Nutritional Status in Patients Hospitalized with Acute Exacerbation of COPD
Journal Title: Vajira Medical Journal: Journal of Urban Medicine - Year 2021, Vol 65, Issue 5
Abstract
Introduction: Malnutrition is a common comorbidity in COPD and associated with increased incidences of complications during hospitalization due to acute exacerbation (AE). Outcome: Primary outcome was access nutritional status in COPD patients who were hospitalized due to AE. Secondary outcome was access associated between malnutrition and treatment outcomes (length of stay, hospital mortality and complications) Sample: COPD patients who diagnosis COPD with AE and admit at Vajira Hospital, Navamindhradhiraj University from April 1, 2018 to February 28, 2019. Method: Prospective cohort study in COPD patients who were hospitalized due to AE to determine prevalence and to compare outcomes between patients with and without malnutrition. The anthropometric indices and biochemical data were recorded for by using Multiparameter Nutritional Index(NI). Patients were classified into malnutrition(NI≥5) and non-malnutrition groups(NI<5) using a reference normal value from NHANES. Result: We included 56 COPD patients, The prevalence of malnutrition was 82.1% (n=46). When comparison between malnutrition and no malnutrition group we found in malnutrition group has significant normal ideal body weight than no malnutrition group (p<0.001). And in no malnutrition group tends to has overweight up to 75%. In outcome of treatment no significant in length of stay. In malnutrition group has mean length of stay 12.72±9.90 day. And in no malnutrition group has mean length of stay 10.70±7.59 day (p = 0.548). COPD patients with malnutrition showed significantly more complications during hospitalization due to AE than those without malnutrition 89.1% and 60% respectively (p-value 0.044). The last we found in malnutrition group has mortality 13% when in no malnutrition group has mortality 0% but insignificant in statistic. Conclusion: The prevalence of malnutrition in patients with COPD in Thailand is very high and is significantly associated with more complications during AE. Nutritional assessment and intervention in this group is very important and should be considered.
Authors and Affiliations
Sunisa Khamharn Santi Silairatana
Keywords
Related Articles
- EP ID EP723782
- DOI http://dx.doi.org/10.14456/vmj.2021.38
- Views 70
- Downloads 0
Provider Satisfaction with the VJR-NMU-N99 Half-Piece Respirator to Prevent Coronavirus Disease-2019
Background: Since the rapid spread of SARs-CoV-2 worldwide, the surgical masks and N95 respirators were needed for personal protective equipment. The VJR-NMU-N99 half-piece respirator has invented. The provider satisfact...
Comparison of Knowledge Regarding Vitamin D in Non-Healthcare Personnel of Faculty of Medicine Vajira Hospital, Navamindradhiraj University Between the Lecture-based Group and the Edutainment with Lecture Group
Objective: To comparison of knowledge regarding vitamin D in non-healthcare personnel of Faculty of Medicine Vajira Hospital, Navamindradhiraj University between the lecture-based group and the edutainment with lecture g...
Caring at Cardiology Clinic versus Heart Failure Clinic: Impact of Implementation of GuidelineDirected Medical Therapy in Heart Failure with Reduced Ejection Fraction in Outcomes of Death and Heart Failure Readmission
OBJECTIVE: This study aimed to determine whether the heart failure (HF) clinic setting can improve guideline-directed medical therapy (GDMT) use and reduce HF readmission and mortality rates in patients with heart failur...
Survival Analysis after Surgery of Colorectal Cancer in Vajira Hospital
Background: Colorectal cancer (CRC) is the third most common cancer diagnosed in men and the second most common in women from global cancer statistics1. In 2014, there were an estimated 1,317,427 people living with colon...
The Prevalence of parasitic infection and Health risk behaviors of Thai Buddhist monks in Wachira Phayaban Region, Dusit District, Bangkok Metropolitan
Objective: To determine the prevalence of parasitic infection and health risk behaviors among Buddhist monks Methods: Thirty-six stool samples were collected from monks from Wat Thewarat Kunchon Worawihan, Wat Ratchapha...