Desnutrición intrahospitalaria: ELAN - ECUADOR. Hospital Regional Dr. Gustavo Domínguez. Santo Domingo. Provincia Santo Domingo de los Tsáchilas. 2011.

Abstract

Prevalence of hospital malnutrition was determinated and its social and demographic determinants, surgical clinical status, and quality of care at the Regional Hospital Dr. Gustavo Dominguez, city of Santo Domingo Tsahalis. The design was a not experimental and transversal type study. It included 150 patients, aged 18 years, hospital stay longer than 24 hours, medical history openly and definite diagnosis. It was applied two surveys: Subjective Global Assessment and Hospital Nutrition Survey. The first survey provided information on the nutritional status and the second demographic, clinical and surgical and hospital care quality. Statistical analysis was performed with the program JMP V.5.1. Hospital malnutrition prevalence was 32%: 29% moderate and 3% severe malnutrition. A total of 52% were female and 48% male. 63.34% were under popular strata, 62.67% with primary education, 68.67% had chronic diseases and 24% were under surgical treatment. 55.3% of patients had a nutritional care quality from fair to poor. It was identified statistically significant relationships (p <0.05) between malnutrition and age, sex and underlying disease. Malnutrition was more prevalent in patients with longer hospital stay, low education and low socioeconomic status, although there was no statistical significance (p> 0.05) The prevalence of malnutrition in hospitalized patients is high, particularly in elderly patients, male and chronically ill. It is recommended implementing a quality nutritional care in hospitals in order to prevent and reduce the risk of secondary morbidity on preexisting patients with malnutrition.