Prevalence of malnutrition in hospitalized patients: A multicenter cross-sectional study

and the Korean Society for Parenteral and Enteral Nutrition (KSPEN) Clinical Research Groups

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background: Malnutrition is associated with many adverse clinical outcomes. The present study aimed to identify the prevalence of malnutrition in hospitalized patients in Korea, evaluate the association between malnutrition and clinical outcomes, and ascertain the risk factors of malnutrition. Methods: A multicenter cross-sectional study was performed with 300 patients recruited from among the patients admitted in 25 hospitals on January 6, 2014. Nutritional status was assessed by using the Subjective Global Assessment (SGA). Demographic characteristics and underlying diseases were compared according to nutritional status. Logistic regression analysis was performed to identify the risk factors of malnutrition. Clinical outcomes such as rate of admission in intensive care units, length of hospital stay, and survival rate were evaluated. Results: The prevalence of malnutrition in the hospitalized patients was 22.0%. Old age (≥ 70 years), admission for medical treatment or diagnostic work-up, and underlying pulmonary or oncological disease were associated with malnutrition. Old age and admission for medical treatment or diagnostic work-up were identified to be risk factors of malnutrition in the multivariate analysis. Patients with malnutrition had longer hospital stay (SGA A = 7.63 ± 6.03 days, B = 9.02 ± 9.96 days, and C = 12.18 ± 7.24 days, P = 0.018) and lower 90-day survival rate (SGA A = 97.9%, B = 90.7%, and C = 58.3%, P < 0.001). Conclusion: Malnutrition was common in hospitalized patients, and resulted in longer hospitalization and associated lower survival rate. The rate of malnutrition tended to be higher when the patient was older than 70 years old or hospitalized for medical treatment or diagnostic work-up compared to elective surgery.

Original languageEnglish
Article numbere10
JournalJournal of Korean medical science
Volume33
Issue number2
DOIs
Publication statusPublished - 2018 Jan 1

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Malnutrition
Cross-Sectional Studies
Length of Stay
Survival Rate
Nutritional Status
Korea
Intensive Care Units
Hospitalization
Therapeutics
Multivariate Analysis
Logistic Models
Regression Analysis
Demography
Lung

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

and the Korean Society for Parenteral and Enteral Nutrition (KSPEN) Clinical Research Groups (2018). Prevalence of malnutrition in hospitalized patients: A multicenter cross-sectional study. Journal of Korean medical science, 33(2), [e10]. https://doi.org/10.3346/jkms.2018.33.e10
and the Korean Society for Parenteral and Enteral Nutrition (KSPEN) Clinical Research Groups. / Prevalence of malnutrition in hospitalized patients : A multicenter cross-sectional study. In: Journal of Korean medical science. 2018 ; Vol. 33, No. 2.
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title = "Prevalence of malnutrition in hospitalized patients: A multicenter cross-sectional study",
abstract = "Background: Malnutrition is associated with many adverse clinical outcomes. The present study aimed to identify the prevalence of malnutrition in hospitalized patients in Korea, evaluate the association between malnutrition and clinical outcomes, and ascertain the risk factors of malnutrition. Methods: A multicenter cross-sectional study was performed with 300 patients recruited from among the patients admitted in 25 hospitals on January 6, 2014. Nutritional status was assessed by using the Subjective Global Assessment (SGA). Demographic characteristics and underlying diseases were compared according to nutritional status. Logistic regression analysis was performed to identify the risk factors of malnutrition. Clinical outcomes such as rate of admission in intensive care units, length of hospital stay, and survival rate were evaluated. Results: The prevalence of malnutrition in the hospitalized patients was 22.0{\%}. Old age (≥ 70 years), admission for medical treatment or diagnostic work-up, and underlying pulmonary or oncological disease were associated with malnutrition. Old age and admission for medical treatment or diagnostic work-up were identified to be risk factors of malnutrition in the multivariate analysis. Patients with malnutrition had longer hospital stay (SGA A = 7.63 ± 6.03 days, B = 9.02 ± 9.96 days, and C = 12.18 ± 7.24 days, P = 0.018) and lower 90-day survival rate (SGA A = 97.9{\%}, B = 90.7{\%}, and C = 58.3{\%}, P < 0.001). Conclusion: Malnutrition was common in hospitalized patients, and resulted in longer hospitalization and associated lower survival rate. The rate of malnutrition tended to be higher when the patient was older than 70 years old or hospitalized for medical treatment or diagnostic work-up compared to elective surgery.",
author = "{and the Korean Society for Parenteral and Enteral Nutrition (KSPEN) Clinical Research Groups} and Kang, {Min Chang} and Kim, {Ji Hoon} and Ryu, {Seung Wan} and Moon, {Jae Young} and Park, {Je Hoon} and Park, {Jong Kyung} and Park, {Jong Hoon} and Baik, {Hyun Wook} and Seo, {Jeong Meen} and Son, {Myoung Won} and Song, {Geun Am} and Shin, {Dong Woo} and Shin, {Yeon Myung} and Ahn, {Hong yup} and Yang, {Han Kwang} and Yu, {Hee Chul} and Yun, {Ik Jin} and Lee, {Jae Gil} and Lee, {Jae Myeong} and Lee, {Jung Hwa} and Lee, {Tae Hee} and Haejun Yim and Jeon, {Hyun Jeong} and Kyuwhan Jung and Jung, {Mi Ran} and Jeong, {Chi Young} and Lim, {Hee Sook} and Hong, {Suk Kyung}",
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and the Korean Society for Parenteral and Enteral Nutrition (KSPEN) Clinical Research Groups 2018, 'Prevalence of malnutrition in hospitalized patients: A multicenter cross-sectional study', Journal of Korean medical science, vol. 33, no. 2, e10. https://doi.org/10.3346/jkms.2018.33.e10

Prevalence of malnutrition in hospitalized patients : A multicenter cross-sectional study. / and the Korean Society for Parenteral and Enteral Nutrition (KSPEN) Clinical Research Groups.

