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Advisor(s)
Abstract(s)
A malnutrição associada à doença é frequente do ponto de vista clínico, apresentando elevada morbilidade, mortalidade e impacto na qualidade de vida, em especialidades como a medicina interna, a oncologia, a neurologia, a gastroenterologia e a pediatria, entre outras. Estudos realizados em Portugal estimam existirem cerca de 40% de doentes em risco nutricional à data da admissão hospitalar, dependendo do estadio da doença e do grau/severidade. O custo da hospitalização destes doentes, é cerca de 20% superior ao dos doentes com o mesmo grupo de diagnóstico homogéneo, mas sem risco nutricional associado. No nosso país, o acesso dos doentes malnutridos a avaliação, aconselhamento e tratamento nutricional adequados ainda é limitado, mesmo em ambiente hospitalar. Um conhecimento detalhado da malnutrição associada à doença nas referidas especialidades, permitiria uma melhor caracterização da situação em Portugal, e permitiria estabelecer uma estratégia de intervenção clínica e terapêutica, para melhorar este panorama e as suas consequências no nosso país.
ABSTRACT - Disease-related malnutrition is clinically common, with high morbidity, mortality, and quality of life impact in medical specialties like internal medicine, oncology, neurology, gastroenterology, and pediatrics, among others. Studies in Portugal have estimated that about 40% of patients are at nutritional risk at hospital admission, depending on disease condition and stage/severity. The hospitalization costs for treating these patients is in average 20% higher than the respective, not at risk diagnosis-related group. The access to an adequate evaluation, counseling and nutritional treatment for malnourished patients is still limited in our country, even in the hospital setting. Detailed knowledge of disease-related malnutrition in the above mentioned medical specialties would allow to better characterize the situation in Portugal, to establish clinical and therapeutic intervention plans in order to improve the situation and consequences in our country.
ABSTRACT - Disease-related malnutrition is clinically common, with high morbidity, mortality, and quality of life impact in medical specialties like internal medicine, oncology, neurology, gastroenterology, and pediatrics, among others. Studies in Portugal have estimated that about 40% of patients are at nutritional risk at hospital admission, depending on disease condition and stage/severity. The hospitalization costs for treating these patients is in average 20% higher than the respective, not at risk diagnosis-related group. The access to an adequate evaluation, counseling and nutritional treatment for malnourished patients is still limited in our country, even in the hospital setting. Detailed knowledge of disease-related malnutrition in the above mentioned medical specialties would allow to better characterize the situation in Portugal, to establish clinical and therapeutic intervention plans in order to improve the situation and consequences in our country.
Description
Keywords
Avaliação nutricional Custos hospitalares Estado nutricional Malnutrição Perturbação alimentar Hospital costs Malnutrition Nutritional assessment Nutritional disorder Nutritional status Portugal
Citation
Marinho A, Lopes A, Sousa G, Antunes H, Fonseca J, Mendes L, et al. A malnutrição associada à doença e as suas repercussões em Portugal. Med Interna. 2019;26(1):60-6.
Publisher
Sociedade Portuguesa de Medicina Interna