EuroOOPS:: An international, multicentre study to implement nutritional risk screening and evaluate clinical outcome

被引:453
作者
Sorensen, Janice [1 ]
Kondrup, Jens [1 ]
Prokopowicz, Jacek [2 ]
Schiesser, Marc [3 ]
Kraehenbuehl, Lukas [4 ]
Meier, Remy [5 ]
Liberda, Martin [6 ]
机构
[1] Univ Copenhagen, Fac Life Sci, Dept Human Nutr, DK-1958 Frederiksberg, Denmark
[2] Inst TB & Lung Dis, Dept Thorac Surg, PL-01138 Warsaw, Poland
[3] Univ Zurich Hosp, Dept Visceral & Transplantat Surg, CH-8091 Zurich, Switzerland
[4] Hop Cantonal Fribourg, CH-1708 Fribourg, Switzerland
[5] Kantonsspital Liestal, CH-4410 Liestal, Switzerland
[6] Nemocnice Ostrava Jih Int Jip, Ostrava 70030, Czech Republic
关键词
disease-retated malnutrition in hospital; multicentre; multivariate regression analysis; complications; length of stay; mortality;
D O I
10.1016/j.clnu.2008.03.012
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 Et aims: The aim of the study was to implement nutritional risk screening (NRS-2002) and to assess the association between nutritional risk and clinical outcome. Methods: NRS-2002 was implemented in 26 hospital departments (surgery, internal medicine, oncology, intensive care, gastroenterology and geriatrics) in Austria, the Czech Republic, Egypt, Germany, Hungary, Lebanon, Libya, Poland, Romania, Slovakia, Spain and Switzerland. Being a prospective cohort study, randomly selected adult patients were included at admission and followed during their hospitalisation. Data were collected on the nutritional risk screening, complications, mortality, length of stay and discharge. The correlation between risk status and clinical outcome was assessed and adjusted for confounders (age, speciality, diagnoses, comorbidity, surgery, cancer and region) by multivariate regression analysis. Results: Of the 5051 study patients, 32.6% were defined as 'at-risk' by NRS-2002. 'At-risk' patients had more complications, higher mortality and Longer Lengths of stay than 'not at-risk' patients and these variables were significantly related to components of NRS-2002, also when adjusted for confounders. Conclusions: Components of NRS-2002 are independent predictors of poor clinical outcome. (C) 2008 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
引用
收藏
页码:340 / 349
页数:10
相关论文
共 25 条
[1]   Practices in relation to nutritional care and support-report from the Council of Europe [J].
Beck, AM ;
Balknäs, UN ;
Camilo, ME ;
Fürst, P ;
Gentile, MG ;
Hasunen, K ;
Jones, L ;
Jonkers-Schuitema, C ;
Keller, U ;
Melchior, JC ;
Mikkelsen, BE ;
Pavcic, M ;
Schauder, P ;
Sivonen, L ;
Zinck, O ;
Oien, H ;
Ovesen, L .
CLINICAL NUTRITION, 2002, 21 (04) :351-354
[2]   Food and nutritional care in hospitals:: how to prevent undernutrition-report and guidelines from the Council of Europe [J].
Beck, AM ;
Balknäs, UN ;
Fürst, P ;
Hasunen, K ;
Jones, L ;
Keller, U ;
Melchior, JC ;
Mikkelsen, BE ;
Schauder, P ;
Sivonen, L ;
Zinck, O ;
Oien, H ;
Ovesen, L .
CLINICAL NUTRITION, 2001, 20 (05) :455-460
[3]   STUDY PROTOCOL - A RANDOMIZED CLINICAL-TRIAL OF TOTAL PARENTERAL-NUTRITION IN MALNOURISHED SURGICAL PATIENTS [J].
BUZBY, GP ;
KNOX, LS ;
CROSBY, LO ;
EISENBERG, JM ;
HAAKENSON, CM ;
MCNEAL, GE ;
PAGE, CP ;
PETERSON, OL ;
REINHARDT, GF ;
WILLIFORD, WO .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 1988, 47 (02) :366-381
[4]   A NEW METHOD OF CLASSIFYING PROGNOSTIC CO-MORBIDITY IN LONGITUDINAL-STUDIES - DEVELOPMENT AND VALIDATION [J].
CHARLSON, ME ;
POMPEI, P ;
ALES, KL ;
MACKENZIE, CR .
JOURNAL OF CHRONIC DISEASES, 1987, 40 (05) :373-383
[5]   Impact of nosocomial infection on cost of illness and length of stay in intensive care units [J].
Chen, YY ;
Chou, YC ;
Chou, P .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2005, 26 (03) :281-287
[6]   The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis [J].
Correia, MITD ;
Waitzberg, DL .
CLINICAL NUTRITION, 2003, 22 (03) :235-239
[7]   Prevalence of hospital malnutrition in Latin America: The multicenter ELAN study [J].
Correia, MITD ;
Campos, ACL .
NUTRITION, 2003, 19 (10) :823-825
[8]   Prevalence of malnutrition on admission to four hospitals in England [J].
Edington, J ;
Boorman, J ;
Durrant, ER ;
Perkins, A ;
Giffin, CV ;
James, R ;
Thomson, JM ;
Oldroyd, JC ;
Smith, JC ;
Torrance, AD ;
Blackshaw, V ;
Green, S ;
Hill, CJ ;
Berry, C ;
McKenzie, C ;
Vicca, N ;
Ward, JE ;
Coles, SJ .
CLINICAL NUTRITION, 2000, 19 (03) :191-195
[9]   Malnutrition and clinical outcomes: The case for medical nutrition therapy [J].
GallagherAllred, CR ;
Voss, AC ;
Finn, SC ;
McCamish, MA .
JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION, 1996, 96 (04) :361-+
[10]  
Gaynes Robert P., 1999, P1285