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NUTRITIONAL STATUS OF PATIENTS WITH ARTERIAL HYPERTENSION IN ACUTE HOSPITAL SETTING

Objective: Malnutrition is a highly prevalent condition in the acute hospital setting and is associated with many adverse outcomes. Patients in hospital (acute) setting represent an important risk group for malnutrition. We conducted a study at seven internal clinic departments in University Hospital Split, aimed to assess the nutritional risk and the prevalence of malnutrition at internal clinic departments. Figure. No caption available. Design and method: Patients admitted to seven internal clinics departments during one month were included. According to the recommendation of ESPEN, Nutritional Risk Screening 2002 (NRS 2002) has been used to evaluate nutritional status of all hospitalized patients during one month. Also, for each patient body mass index (BMI), waist circumference, mid-upper arm circumference, skin fold thickness, serum albumin, creatinine, total cholesterol, glucose and C-reactive protein level were assessed. Also, data about arterial hypertension (AH) were collected by interviewing participants, as well as by reviewing participants’ medical records Results: 345 patients (aged 64.67 ± 14.50 years) were evaluated, 154 (44.6%) females and 191 (55.4%) males. Those patients with AH (N = 214, 62%) have statistically higher NRS score then those patients without AH (N = 131, 38%) (p = 0.001). Also, patient with AH have statistically higher BMI, waist circumference, mid-upper arm circumference, triceps skinfold thickness and glucose level as shown in Table 1. It is important to note that serum albumin level was statistically higher in those patients without AH (p = 0.016). Conclusions: Our data showed that patients with AH have statistically higher anthropometric value of nutritional status but statistically lower serum albumin level and higher NRS score. These results reviled that those patients with AH in hospital (acute) setting represents an important risk group for malnutrition. Also, BMI and other anthropometric value might not be a reflection of nutritional status in this population of patients.