Decline of nutritional status in the first week of hospitalisation predicts longer length of stay and hospital readmission during 6-month follow-up

• DOI: 10.1017/s0007114520003451
• Publication Date: 2020-09-03T05:23:10Z
• Authors: Júlia Lima; Paula Portal Teix...; Igor da Conceição...; Camila Ferri Burgel; Flávia Moraes Silva
• Keywords: Adult; Male; 2. Zero hunger; 0301 basic medicine; Nutritional Status; Middle Aged; Risk Assessment; 3. Good health; Cohort Studies; Hospitalization; 03 medical and health sciences; Weight Loss; Humans; Female; Nutrition Therapy; Prospective Studies; Aged

Nutritional status (NS) monitoring is an essential step of the nutrition care process. To assess changes in NS throughout hospitalisation and its ability to predict clinical outcomes, a prospective cohort study with patients over 18 years age was conducted. The Subjective Global Assessment (SGA) performed within 48 h admission 7 d later. For each patient, decline assessed by two different methods: SGA category severe weight loss alone (≥2 % during first week hospitalisation). Patients were followed up until discharge length hospital stay (LOS) in-hospital mortality contacted 6 months post-discharge readmission death. Out 601 at admission, 299 remained hospitalised for least d; those, 16·1 had 22·8 alone. In multivariable analysis, associated 2-fold (95 CI 1·06, 4·21) increased odds prolonged LOS 3·6 1·05, 12·26) months. Severe 2·5-increased 1·40, 4·64) LOS. conclusion, deterioration more often identified than category. While both methods LOS, only predicted readmission. These findings reinforce importance nutritional provide guidance further research prevent short-term from being left undetected.