Association of Malnutrition with Quality of Life, Mortality and Readmission Post Hospitalization in Patients with Non-Communicable Disease
DOI:
https://doi.org/10.3923/pjn.2016.771.776Keywords:
Mortality, nutritional status, quality of life, readmissionAbstract
Non-communicable disease (NCD) can cause mortality, morbidity and hospital readmission. Hospitalization can affect a patient’s nutritional status and impact a patient’s quality of life. The aim of this study was to determine the relationship between a patient’s discharged nutritional status with mortality, readmission and quality of life post hospitalization in patients with NCD. This study was an observational study with a retrospective cohort design. Subjects were selected by purposive sampling. Subjects were discharged patients with NCD aged 18 years or older, Mid upper arm circumference (MUAC) and subjective global assessment (SGA) were recorded. Discharged nutritional status 3 to 6 months from hospital was assessed using %MUAC and SGA. Quality of life was assessed using the SF-36 questionnaire. The results showed a significant relationship between a patient’s discharged nutritional status assessed by SGA and 3 to 6 months post hospitalization mortality (p = 0.047; OR = 4.92), as well as patient’s discharged nutritional status assessed by % MUAC and quality of life post hospitalization with non-communicable disease (p = 0.003; OR = 3.76). The malnourished subjects had an average quality of life sub-scale score lower than well-nourished, except for the mental health sub-scale (malnourished = 79.80±8.98; well-nourished = 78.78±10.63). There was no significant relationship between nutritional status and patient readmission (p = 0.427). It was concluded that a patient’s discharged nutritional status was related to mortality and quality of life post hospitalization in patients with NCD. There was no correlation between nutritional status and patient readmission. However, patients with malnourished nutritional status have a higher tendency for readmission.
References
Agarwal, E., M. Ferguson, M. Banks, M. Batterham, J. Bauer, S. Capra and E. Isenring, 2012. Nutrition care practices in hospital wards: Results from the nutrition care day survey 2010. Clin. Nutr., 31: 995-1001.
Amarantos, E., A. Martinez and J. Dwyer, 2001. Nutrition and quality of life in older adults. J. Gerontol. Ser. A: Biol. Sci. Med. Sci., 56: 54-64.
Bauer, J., S. Capra and M. Ferguson, 2002. Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur. J. Clin. Nutr., 56: 779-785.
Brotherton, A., N. Simmonds and M. Stroud, 2010. Malnutrition matters: Meeting quality standards in nutritional care. BAPEN Quality Group, Inggris.
Barker, L.A., B.S. Gout and T.C. Crowe, 2011. Hospital malnutrition: Prevalence, identification and impact on patients and the healthcare system. Int. J. Environ. Res. Public Health, 8: 514-527.
Correia, M.I.T.D. and D.L. Waitzberg, 2003. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin. Nutr., 22: 235-239.
Depkes, R.I., 2013. Laporan Nasional. Departemen Kesehatan RI, Jakarta.
Depkes, R.I., 2007. Laporan Nasional. Departemen Kesehatan RI, Jakarta.
Farid, K., Y. Zhang, D. Bachelier, P. Gilson, A. Teixeira, M.E. Safar and J. Blacher, 2013. Cognitive impairment and malnutrition, predictors of all-cause mortality in hospitalized elderly subjects with cardiovascular disease. Arch. Cardiovascular Dis., 106: 188-195.
Gibson, R.S., 2005. Principles of Nutritional Assessment. 2nd Edn., Oxford University Press, New York, ISBN-13: 9780195171693, Pages: 908.
Guest, J.F., M. Panca, J.P. Baeyens, F. de Man and O. Ljungqvist et al., 2011. Health economic impact of managing patients following a community-based diagnosis of malnutrition in the UK. Clin. Nutr., 30: 422-429.
Jelliffe, D.B., 1966. The Assessment of the Nutritional Status of the Community. World Health Organization, Geneva.
Lim, S.L., K.C.B. Ong, Y.H. Chan, W.C. Loke, M. Ferguson and L. Daniels, 2012. Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clin. Nutr., 31: 345-350.
Middleton, M.H., G. Nazarenko, I. Nivison‐Smith and P. Smerdely, 2001. Prevalence of malnutrition and 12-month incidence of mortality in two Sydney teaching hospitals. Internal Med. J., 31: 455-461.
Novita, T., 2005. The correlation between depression and quality of life in heart failure patients in Dr. Sardjito Hospital Yogyakarta. Undergraduate Thesis, Universitas Gadjah Mada, Indonesia.
NIMH., 2011. Depression. NIH Publication, USA., pp: 11-3561.
Premaratne, R., A. Amarasinghe and A.R. Wickremasinghe, 2010. Hospitalisation trends due to selected non-communicable diseases in Sri Lanka, 2005-2010. Ceylon Med. J., 50: 51-54.
Sauer, A.C. and A.C. Voss, 2012. Improving Outcomes with Nutrition in Patients with Cancer. Abbott Laboratories, Amerika Latin.
Susetyowati, S., H. Hadi, M. Hakimi and H.A.H. Asdie, 2014. Development, validation and reliability of the Simple Nutrition Screening Tool (SNST) for adult hospital patient in Indonesia. Pak. J. Nutr., 13: 157-163.
Starke, J., H. Schneider, B. Alteheld, P. Stehle and R. Meier, 2011. Short-term individual nutritional care as part of routine clinical setting improves outcome and quality of life in malnourished medical patients. Clin. Nutr., 30: 194-201.
WHO., 2010. Global Status Report on Noncommunicable Diseases. WHO., Geneva.
Schenker, S., 2003. Undernutrition in the UK. Nutr. Bull., 28: 87-120.
Ware, J.E. and C.D. Sherbourne, 1992. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med. Care, 30: 473-483.
Zapatero, A., R. Barba, J. Ruiz, J.E. Losa, S. Plaza, J. Canora and J. Marco, 2013. Malnutrition and obesity: Influence in mortality and readmissions in chronic obstructive pulmonary disease patients. J. Hum. Nutr. Dietetics, 26: 16-22.
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