Cross-Sectional Investigation and Analysis on Current Status of Nutritional Support in a Grade Ⅲ,Level A Hospital in Beijing
OBJECTIVE:To investigate the current status of nutritional support in China-Japan Friendship Hospital(hereinafter referred to as"the hospital"),to evaluate the rationality of nutritional support,and to explore the impact of nutritional support on hospitalization costs and length of stay.METHODS:Cross-sectional study was performed to include adult patients admitted into the hospital and receiving nutritional support from Mar.1st to 15th,2023,basic information was collected to screen and assess patients for nutritional risk,and the rationality of indications for nutritional support was evaluated.Effects of energy and protein intake on serum albumin,length of stay and hospitalization costs were observed.RESULTS:A total of 602 patients were included,the proportion of nutritional risk was 58.0％(349/602).Compared with patients without nutritional risk,patients with nutritional risk had longer length of stay(P=0.008)and higher cost(P=0.001),the differences were statistically significant.The use rate of parenteral nutrition was 68.6％(413/602).There were 290 cases(48.2％)whose energy and protein intake reached 60％of the target requirements.Compared with patients whose energy and protein intake was less than 60％of the target requirements,the serum prealbumin level was elevated after nutritional support,with statistically significant differences(P=0.000).In perioperative patients with nutritional risk,adequate nutritional support significantly shortened the length of stay(P=0.041).In perioperative patients without nutritional risk,nutritional support significantly increased the hospitalization costs(P=0.006).In patients with digestive diseases without nutritional risk,nutritional support significantly prolonged the length of stay(P=0.000)and increased the hospitalization costs(P=0.005).CONCLUSIONS:Standardized nutritional support is associated with improved serum prealbumin levels and may shorten length of stay without increasing hospitalization costs in perioperative patients.At present,the clinical nutrition support of the hospital has some problems such as imperfect diagnosis of malnutrition and irrational program,which need to further improve the nutritional support pathway and promote the standardization of clinical nutritional support.
Nutritional supportPerioperative periodLength of stayNutritional riskCross-sectional study
万方数据
维普
