Abstract：
Malnutrition is a global health problem that is not limited to developing countries. So far, it is one of the underdiagnosed and curative medical problems. THE AIM of our observation was to evaluate the nutritional status of patients at risk of malnutrition.
METHODS: We retrospectively evaluated 140 patients from the Gastroenterology Clinic and the Center for Home Parenteral Nutrition (HPN) at the University Hospital Bratislava, Slovakia. Patients were indicated for examination as part of the entry screening for malnutrition or consultation examination in patients presenting with signs of malnutrition. Based on the determination of the body mass index (BMI), the completed questionnaire of nutritional risk screening (NRS) and the determination of the state of performance, we evaluated the nutritional status of the patient and subsequently started enteral, or parenteral nutrition.
RESULTS: We recorded a statistically significant negative correlation between BMI and malnutrition risk (p<0.001), ie. the lower the BMI, the higher the risk of malnutrition. We did not observe a relationship between age, diagnoses and the incidence of BMI-related malnutrition in the study group of patients.
CONCLUSIONS: Properly applied clinical nutrition, whether enteral, parenteral, or a combination thereof, can significantly affect morbidity and mortality in patients with malnutrition or the risk of its development. Unfortunately, Slovakia is still lagging behind developed countries in its implementation as part of a comprehensive treatment of patients (Tab. 2, Fig. 4, Ref. 28).
METHODS: We retrospectively evaluated 140 patients from the Gastroenterology Clinic and the Center for Home Parenteral Nutrition (HPN) at the University Hospital Bratislava, Slovakia. Patients were indicated for examination as part of the entry screening for malnutrition or consultation examination in patients presenting with signs of malnutrition. Based on the determination of the body mass index (BMI), the completed questionnaire of nutritional risk screening (NRS) and the determination of the state of performance, we evaluated the nutritional status of the patient and subsequently started enteral, or parenteral nutrition.
RESULTS: We recorded a statistically significant negative correlation between BMI and malnutrition risk (p<0.001), ie. the lower the BMI, the higher the risk of malnutrition. We did not observe a relationship between age, diagnoses and the incidence of BMI-related malnutrition in the study group of patients.
CONCLUSIONS: Properly applied clinical nutrition, whether enteral, parenteral, or a combination thereof, can significantly affect morbidity and mortality in patients with malnutrition or the risk of its development. Unfortunately, Slovakia is still lagging behind developed countries in its implementation as part of a comprehensive treatment of patients (Tab. 2, Fig. 4, Ref. 28).
摘要：
营养不良是一个全球性的健康问题，不仅限于发展中国家。到目前为止,这是一个未被诊断和治愈的医疗问题。我们观察的目的是评估营养不良风险患者的营养状况。
方法：我们回顾性评估了来自布拉迪斯拉发大学医院胃肠病诊所和家庭肠外营养中心（HPN）的140例患者，斯洛伐克。作为营养不良筛查或出现营养不良迹象的患者的咨询检查的一部分，患者被指示接受检查。基于体重指数（BMI）的测定，完成的营养风险筛查问卷（NRS）和绩效状态的确定，我们评估了患者的营养状况，随后开始肠内治疗，或肠胃外营养。
结果：我们记录了BMI与营养不良风险之间的统计学显着负相关（p<0.001），即.BMI越低,营养不良的风险越高。我们没有观察到年龄之间的关系，研究组患者BMI相关营养不良的诊断和发生率。
结论：正确应用临床营养，无论是肠内，肠胃外,或其组合，可以显着影响营养不良患者的发病率和死亡率或其发展的风险。不幸的是,作为患者综合治疗的一部分，斯洛伐克在实施方面仍落后于发达国家（Tab。2，图。4，参考。28).
方法：我们回顾性评估了来自布拉迪斯拉发大学医院胃肠病诊所和家庭肠外营养中心（HPN）的140例患者，斯洛伐克。作为营养不良筛查或出现营养不良迹象的患者的咨询检查的一部分，患者被指示接受检查。基于体重指数（BMI）的测定，完成的营养风险筛查问卷（NRS）和绩效状态的确定，我们评估了患者的营养状况，随后开始肠内治疗，或肠胃外营养。
结果：我们记录了BMI与营养不良风险之间的统计学显着负相关（p<0.001），即.BMI越低,营养不良的风险越高。我们没有观察到年龄之间的关系，研究组患者BMI相关营养不良的诊断和发生率。
结论：正确应用临床营养，无论是肠内，肠胃外,或其组合，可以显着影响营养不良患者的发病率和死亡率或其发展的风险。不幸的是,作为患者综合治疗的一部分，斯洛伐克在实施方面仍落后于发达国家（Tab。2，图。4，参考。28).
