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Relation of Malnutrition and Nosocomical Infections in Cancer Patients in Hospital: An Observational Study

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Relation of Malnutrition and Nosocomical Infections in Cancer Patients in Hospital: An Observational Study

dc.contributor.author	Muresan, Bianca Tabita
dc.contributor.author	Núñez‐Abad, Martín
dc.contributor.author	Artero, Ana
dc.contributor.author	Rios Rios, Jaime
dc.contributor.author	Cunquero-Tomás, Alberto Jacobo
dc.contributor.author	Iranzo, Vega
dc.contributor.author	Garrido, Javier
dc.contributor.author	Jiménez-Portilla, Ana
dc.contributor.author	Camps Herrero, Carlos
dc.contributor.author	Sánchez Juan, Carlos
dc.date.accessioned	2022-09-06T06:48:43Z
dc.date.available	2022-09-06T06:48:43Z
dc.date.issued	2022
dc.identifier.citation	Muresan, Bianca Tabita Núñez&#8208Abad, Martín Artero, Ana Rios Rios, Jaime Cunquero-Tomás, Alberto Jacobo Iranzo, Vega Garrido, Javier Jiménez-Portilla, Ana Camps Herrero, Carlos Sánchez Juan, Carlos 2022 Relation of Malnutrition and Nosocomical Infections in Cancer Patients in Hospital: An Observational Study Journal of Nutrition and Metabolism
dc.identifier.uri	https://hdl.handle.net/10550/83731
dc.description.abstract	Aim. To investigate the relation between malnutrition and nosocomial infections (NI) in hospitalized cancer patients. Methods. This observational, cross-sectional, noninterventional, descriptive study was conducted in a 500-bed university hospital in Valencia (Spain). Adult cancer patients admitted to the oncology ward were consecutively enrolled regardless of their nutritional status between November 2019 and March 2020. Patients were nutritionally assessed 24 to 48 hours after admission. Body weight, height and BMI, body composition through measurement of bioelectrical impedance analysis (BIA), and muscle strength and functionality using hand grip strength (HGS) were prospectively collected. The diagnosis of malnutrition and sarcopenia was assessed using the Global Leadership Initiative on Malnutrition (GLIM) criteria and the European Working Group on Sarcopenia in Older People (EWGSOP) criteria, respectively. Patients were followed up during their hospital stay or outpatient oncology visits to identify possible NI. Results. A total of 107 patients were included in this study (mean age 66 years; 66.4% were men). The most frequent reason for admission was cancer treatment (19.6%), followed by infections (18.7%) and digestive tract symptoms (18.7%). Overall, 77.5% (83/107) of the patients were malnourished at admission according to the GLIM criteria, while 52.3% (56/107) were sarcopenic. Nosocomial infections (NI) were significantly more frequent in malnourished (52.1%; 25/48) and severely malnourished (42.1%; 8/19) patients, compared with well-nourished patients without malnutrition (25%; 10/40; ). The mean length of hospital stay was 13.9 days, significantly longer in patients with an NI compared to those without infections (18.6 vs. 10.8 days, ). Conclusion. This study evidenced the need to implement a routine protocol for the nutritional assessment and support of cancer patients at risk of malnutrition and sarcopenia to reduce the risk of NI during their hospital stay.
dc.language.iso	eng
dc.relation.ispartof	Journal of Nutrition and Metabolism, 2022
dc.subject	Nutrició
dc.subject	Càncer
dc.title	Relation of Malnutrition and Nosocomical Infections in Cancer Patients in Hospital: An Observational Study
dc.type	journal article	es_ES
dc.date.updated	2022-09-06T06:48:44Z
dc.identifier.doi	10.1155/2022/5232480
dc.identifier.idgrec	154545
dc.rights.accessRights	open access	es_ES