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Care causing diagnosis, comorbidities and nutritional status of patients in continuous long term care unit

2019Journal article Open access
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dc.contributor.authorMarques, M
dc.contributor.authorGonçalves, V
dc.contributor.authorVieira, A
dc.contributor.authorMagalhães, F
dc.contributor.authorGodinho, J
dc.contributor.authorLemos, A
dc.contributor.authorCosta, V
dc.contributor.authorFaria, Ana
dc.date.accessioned2020-04-18T00:02:02Z
dc.date.available2020-04-18T00:02:02Z
dc.date.issued2019
dc.description.abstractIntroduction: Poor nutritional status has negative implications on prognosis, cost of care, morbidity and mortality. However, when nutritional assessment is not implemented, malnutrition can go untreated. Objectives: The aim of this study was to establish a relationship between care causing diagnosis, existing comorbidities and nutritional status of patients admitted to a long-term care unit. Methods: In the context of Nutrition Day audit, from 2016 to 2018, nutritional status was assessed using Mini Nutritional Assessment. Sociodemographic and anthropometric data, as well as medical history were collected. Results: Sixty-two individuals were included (51.6% male), with a mean age of 77􏰀11 years. Mean BMI was 22.9􏰀4.3kg/m2. Most of the patients were bedridden or in wheelchair (51.6%). A great part of the sample was at risk of malnutrition (40.3%) and 27.4% was malnourished. The majority of the sample showed dementia (75.8%) and 66.2% had depression. A correlation was found between nutritional status and cognitive status(r = 0.445; p = 0.000); and between nutritional status and functional capacity(r = 0.284; p = 0.025). Care causing diagnosis for most of the patients was central nervous system disease (66.1%), followed by heart disease (59.7%), skeletal muscle disease (30.6%) and cancer (17.7%). An association was found between heart disease and malnutrition (p = 0.023). Almost all of the sample was polymedicated (91.9%) and most was taking antypsychotics and/or neuroleptics (71.0%). Conclusions: In this long-term care unit, malnutrition presented a significant prevalence. Cognitive status decline and low functional capacity seem to be correlated with a worse nutritional status. Also, heart disease was associated with malnutrition, meaning that these are significant risk factors for the development of malnutrition. Nutrition Day audit brings awareness to the importance of nutritional care, as well as the need for development of nutritional screening and assessment protocols.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1093/eurpub/ckz035.031pt_PT
dc.identifier.issn1464-360X
dc.identifier.urihttp://hdl.handle.net/10400.26/32022
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOxford University Presspt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/pt_PT
dc.subjectComorbidadespt_PT
dc.subjectEstado nutricionalpt_PT
dc.subjectPacientespt_PT
dc.subjectAssistência de longa duraçãopt_PT
dc.titleCare causing diagnosis, comorbidities and nutritional status of patients in continuous long term care unitpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issueSupplement_1pt_PT
oaire.citation.titleEuropean Journal of Public Healthpt_PT
oaire.citation.volume29pt_PT
person.familyNameFaria
person.givenNameAna
person.identifier.ciencia-id011A-D273-6021
person.identifier.orcid0000-0002-9125-7690
person.identifier.scopus-author-id55552246200
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationd7ab2200-9958-4d55-a53a-53b4ab63b3b5
relation.isAuthorOfPublication.latestForDiscoveryd7ab2200-9958-4d55-a53a-53b4ab63b3b5

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