engleski

Nutritional risk screening in cardiological patients at the Clinical Hospital Center Rijeka

Introduction: Poor nutritional conditions have in several studies been strongly associated with mortality in cardiological hospitalized patients. In addition, the prevalence of nutritional risk in hospitalized cardiological patients has been found to vary between 34 and 90%. The aim of this study was to estimate prevalence of nutritional risk in patients receiving to the Department of Cardiology of the Clinical Hospital Centre of Rijeka, for better recognition of the nutritional needs of patients and to reduce the prevalence of malnutrition. Materials and methods: The nutritional status of 106 patients was evaluated on the basis of anthropometric and biochemical parameters and nutritional screening was performed using Nutritional Risk Screening (NRS-2002). The anthropometric parameters used in the research are: age, gender, body mass, body height, waist circumference, waist to hip ratio and body mass index. The biochemical parameters used in the study are: hemoglobin, urea, creatinine, serum albumin, cholesterol, HDL, LDL and triglycerides. Results: The prevalence of nutritional risk according to NRS-2002 (score ≥ 3) was 14, 2 %. Statistically signifcantly higher risk of malnutrition had older patients (p = 0.021) and length of stay in hospital signifcantly affected the change in NRS status (p = 0.009). The NRS score afer hospitalization was statistically signifcantly higher in patients who stayed in the hospital for more than 14 days. Comparison of anthropometric characteristics of patients before and afer hospitalization showed that there were signifcant differences in body mass index and waist to hip ratios (p <0.0001 ; p <0.0001) while there was no signifcant difference in biochemical parameters (p = 0.200). Conclusion: Screening of nutritional risk of patients provides greater choice and implementation of the necessary nutritional support which is an important segment in treatment of hospitalized cardiological patients and an important factor in reducing the development of malnutrition.

cardiological patients, ; malnutrition ; NRS-2002 ; nutritional risk

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