CONUT: A Useful Alarm of Malnutrition in the Centralized Laboratory of a Spanish Hospital
Publish place: Hospital Practices and Research، Vol: 3، Issue: 4
Publish Year: 1397
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_HPR-3-4_002
تاریخ نمایه سازی: 6 تیر 1402
Abstract:
Background: Hospital malnutrition, usually secondary to various diseases and their treatments, is an important problem in our clinical practice. For its proper assessment, it is crucial to use a nutritional alert system, such as the CONUT (COntrol NUTrition) program; this tool uses ۳ analytical parameters: serum albumin, total cholesterol, and total lymphocyte count. Objective: The current study assessed the results of the implementation of this program in the University Hospital Ramón y Cajal. Methods: The CONUT program has been used in the University Hospital Ramón y Cajal since ۲۰۱۳. This retrospective study, throughout ۲۰۱۶, was conducted in the Central Laboratory of Chemical Biochemistry at the University Hospital Ramón y Cajal. All blood tests with serum albumin, total cholesterol, and total lymphocyte count were studied. The degree of malnutrition was assessed using the scale of normal (=۰), mild (=۴), moderate (=۸), and severe (=۱۲). Results: In ۲۰۱۶, there were ۴۰۵۴۰۶ analytics performed in the laboratory of University Hospital Ramón y Cajal. The CONUT tool was applied to ۳.۶۴% of them (۱۴۷۴۱ analytics). In the outpatient setting, the highest malnutrition index comprised patients from the liver transplant consultation department, followed by the cardiology, rheumatology, and oncology departments. With inpatients, the hematology, cardiology, and endocrinology departments showed the most severe malnutrition index. Conclusion: The CONUT system seemed to provide useful information about the cohort of the studied hospital. The results showed that ۹۴% of the patients were not classified with malnutrition, there was no gender predilection, and they were younger than the rest. Patients with more severe malnutrition were usually older and male.
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Authors
Miriam Menacho-Román
Clinical Biochemistry Department. University Hospital “Ramón y Cajal”, Madrid, Spain
Gilberto Pérez-López
Endocrinology Department. University Hospital “Ramón y Cajal”, Madrid, Spain
José Manuel del Rey-Sánchez
Clinical Biochemistry Department. University Hospital “Ramón y Cajal”, Madrid, Spain
Domingo Ly-Pen
Abbey House Medical Centre, Navan, Ireland
Antonio Becerra-Fernández
Endocrinology Department. University Hospital “Ramón y Cajal”, Madrid, Spain
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