DESNUTRIÇÃO NA ADMISSÃO, PERMANÊNCIA HOSPITALAR E MORTALIDADE DE PACIENTES INTERNADOS EM UM HOSPITAL TERCIÁRIO

Abstract

Objective: To determine the frequency of malnutrition on admission of patients and verify the influences related to the length of hospital stay and mortality. Methods: This retrospective, cross-sectional, observational study was made up of data collection and medical records analysis of inpatients at the Clínica Médica do Hospital de Clínicas , UFPR, from January to July 2013. In order to identify the nutritional risk, the Nutritional Risk Screening – 2002 was used. Patients at nutritional risk were submitted to nutritional evaluation, in accordance to the Service Protocol. Results: The sample comprised 148 patients, mainly adult males. The most prevalent disease in the overall sample and among the malnourished patients was hypertension. Cardiovascular disease, genitourinary disorders, neoplasms, hypertension and other diseases were most prevalent in the elderly patients, and autoimmune diseases were the most prevalent in adults. The average number of diseases in the sample was 2.22 ± 1.16, and the elderly patients had the higher number of associated diseases. Patients at nutritional risk were 58.8% of the sample; among these, 54.7% were malnourished, 0.7% had normal weight, 1.4% was overweight and 2.1% was obese. The average length of hospital stay of malnourished patients was 14.05 ± 11.87 days, and of patients not malnourished was 15.43 ± 13.81 days, without statistical difference. The mortality rate of the inpatients was 5.4%, of which 25% were malnourished. Conclusion: It was found a high frequency of malnutrition but not related to prolonged hospital stay and mortality of patients. DOI: 10.12957/demetra.2016.18457