Desnutrición Intrahospitalaria: ELAN - ECUADOR Hospital Guayaquil Dr. Abel Gilbert Pontón. Guayaquil. Provincia del Guayas. 2011.

Abstract

Hospital Malnutrition: ELAN - ECUADOR Guayaquil Hospital "Dr. Abel Gilbert Pontón" Guayaquil. Province of Guayas. 2011. The main objective of this study was to determine the prevalence of Malnutrition within hospitals and their social and demographic determinants, clinical-surgical conditions, hospitalization and quality of care. The research was conducted in December of 2011, with 150 hospitalized patients ages 18 and older in the clinical facilities (114) and Internal Medicine (36). Two surveys were conducted, Subjective Global Assessment to each patient and Quality of nutritional care based on the medical history. The state hospital nutritional was evaluated by the scale of Subjective Global Assessment with Value A: Well-nourished. Value B: moderately malnourished and value C: Severely malnourished. This information was collected on demographic data and clinical surgical and the study design was not experimental cross type. For the statistical analysis was used the JMP 5.1 program and for the statistical probability test the measures of central tendency, dispersion measures and Chi-square methods was used. According to the results obtained, the prevalence of malnutrition was 52%; 31% patients severely malnourished and 21% of patients moderately malnourished. The quality of nutritional care was poor. The average length of hospital stay was 6 days for patients with severe malnutrition. As conclusions, the prevalence of malnutrition in this study was 52% close to the one found in the Latin American Studies of Nutrition (ELAN) 50.2% and while more time of hospital stay higher risk in the nutritional status as corroborated in this group investigated. Basic diseases, hospital days and the days of fasting were associated with the degrees of malnutrition. It is recommended to create a multidisciplinary team for Nutritional Therapy to perform the evaluation, intervention and nutritional monitoring which would contribute to improving the health conditions of the hospitalized patients.