Nutritional risk screening and clinical outcome assessment among patients with community-acquired infection: A multicenter study in Beijing teaching hospitals
Abstract
Objective The aim of this study was to implement nutritional risk screening in patients with community-acquired infection (CAI) and analyze its relationship with clinical outcomes. Methods We consecutively assessed 595 patients with CAI from two teaching hospitals for eligibility during this study. Their nutritional risk was evaluated using Nutritional Risk Screening-2002. The hospital length of stay (LOS), rate of readmission, and nutritional support were recorded. Results In all, 336 patients with CAI were recruited. Of these, 40.61% were at nutritional risk at admission. The prevalence of nutritional risk in those patients age ≥70 y was significantly higher than in younger patients (51.38% versus 37.29%; P = 0.017). There was significant increase in the prevalence of nutritional risk from admission to 2-wk post-admission in all patients (40.61% versus 48.93%; P = 0.036) and in elderly patients (51.38% versus 69.90%; P = 0.010). Of the at-risk patients, the LOS (19.6 ± 12.2 d versus 11.2 ± 5.3 d; P Conclusions Many patients with CAI were at nutritional risk and tended to worsen during hospitalization, which has been associated with increased LOS and rate of readmission. Nutritional support might be beneficial to the patients by shortening LOS. Inappropriate use of nutritional support was observed in patients with CAI.
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Li et al. also showed a significant increase in the prevalence of nutritional risk measured by NRS 2002 within two weeks after admission (40.61% vs 48.93%; p=0.036).
“The latter also showed a significant increase in the prevalence of nutritional risk measured by the Nutritional Risk Screening 2002 (NRS 2002) within two weeks after admission (40.61% vs. 48.93%;p ¼ 0.036).”
From ESPEN guideline on nutritional support for polymorbid medical inpatients (2023) · cites this paper as [21]
Li et al. showed the same effect in patients with community acquired pneumonia.
“The same effect was shown by Li et al. in patients with community acquired pneumonia [21] (Level of Evidence 2-).”
From ESPEN guideline on nutritional support for polymorbid medical inpatients (2023) · cites this paper as [21]
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- Authors
- Li, X.-Y., Yu, K., Yang, Y., Wang, Y.-F., Li, R.-R., & Li, C.-W.
- Affiliations
- Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
- Peking University First Hospital (CN)
- Corresponding author
- Yu, Kang
- ORCID
- Venue
- Nutrition
- Publisher
- Elsevier BV
- Published
- 2016-10
- Volume
- 32
- Issue
- 10
- Pages
- 1057-1062
- ISSN
- 0899-9007 (ISSN-L)
- OpenAlex
- W2299245375
- Cited by
- 10
- References
- 20
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2018: 1
- FWCI
- 0.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
- Keywords
- nutritional risk screening, community-acquired infections, NRS-2002, nutritional support, length of hospital stay, hospital readmission, elderly patients, parenteral nutrition, enteral nutrition, clinical outcomes
- MeSH terms
- Beijing, Adolescent, Adult, Aged, Aged, 80 and over, Female, Hospitals, Teaching, Humans, Length of Stay, Male, Middle Aged, Nutrition Disorders, Patient Readmission, Risk Factors, Nutrition Assessment, Treatment Outcome, Community-Acquired Infections, Nutritional Support, Young Adult
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