Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients

OBJECTIVE: We assessed nutrition status and prevalence of malnutrition in hospital patients as determined by the Subjective Global Assessment Form, awareness of patients’ nutrition status by health teams, and the use of nutrition therapy. METHODS: We enrolled 4000 hospital patients at least 18 y old...

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Published in:Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2001-07, Vol.17 (7), p.573-580
Main Authors: Waitzberg, Dan L, Caiaffa, Waleska T, Correia, M.Isabel T.D
Format: Article
Language:English
Subjects:
Adult
Age Factors
Biological and medical sciences
Brazil - epidemiology
cost benefit
Cross-Sectional Studies
Female
Hospitalization - statistics & numerical data
Humans
Inpatients - statistics & numerical data
Length of Stay - statistics & numerical data
Male
malnutrition
Medical sciences
Metabolic diseases
Middle Aged
nutrition assessment
nutrition awareness
Nutrition Disorders - epidemiology
Nutrition Disorders - prevention & control
Nutrition Surveys
Nutritional Status
Nutritional Support
Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)
Prevalence
Regression Analysis
Socioeconomic Factors
Tropical medicine
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Summary:OBJECTIVE: We assessed nutrition status and prevalence of malnutrition in hospital patients as determined by the Subjective Global Assessment Form, awareness of patients’ nutrition status by health teams, and the use of nutrition therapy. METHODS: We enrolled 4000 hospital patients at least 18 y old who were covered by the Brazilian public health care system in a cross-sectional, multicenter epidemiologic study. We used Student’s t and chi-square tests for univariate and multiple logistic regression analyses. RESULTS: Malnutrition was present in 48.1% of patients and severe malnutrition was present in 12.5% of patients. The prevalence of malnutrition was higher in the northern and northeastern regions of Brazil, where per-capita income is lower. Malnutrition correlated with primary diagnosis at admission, age (60 y), presence of cancer or infection, and longer hospital stay ( P < 0.05). Fewer than 18.8% of patients’ records contained information on nutrition-related issues. Nutrition therapy was used in 7.3% of patients (6.1% enteral nutrition and 1.2% parenteral nutrition). CONCLUSIONS: The prevalence of malnutrition in hospitalized patients in Brazil is high, physician awareness of malnutrition is low, and nutrition therapy is underprescribed.
ISSN:0899-9007
1873-1244
DOI:10.1016/S0899-9007(01)00573-1