PREVALENCE OF MALNUTRITION IN HOSPITALIZED PATIENTS: A COMPREHENSIVE ANALYSIS OF RISK FACTORS, CLINICAL OUTCOMES AND HEALTHCARE IMPLICATIONS
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Abstract
Hospital malnutrition is a significant concern in Pakistan, affecting patient outcomes and healthcare systems. It affects 20-50% of hospitalized patients and hospital diets may contribute to this issue. Objective This study aimed to determine the prevalence of malnutrition in a hospital and its impact on patient outcomes. Study place and duration :The study was conducted at Jinnah post graduate medical centre from July 2024-December 2024.Methodology A cross-sectional study assessing nutritional status using Subjective Global Assessment (SGA), anthropometry and biochemical parameters. Patient outcomes, including length of stay, mortality rate and readmissions were also evaluated. Results: The study included 181 patients with a median age of 71.6 years and 51.2% were women. According to Subjective Global Assessment (SGA) results, 37.8% were well-nourished, 50.2% were at nutritional risk and 11.9% were malnourished. Malnutrition prevalence was higher in oncology-hematology and medical wards (80.0% and 70.5%) compared to surgical wards (52.4%). Poor nutritional status was associated with longer hospital stays. Conclusion: The prevalence of malnutrition in the hospital was high, particularly in medical services, and doubled the length of stay.
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Bherulal
Nutrition Officer, Sir C J Institute of Psychiatry, Hyderabad, Pakistan
Mahmood Riaz Mangi
Medical superintendent , Taluka Hospital Garhi khairo, District jacobabad,Pakistan
Bilal Khan
Medical Officer, Government of Sindh, Health department Dadu, Pakistan
Zahid Ali Mirani
Senior Medical Officer , Surgical ICU ,Dr.Ruth. K.M. Pfau, Civil Hospital, Karachi, Pakistan
Jamil Ahmed
Medical officer, Landhi Hospital Sessi , Karachi, Pakistan
Partab Puri
Assistant Professor ,Community Medicine, Muhammad Medical College, Mirpurkhas, Pakistan
Agha saghar fazlani
Nutrition Officer, Aga khan rural support programme ,Thatta ,Sindh, Pakistan
Simrat Mohan
Lecturer, Hamdard university dental hospital, Karachi, Pakistan
Asma Anwar
Postgraduate trainee, Zia uddin medical university,Karachi, Pakistan