지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2007.6
- 수록면
- 438 - 443 (6page)
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초록· 키워드
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Purpose: The length of a patient’s stay in a hospital is an indication of the patient’s recovery rate. The length of the hospital stay has an important economic factor for hospitals. This study was conducted to determine the relationship of the nutritional status at the time of admission to mortality and the length of the hospital stay (LOHS).
Methods: The study subjects were 1,619 patients who suffered with cancer, were admitted to Kosin University Gospel Hospital during 2005 and they met the study criteria. The patients were classified to the not at risk group, the patients having one risk factor for malnutrition were the Ⅰ group, the patients having two risk factors for malnutrition were the Ⅱ group, the patients having three risk factors for malnutrition were the Ⅲ group and the patients having 4 risk factors for malnutrition were the Ⅳ group, based on the established criteria of serum albumin ＜3.0 g/㎗, a total lympocyte count of ＜1,500 cells/㎣, a cholesterol level of ≥240 ㎎/㎗ or ≤130 ㎎/㎗, weight for height ≥120% or ＜90% ideal body weight.
Results: 24.3% of the patients were classified into the not at risk group, 37.6% were classified into the at risk group Ⅰ, 24.2% were classified into the at risk group Ⅱ, 10.3% were classified into the at risk group Ⅲ and 3.6% were classified into the at risk group Ⅳ. The at risk group (at risk Ⅲ, at risk Ⅳ) had a significantly higher prevalence of liver disease. The relationship between liver disease and low serum albumin albumin levels may have confounded the data. Although the estimated LOHS was similar in all the groups, the average length of stay was 14.4±16.38 days in the malnourished group (at risk group Ⅳ) compared to approximately 2.8 days in the not at risk group. The more nutritional risk factors the patients had, the longer was the LOHS and the mortality rates were higher. Correlation was not observed between the risk factors and the length of the hospital stay, as well as the lack of correlation with the mortality rate.
Conclusion: These results suggest that a patient’s nutritional status upon admission has an effect on the length of the hospital stay for patients with carcinoma.
Methods: The study subjects were 1,619 patients who suffered with cancer, were admitted to Kosin University Gospel Hospital during 2005 and they met the study criteria. The patients were classified to the not at risk group, the patients having one risk factor for malnutrition were the Ⅰ group, the patients having two risk factors for malnutrition were the Ⅱ group, the patients having three risk factors for malnutrition were the Ⅲ group and the patients having 4 risk factors for malnutrition were the Ⅳ group, based on the established criteria of serum albumin ＜3.0 g/㎗, a total lympocyte count of ＜1,500 cells/㎣, a cholesterol level of ≥240 ㎎/㎗ or ≤130 ㎎/㎗, weight for height ≥120% or ＜90% ideal body weight.
Results: 24.3% of the patients were classified into the not at risk group, 37.6% were classified into the at risk group Ⅰ, 24.2% were classified into the at risk group Ⅱ, 10.3% were classified into the at risk group Ⅲ and 3.6% were classified into the at risk group Ⅳ. The at risk group (at risk Ⅲ, at risk Ⅳ) had a significantly higher prevalence of liver disease. The relationship between liver disease and low serum albumin albumin levels may have confounded the data. Although the estimated LOHS was similar in all the groups, the average length of stay was 14.4±16.38 days in the malnourished group (at risk group Ⅳ) compared to approximately 2.8 days in the not at risk group. The more nutritional risk factors the patients had, the longer was the LOHS and the mortality rates were higher. Correlation was not observed between the risk factors and the length of the hospital stay, as well as the lack of correlation with the mortality rate.
Conclusion: These results suggest that a patient’s nutritional status upon admission has an effect on the length of the hospital stay for patients with carcinoma.
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감사의 글
REFERENCES
참고문헌 (23)
참고문헌 신청
1. [학술지(정기간행물)] - Mullen JL / 1979 / Implications of malnutrition in the surgical patient / Arch Surg 114 : 121 ~ 125
2. [학술지(정기간행물)] - Middleton MH / 2001 / Prevalence of malnutrition and 12-month incidence of mortality in two Sydney teaching hospitals / Intern Med J 31 : 455 ~ 461
3. [학술지(정기간행물)] - Chima CS / 1997 / Relationship of nutritional status to length of stay, hospital costs, and discharge status of patients hospitalized in the medicine service / J Am Diet Assoc 97 : 975 ~ 978
4. [학술지(정기간행물)] - Green CJ / 1999 / Existence, causes and consequences of disease related malnutrition in the hospital and the community, and clinical and financial benefits of nutritional intervention / Clin Nutr 18 : 3 ~ 28
5. [학술지(정기간행물)] - Daly JM / 1991 / Nutritional support of patients with cancer of the gastrointestinal tract / Surg Clin North Am 71 : 530 ~
2. [학술지(정기간행물)] - Middleton MH / 2001 / Prevalence of malnutrition and 12-month incidence of mortality in two Sydney teaching hospitals / Intern Med J 31 : 455 ~ 461
3. [학술지(정기간행물)] - Chima CS / 1997 / Relationship of nutritional status to length of stay, hospital costs, and discharge status of patients hospitalized in the medicine service / J Am Diet Assoc 97 : 975 ~ 978
4. [학술지(정기간행물)] - Green CJ / 1999 / Existence, causes and consequences of disease related malnutrition in the hospital and the community, and clinical and financial benefits of nutritional intervention / Clin Nutr 18 : 3 ~ 28
5. [학술지(정기간행물)] - Daly JM / 1991 / Nutritional support of patients with cancer of the gastrointestinal tract / Surg Clin North Am 71 : 530 ~
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UCI(KEPA) : I410-ECN-0101-2013-514-002675492