Betül Gülşen ATALAY, Simge AKYEL, Suat Özer ÖNER, Hasan Hakan ATALAY

Hastanede Yatan ve Beslenme Destek Ekibine Danışılan Hastalarda Malnütrisyon Durumu ve Hedeflenen Beslenme Desteği Etkinliğinin Değerlendirilmesi

Amaç: Hastanede yatan ve beslenme desteği (BD) tedavisi alan hastalarda yetersiz beslenme, malnütrisyona bağlı komplikasyon riskini arttırmaktadır. Bu çalışmada hastanede yatan ve BD alan hastalarda, malnütrisyon durumu ve BD tedavisinin etkinliğinin ölçülmesi amaçlanmıştır. Bireyler ve Yöntem: Bu çalışmaya hastanede yatan, BD gereksinmesi nedeni ile beslenme destek ekibine danışılan ve izlenen 100 yetişkin (≥18 yaş) hasta dahil edilmiştir. Hastalarda malnütrisyon durumu Nütrisyonel Risk Değerlendirme Skoru-2002 (NRS-2002) ile değerlendirilmiştir. Beslenme destek tedavisi alan hastaların hedeflenen günlük enerji ve protein gereksinmelerine ulaşma süreleri günlük vizitler ile değerlendirilmiştir. Hastalar taburcu oluncaya kadar veya hastanede ölüm görülünceye kadar izlenmiştir. Hastaların ilk değerlendirmede ve izlem süresi sonunda haftalık olarak bazı biyokimyasal parametreleri değerlendirilmiştir. Hastaların klinik sonuçları, hastanede yatış süreleri ve mortalite görülme sıklığı kayıt edilmiştir. Bulgular: Hastanede BD ekibine danışılan hastalarda, NRS-2002 skoruna göre nütrisyonel risk altında olan hastaların sıklığı %75’tir. Hastalarda hedeflenen protein ve enerji gereksinmelerine ulaşma süresi sırasıyla ortalama 21.15±18.15 gün ve 19.56±17.14 gün’dür. İzlenen hastalarda mortalite görülme sıklığı %59’dur. Beslenme desteği tedavisine rağmen tüm hastaların BD tedavisi aldıkları son haftada serum protein değerleri (total protein ve albümin) düşmüştür (p

Evaluation of Malnutrition Status and Efficacy of Targeted Nutritional Support in Hospitalized Patients Consulted to Nutrition Support Team

Aim: Unintentional underfeeding is common in patients receiving nutritional support (NS), and is associated with increased risk of malnutrition and complications. The aim of the study was to determine the malnutrition rate and to evaluate the efficacy of NS in hospitalized patients consulted to nutrition support team. Subjects and Method: This study was conducted in 100 adult (≥18 years) hospitalized patients receiving NS. Malnutrition was assessed by Nutritional Risk Screening (NRS-2002). The period to reach the targeted daily energy and protein needs of the patients receiving NS was evaluated with daily visits. Patients were followed until discharge or until death in hospital. At the first evaluation and at the end of follow-up period, patient’s biochemical parameters were evaluated. The mean length of hospital stay (LOS) and the mortality rate was recorded. Results: The frequency of patients under nutritional risk according to the NRS-2002 score was 75% in this study. The mean time to reach the targeted amount of protein and energy requirements were 21.15±18.15 and 19.56±17.14 days, respectively. The mortality rate was 59% in patients who were followed-up. Despite NS, serum protein levels (total protein, albumin) were decreased at the end of the study period (p

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