Bulut, Filiz Bitlis State Hospital, Turkey , Mimaroğlu, Caner Cumhuriyet University - School of Medicine - Department of Anesthesiology, Turkey , İsbir, Ahmet Cemil Cumhuriyet University - School of Medicine - Department of Anesthesiology, Turkey , Düger, Cevdet Cumhuriyet University - School of Medicine - Department of Anesthesiology, Turkey , Kaygusuz, Kenan Cumhuriyet University - School of Medicine - Department of Anesthesiology, Turkey , Gürsoy, Sinan Cumhuriyet University - School of Medicine - Department of Anesthesiology, Turkey , Kol, İclal Özdemir Cumhuriyet University - School of Medicine - Department of Anesthesiology, Turkey

Detection of malnutrition in hospitalized cases scheduled for elective surgery

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Malnourished patients have longer hospital stays, more drug usage, poorer functional capacity andhigher morbidity and mortality rates compared to well-nourished patients. To prevent malnutritionin hospitalized patients, physicians should be aware of the fact that every hospitalized patient maybe at risk or malnutrition and thus require an early diagnosis and treatment. Many indices andscoring systems have been developed to predict malnutrition, but there is still no consensus onwhich method reflects the malnutrition status the best. 500 adult patients composed of 242 malesand 258 females hospitalized at 11 different departments of Cumhuriyet University, Faculty ofMedicine were included in our study. In each patient, a detailed history was taken, laboratorymeasurement were performed (albumin, pre-albumin, CRP, creatinine) and Subjective GlobalAssessment (SGA) and bioelectrical impedance analysis (BIA) were carried out during admissionto the hospital. Nutritional status and mentioned parameters were compared and the effect ofnutritional status on the length of hospital stay was studied. The rate of malnutrition was found as7.8% (39 cases). The mean age was higher in patients with malnutrition when compared to wellnourished ones. Similarly, the length of hospital stay and postoperative hospital stay were longer in patients with malnutrition. Albumin and pre-albumin levels were significantly lower and CRP was higher in patients with malnutrition. Creatinine levels did not show any significant difference. Body weight, body fat content and BMI values were higher and total body fluid in percentage of body weight were lower in patients with malnutrition.

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Malnutrition , subjective global assessment , bioelectrical impedance analysis , hospitalstay

Cumhuriyet Medical Journal

141