Neurotoxicidad secundaria a ifosfamida consecutivamente en forma de psicosis y coma / No disponible

No disponible

[Detection of malnutrition risk in hospitalized elderly patients]. / Detección del riesgo de malnutrición en ancianos hospitalizados.

UNLABELLED: OBJECTIVE AND SCOPE: To validate a protocol for the detection of malnutrition risk in a population of elderly patients admitted to a general hospital for non-surgical reasons. MATERIALS AND METHOD: The study involved 95 patients (34 of them male) over the age of 65 who were assessed on the third and fifth day after admission by means of a simple screening protocol (PC in its Spanish acronym) that considered recent changes in weight, serum albumin, lymphocyte concentration, food intake and diagnosis on admission, together with a more complex diagnostic protocol (PD in its Spanish acronym) including anthropometric, biochemical and immunological parameters. The PC was applied by personnel not expert in nutrition, while the PD was carried out by persons trained in nutritional assessment. The results of the PC and PD were compared, with statistical significance being considered at levels of p < 0.05. RESULTS: According to the PD, 75 patients (78.9%) suffered protein-energy malnutrition (39 slight, 31 moderate, 5 severe). The score obtained in the PC had a significant relationship with the severity of the malnutrition diagnosed using PD (p < 0.001). Furthermore, the absence or presence of nutritional risk assessed using the PC had a significant correlation with the diagnosis of malnutrition and its degree according to the PD (p < 0.01), thus indicating the validity of the PC as a method for screening of malnutrition. CONCLUSIONS: 1. In our population of geriatric patients admitted for reasons other than surgery, there was a high prevalence of protein-energy malnutrition. 2. The risk of malnutrition in an elderly population in hospital settings is appropriately assessed by means of a simple screening test effected by non-specialized personnel. 3. The score obtained in the PC is linked with the presence of malnutrition and with its severity. 4. The use of simple screening techniques in populations with a high prevalence of malnutrition may contribute to the detection and correction of this problem.

Detección del riesgo de malnutrición en ancianos hospitalizados / Detection of the risk of malnutrition in hospitalized elderly patients

Objetivo y ámbito: Validar un protocolo de detección de riesgo de malnutrición en una población de pacientes ancianos ingresados en un hospital general por motivos no quirúrgicos.Material y métodos: Se estudiaron 95 pacientes (34 varones) mayores de 65 años, evaluados entre el 3.º y 5.º día desde el ingreso mediante un protocolo de cribado (PC) sencillo que valora cambios recientes en el peso, albúmina sérica, concentración de linfocitos, ingesta y diagnóstico al ingreso, así como con un protocolo de diagnóstico (PD) más complejo que incluye parámetros antropométricos, bioquímicos e inmunológicos. El PC fue realizado por personal no experto en nutrición, mientras que el PD fue realizado por personal entrenado en evaluación nutricional. Se compararon los resultados de PC y de PD, considerándose una significación estadística a un nivel de p < 0,05.Resultados: Según el PD, 75 pacientes (78,9 por ciento) padecían malnutrición proteico-energética (39 leve, 31 moderada, 5 severa). La puntuación obtenida en el PC se relacionó significativamente con la severidad de la malnutrición diagnosticada por el PD (p < 0,001). Asimismo, la ausencia o presencia de riesgo nutricional evaluada mediante el PC se correlacionó significativamente con el diagnóstico de malnutrición y su grado mediante el PD (p < 0,01), indicando la validez del PC como método de despistaje de malnutrición.Conclusiones: 1. En nuestra población de pacientes geriátricos ingresados por motivos no quirúrgicos la prevalencia de malnutrición proteico-energética es alta.2. El riesgo de malnutrición en una población anciana en medio hospitalario es evaluado de manera apropiada mediante una prueba de despistaje sencilla realizada por personal no entrenado. 3. La puntuación obtenida en PC se relaciona con la presencia de malnutrición así como con su severidad. 4. El uso de técnicas de despistaje sencillas en poblaciones con alta prevalencia de malnutrición puede contribuir a detectar y corregir este problema (AU)

Objective and Scope: To validate a protocol for the detection of malnutrition risk in a population of elderly patients admitted to a general hospital for non-surgical reasons. Materials and Method: The study involved 95 patients (34 of them male) over the age of 65 who were assessed on the third and fifth day after admission by means of a simple screening protocol (PC in its Spanish acronym) that considered recent changes in weight, serum albumin, lymphocyte concentration, food intake and diagnosis on admission, together with a more complex diagnostic protocol (PD in its Spanish acronym) including anthropometric, biochemical and immunological parameters. The PC was applied by personnel not expert in nutrition, while the PD was carried out by persons trained in nutritional assessment. The results of the PC and PD were compared, with statistical significance being considered at levels of p < 0.05. Results: According to the PD, 75 patients (78.9%) suffered protein-energy malnutrition (39 slight, 31 moderate, 5 severe). The score obtained in the PC had a significant relationship with the severity of the malnutrition diagnosed using PD (p < 0.001). Furthermore, the absence or presence of nutritional risk assessed using the PC had a significant correlation with the diagnosis of malnutrition and its degree according to the PD (p < 0.01), thus indicating the validity of the PC as a method for screening of malnutrition. Conclusions: 1. In our population of geriatric patients admitted for reasons other than surgery, there was a high prevalence of protein-energy malnutrition. 2. The risk of malnutrition in an elderly population in hospital settings is appropriately assessed by means of a simple screening test effected by non-specialized personnel. 3. The score obtained in the PC is linked with the presence of malnutrition and with its severity. 4. The use of simple screening techniques in populations with a high prevalence of malnutrition may contribute to the detection and correction of this problem (AU)