Sixteen years trends in reported undernutrition.

Détails

ID Serval
serval:BIB_FD6DCEE47C5A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Sixteen years trends in reported undernutrition.
Périodique
Clinical nutrition
Auteur⸱e⸱s
Khalatbari-Soltani S., de Mestral C., Marques-Vidal P.
ISSN
1532-1983 (Electronic)
ISSN-L
0261-5614
Statut éditorial
Publié
Date de publication
02/2019
Peer-reviewed
Oui
Volume
38
Numéro
1
Pages
271-278
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
How undernutrition is reported in hospital discharge data is not understood. To assess trends in reported undernutrition and its management among hospitalized patients in Switzerland, and the association between reported undernutrition and in-hospital mortality, acquired infection, intensive care unit stay (ICU), and length of hospital stay (LOS).
Data from the Swiss hospital discharge databases from 1998 to 2014 (n = 13,297,188 hospitalizations, 52.2% women, 48.4% aged 65+, and 85% Swiss national). Reported undernutrition was defined by the presence of any undernutrition-related International Classification of Diseases 10th revision code. Nutritional management was defined by the presence of any nutritional intervention code.
Prevalence of reported undernutrition increased from 0.32% in 1998 to 3.97% in 2014 in Switzerland, and similar but varying trends were found for each of the seven Swiss administrative regions: ranging from 0.18% to 2.13% in Ticino and from 0.23% to 5.63% in Mittelland. Undernutrition management of hospitalizations with reported undernutrition increased from 0.6% in 1998 to 57.8% in 2014, with wide variations according to administrative region: from 0% to 32.9% in Ticino and from 0% to 68.9% in Central Switzerland. After multivariable adjustment, reported undernutrition was positively associated with in-hospital mortality: odds-ratio and (95% confidence interval): 2.30 (2.26-2.34); acquired infection: 3.57 (3.46-3.70); ICU stay: 1.65 (1.63-1.68) and longer LOS: 19.6 ± 0.2 vs. 13.0 ± 0.1 days.
Undernutrition is increasingly reported in Switzerland; still, over 40% of undernourished hospitalizations don't benefit from nutritional support. Reported undernutrition is associated with increased in-hospital mortality, acquired infection, ICU stay, and LOS.
Mots-clé
Epidemiology, Hospital discharge data, Trends, Undernutrition
Pubmed
Web of science
Création de la notice
08/02/2018 18:24
Dernière modification de la notice
04/12/2019 6:30
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