In: Journal of Korean medical science, Vol. 33, No. 2, e10, 01.01.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prevalence of malnutrition in hospitalized patients

T2 - A multicenter cross-sectional study

AU - and the Korean Society for Parenteral and Enteral Nutrition (KSPEN) Clinical Research Groups

AU - Kang, Min Chang

AU - Kim, Ji Hoon

AU - Ryu, Seung Wan

AU - Moon, Jae Young

AU - Park, Je Hoon

AU - Park, Jong Kyung

AU - Park, Jong Hoon

AU - Baik, Hyun Wook

AU - Seo, Jeong Meen

AU - Son, Myoung Won

AU - Song, Geun Am

AU - Shin, Dong Woo

AU - Shin, Yeon Myung

AU - Ahn, Hong yup

AU - Yang, Han Kwang

AU - Yu, Hee Chul

AU - Yun, Ik Jin

AU - Lee, Jae Gil

AU - Lee, Jae Myeong

AU - Lee, Jung Hwa

AU - Lee, Tae Hee

AU - Yim, Haejun

AU - Jeon, Hyun Jeong

AU - Jung, Kyuwhan

AU - Jung, Mi Ran

AU - Jeong, Chi Young

AU - Lim, Hee Sook

AU - Hong, Suk Kyung

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: Malnutrition is associated with many adverse clinical outcomes. The present study aimed to identify the prevalence of malnutrition in hospitalized patients in Korea, evaluate the association between malnutrition and clinical outcomes, and ascertain the risk factors of malnutrition. Methods: A multicenter cross-sectional study was performed with 300 patients recruited from among the patients admitted in 25 hospitals on January 6, 2014. Nutritional status was assessed by using the Subjective Global Assessment (SGA). Demographic characteristics and underlying diseases were compared according to nutritional status. Logistic regression analysis was performed to identify the risk factors of malnutrition. Clinical outcomes such as rate of admission in intensive care units, length of hospital stay, and survival rate were evaluated. Results: The prevalence of malnutrition in the hospitalized patients was 22.0%. Old age (≥ 70 years), admission for medical treatment or diagnostic work-up, and underlying pulmonary or oncological disease were associated with malnutrition. Old age and admission for medical treatment or diagnostic work-up were identified to be risk factors of malnutrition in the multivariate analysis. Patients with malnutrition had longer hospital stay (SGA A = 7.63 ± 6.03 days, B = 9.02 ± 9.96 days, and C = 12.18 ± 7.24 days, P = 0.018) and lower 90-day survival rate (SGA A = 97.9%, B = 90.7%, and C = 58.3%, P < 0.001). Conclusion: Malnutrition was common in hospitalized patients, and resulted in longer hospitalization and associated lower survival rate. The rate of malnutrition tended to be higher when the patient was older than 70 years old or hospitalized for medical treatment or diagnostic work-up compared to elective surgery.

AB - Background: Malnutrition is associated with many adverse clinical outcomes. The present study aimed to identify the prevalence of malnutrition in hospitalized patients in Korea, evaluate the association between malnutrition and clinical outcomes, and ascertain the risk factors of malnutrition. Methods: A multicenter cross-sectional study was performed with 300 patients recruited from among the patients admitted in 25 hospitals on January 6, 2014. Nutritional status was assessed by using the Subjective Global Assessment (SGA). Demographic characteristics and underlying diseases were compared according to nutritional status. Logistic regression analysis was performed to identify the risk factors of malnutrition. Clinical outcomes such as rate of admission in intensive care units, length of hospital stay, and survival rate were evaluated. Results: The prevalence of malnutrition in the hospitalized patients was 22.0%. Old age (≥ 70 years), admission for medical treatment or diagnostic work-up, and underlying pulmonary or oncological disease were associated with malnutrition. Old age and admission for medical treatment or diagnostic work-up were identified to be risk factors of malnutrition in the multivariate analysis. Patients with malnutrition had longer hospital stay (SGA A = 7.63 ± 6.03 days, B = 9.02 ± 9.96 days, and C = 12.18 ± 7.24 days, P = 0.018) and lower 90-day survival rate (SGA A = 97.9%, B = 90.7%, and C = 58.3%, P < 0.001). Conclusion: Malnutrition was common in hospitalized patients, and resulted in longer hospitalization and associated lower survival rate. The rate of malnutrition tended to be higher when the patient was older than 70 years old or hospitalized for medical treatment or diagnostic work-up compared to elective surgery.

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UR - http://www.scopus.com/inward/citedby.url?scp=85040744796&partnerID=8YFLogxK

U2 - 10.3346/jkms.2018.33.e10

DO - 10.3346/jkms.2018.33.e10

M3 - Article

C2 - 29215819

AN - SCOPUS:85040744796

VL - 33

JO - Journal of Korean Medical Science

JF - Journal of Korean Medical Science

SN - 1011-8934

IS - 2

M1 - e10

ER -

and the Korean Society for Parenteral and Enteral Nutrition (KSPEN) Clinical Research Groups. Prevalence of malnutrition in hospitalized patients: A multicenter cross-sectional study. Journal of Korean medical science. 2018 Jan 1;33(2). e10. https://doi.org/10.3346/jkms.2018.33.e10