{[3
]}

Laviano, A. ^{[5
]}

Lovell, A. D. ^{[6
]}

Mouhieddine, M. ^{[1
]}

Schuetz, T. ^{[7
]}

Schneider, S. M. ^{[8
]}

Singer, P. ^{[9
]}

Pichard, C. ^{[10
]}

Howard, P. ^{[11
]}

Jonkers, C. ^{[12
]}

Grecu, I. ^{[13
,14
]}

Ljungqvist, O. ^{[15
]}

机构：

[1] Med Univ Vienna, Div Cardiac Thorac Vasc Anaesthesia & Intens Care, Vienna, Austria

[2] Med Univ Vienna, Div Endocrinol, Med Clin 3, A-1090 Vienna, Austria

[3] Med Univ Vienna, Sect Med Stat, Core Unit Med Stat & Informat, A-1090 Vienna, Austria

[4] Med Univ Vienna, Sect Med Expert & Knoweledge Based Syst, Core Unit Med Stat & Informat, A-1090 Vienna, Austria

[5] Univ Roma La Sapienza, Dept Clin Med, I-00185 Rome, Italy

[6] Bazian, London W1T 5HP, England

[7] Charite, Med Clin, Div Gastroenterol Hepatol Endocrinol, D-10117 Berlin, Germany

[8] Hop Archet, Nutr Support Unit, INSERM, U907, F-06202 Nice 3, France

[9] Univ Hosp, Rabin Med Ctr, Gen Intens Care Dept, IL-49100 Petah Tiqwa, Israel

[10] Univ Hosp Geneva, CH-1211 Geneva, Switzerland

[11] I Sch Cottages, Norton Hawkfield BS39 4HD, Somerset, England

[12] Acad Med Ctr, Dietet Dept, Nutr Support Team, NL-1100 DD Amsterdam, Netherlands

[13] Clin Emergency Hosp Bucharest, Anesthesiol Clin, Bucharest 7000, Romania

[14] Clin Emergency Hosp Bucharest, ICU, Bucharest 7000, Romania

[15] CLINTEC Karolinska Univ, Huddinge Hosp, Karolinska Inst, S-14186 Stockholm, Sweden

来源：

CLINICAL NUTRITION | 2009年 / 28卷 / 05期

关键词：

Malnutrition; Undernutrition; Hospital; Mortality; Competing risk analysis; MALNUTRITION; CARE; MULTICENTER; PREVALENCE; DISEASE;

D O I：

10.1016/j.clnu.2009.05.013

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Background & aims: Malnutrition is a known risk factor for the development of complications in hospitalised patients. We determined whether eating only fractions of the meals served is an independent risk factor for mortality. Methods: The NutritionDay is a multinational one-day cross-sectional survey of nutritional factors and food intake in 16,290 adult hospitalised patients on January 19th 2006. The effect of food intake and nutritional factors on death in hospital within 30 days was assessed in a competing risk analysis. Results: More than half of the patients did not eat their full meat provided by the hospital. Decreased food intake on NutritionDay or during the previous week was associated with an increased risk of dying, even after adjustment for various patient and disease related factors. Adjusted hazard ratio for dying when eating about a quarter of the meal on NutritionDay was 2.10 (1.53-2.89); when eating nothing 3.02 (2.11-4.32). More than half of the patients who ate less than a quarter of their meal did not receive artificial nutrition support. Only 25% patients eating nothing at lunch receive artificial nutrition support. Conclusion: Many hospitalised patients in European hospitals eat less food than provided as regular meal. This decreased food intake represents an independent risk factor for hospital mortality. (C) 2009 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

引用

页码：484 / 491

页数：8

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