Food intake and nutritional status influence outcomes in hospitalized hematology-oncology patients

Malnutrition in oncology and hematology-oncology patients is important due to its prevalence and associated mortality and morbidity. The aims of the study were to assess the prevalence of malnutrition in oncology and hematology patients and determine if intake or malnutrition influences hospitalizat...

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Veröffentlicht in:Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral 2015-06, Vol.31 (6), p.2598-2605
Hauptverfasser: Calleja Fernández, Alicia, Pintor de la Maza, Begoña, Vidal Casariego, Alfonso, Villar Taibo, Rocío, López Gómez, Juan José, Cano Rodríguez, Isidoro, Ballesteros Pomar, María D
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container_issue 6
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container_title Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral
container_volume 31
creator Calleja Fernández, Alicia
Pintor de la Maza, Begoña
Vidal Casariego, Alfonso
Villar Taibo, Rocío
López Gómez, Juan José
Cano Rodríguez, Isidoro
Ballesteros Pomar, María D
description Malnutrition in oncology and hematology-oncology patients is important due to its prevalence and associated mortality and morbidity. The aims of the study were to assess the prevalence of malnutrition in oncology and hematology patients and determine if intake or malnutrition influences hospitalization outcomes. A cohort study was performed in all patients admitted to the oncology and hematology wards in a 30-day period. Nutritional assessment was performed within 24-hours of admission and repeated after 7 days of hospitalization, including Subjective Global Assessment, anthropometry, dietary assessment (24-hour recall) and estimation of caloric and protein needs. Medical records were reviewed 30 days after discharge. Seventy-three patients were evaluated on admission and 29 on day 7 of hospitalization. The prevalence of malnutrition was 47.7%. On admission, patients consumed 71.6 (SD 22.0)% of the prescribed dietary calories and 68.2 (SD 23.5)% of prescribed proteins. The death rate was 2.8% among patients who ate ≥75% and 17.9% among those who ate
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The aims of the study were to assess the prevalence of malnutrition in oncology and hematology patients and determine if intake or malnutrition influences hospitalization outcomes. A cohort study was performed in all patients admitted to the oncology and hematology wards in a 30-day period. Nutritional assessment was performed within 24-hours of admission and repeated after 7 days of hospitalization, including Subjective Global Assessment, anthropometry, dietary assessment (24-hour recall) and estimation of caloric and protein needs. Medical records were reviewed 30 days after discharge. Seventy-three patients were evaluated on admission and 29 on day 7 of hospitalization. The prevalence of malnutrition was 47.7%. On admission, patients consumed 71.6 (SD 22.0)% of the prescribed dietary calories and 68.2 (SD 23.5)% of prescribed proteins. The death rate was 2.8% among patients who ate ≥75% and 17.9% among those who ate &lt;75% (p = 0.040). No significant differences were observed between the intake of calories (p = 0.124) and protein (p = 0.126) on admission and on day 7 of hospitalization. Nutritional status was related to readmission rate, being 35.1% for malnourished vs. 8% for well-nourished (p = 0.014). Nutritional status and food intake were not related to the rest of the studied outcomes (length of stay and mechanical, metabolic or infectious complications). Intake did not decrease during hospitalization. There was an upward trend between reduced intake and mortality. Malnutrition was related to hospital readmission.</description><identifier>ISSN: 1699-5198</identifier><identifier>EISSN: 1699-5198</identifier><identifier>DOI: 10.3305/nh.2015.31.6.8674</identifier><identifier>PMID: 26040371</identifier><language>eng</language><publisher>Spain: Grupo Arán</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cohort Studies ; Eating ; Female ; Hematologic Neoplasms - mortality ; Hospital Mortality ; Hospitalization ; Humans ; Male ; Malnutrition - epidemiology ; Middle Aged ; Neoplasms - mortality ; Nutrition &amp; Dietetics ; Nutritional Status ; Prevalence</subject><ispartof>Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral, 2015-06, Vol.31 (6), p.2598-2605</ispartof><rights>Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. 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source MEDLINE; DOAJ Directory of Open Access Journals; Free E-Journal (出版社公開部分のみ); Alma/SFX Local Collection
subjects Adult
Aged
Aged, 80 and over
Cohort Studies
Eating
Female
Hematologic Neoplasms - mortality
Hospital Mortality
Hospitalization
Humans
Male
Malnutrition - epidemiology
Middle Aged
Neoplasms - mortality
Nutrition & Dietetics
Nutritional Status
Prevalence
title Food intake and nutritional status influence outcomes in hospitalized hematology-oncology patients
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