TÌNH TRẠNG DINH DƯỠNG CỦA NGƯỜI BỆNH PHỔI TẮC NGHẼN MẠN TÍNH THEO CÔNG CỤ SGA TẠI BỆNH VIỆN QUÂN Y 103 NĂM 2015

Abstract

People with Chronic Obstructive Pulmonary Disease (COPD) are often malnourished.
Malnutrition in hospitalized patients increase the risk of illness, length of hospitalization and
mortality. Objective: To determine the nutritional status of patients with COPD during the first
48 hours of admission by Subjective Global Assessment tool (SGA). Methods: Cross-sectional descriptive study, conducted from December 2014 to May 2015 in AM3 ward of Military Hospital 103, with a total of 96 patients. Results: The mean age of patients in the study
was 67.2 ± 6.6 years. 58.3% of the patients were at moderate risk of malnutrition (SGA-B)
and 11.5% had severe malnutrition (SGA-C). Among patients with moderate malnutrition
(SGA-B): ones with muscular dystrophy took 50 %, ones with mild to moderate metabolic
stress took 45.8%. Patients with severe malnutrition (SGA-C) suffered mainly from 4 symptoms: change in weight for 6 months with> 10% (31.2%), severe muscle wasting (13.5%)
and severe subcutaneous fat loss (11.4%), severely reduced nutrition intake (10.4%). There
were 5 people in SGA-B group at admission becoming SGA-C at discharge (SGA-B: 58.3%
at admission compared to 53.1% at discharge but SGA-C: 11, 5 % at admission compared to
16.7% at discharge. SGA-C patients at admission remained SGA-C when discharge. There
were differences in malnutrition rates between admission and discharge (p <0.001, Fisher).
CONCLUSION: By SGA tool, the prevalence of COPD at high risk for malnutrition was
69.7% (58.3% SGA-B and 11.4% SGA-C). The proportion of patients at increased risk for
malnutrition increased with hospital length of stay (SGA-C: 11.5% at admission compared
with 16.7% at discharge) (p <0.001).