Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study

Background: Malnutrition is a recurring problem that has become more relevant in recent years. The aim of this study is to assess the risk of malnutrition and nutritional status on admission and its evolution until discharge in patients aged 65 and over admitted to medical and surgical hospitalizati...

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Autores: Carretero-Randez, Cristina, Orts-Cortés, María Isabel, Rodríguez-Pérez, Margarita, Gonzalez-Chordá, Víctor Manuel, Trescastro-López, Eva María, Blanco Blanco, Joan, Martínez Soldevila, Jordi, Ruiz-Heras-Hera, Aránzazu, Castellano-Santana, Pedro Raúl, Marquez-Sixto, Amando, Domingo-Pozo, Manuela, Zomeño-Ros, Antonia Inmaculada, Montero-Marco, Jesica, Charlo-Bernardos, Marta, Moncho, Joaquín, Abad-González, Ángel Luís, Castillo-García, María Trinidad, Sánchez-García, Ana Belén, Pascual y Medina, Ana María De, Clement-Santamaría, Rosa Ana, Franco-Bernal, Ascensión, Camacho-Bejarano, Rafaela
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universitat de Lleida (UdL)
Repositorio:Repositori Obert UdL
OAI Identifier:oai:repositori.udl.cat:10459.1/464763
Acceso en línea:https://doi.org/10.1371/journal.pone.0288348
https://hdl.handle.net/10459.1/464763
Access Level:acceso abierto
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spelling Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational studyCarretero-Randez, CristinaOrts-Cortés, María IsabelRodríguez-Pérez, MargaritaGonzalez-Chordá, Víctor ManuelTrescastro-López, Eva MaríaBlanco Blanco, JoanMartínez Soldevila, JordiRuiz-Heras-Hera, AránzazuCastellano-Santana, Pedro RaúlMarquez-Sixto, AmandoDomingo-Pozo, ManuelaZomeño-Ros, Antonia InmaculadaMontero-Marco, JesicaCharlo-Bernardos, MartaMoncho, JoaquínAbad-González, Ángel LuísCastillo-García, María TrinidadSánchez-García, Ana BelénPascual y Medina, Ana María DeClement-Santamaría, Rosa AnaFranco-Bernal, AscensiónCamacho-Bejarano, RafaelaBackground: Malnutrition is a recurring problem that has become more relevant in recent years. The aim of this study is to assess the risk of malnutrition and nutritional status on admission and its evolution until discharge in patients aged 65 and over admitted to medical and surgical hospitalization units in hospitals of the Spanish National Health System. Methods: Prospective observational study to be carried out in the medical-surgical hospitalization units of 9 public hospitals between 01/09/2022 and 31/12/2024. Using consecutive sampling, a total of 4077 patients will be included (453 in each hospital). Variables included are related to the care process, functionality, cognition and comorbidity, risk profile, nutritional status and dysphagia; as well as frailty, dietary quality and contextual variables. The incidence of risk of malnutrition, undernutrition and dysphagia during the care process and at discharge will be calculated. The association with risk factors will be studied with logistic regression models and multivariate Cox regression models. In addition, an analysis of participants' satisfaction with food services will be carried out. The study was approved by the Ethics and Research Committee on 30/09/2020, approved for funding on 02/12/2021 and with registration number RBR-5jnbyhk in the Brazilian clinical trials database (ReBEC) for observational studies. Discussion: Some studies address nutritional status or dysphagia in older people in various care settings. However, there is a lack of large sample studies including both processes of the impact of hospitalization. The results of the project will provide information on the incidence and prevalence of both pathologies in the study subjects, their associated factors and their relationship with the average length of stay, mortality and early readmission. In addition, early detection of a problem such as malnutrition related to the disease and/or dysphagia during a hospital stay will favor the action of professionals to resolve both pathologies and improve the health status of patients.Public Library of Science2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://doi.org/10.1371/journal.pone.0288348https://hdl.handle.net/10459.1/464763reponame:Repositori Obert UdL instname:Universitat de Lleida (UdL)InglésReproducció del document publicat a: https://doi.org/10.1371/journal.pone.0288348PLoS ONE, 2023, vol. 18, núm. 11, 2023cc-by (c) autors, 2023Attribution 4.0 Internationalinfo:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/4.0/oai:repositori.udl.cat:10459.1/4647632026-06-24T12:42:17Z
dc.title.none.fl_str_mv Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study
title Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study
spellingShingle Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study
Carretero-Randez, Cristina
title_short Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study
title_full Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study
title_fullStr Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study
title_full_unstemmed Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study
title_sort Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study
dc.creator.none.fl_str_mv Carretero-Randez, Cristina
Orts-Cortés, María Isabel
Rodríguez-Pérez, Margarita
Gonzalez-Chordá, Víctor Manuel
Trescastro-López, Eva María
Blanco Blanco, Joan
Martínez Soldevila, Jordi
Ruiz-Heras-Hera, Aránzazu
Castellano-Santana, Pedro Raúl
Marquez-Sixto, Amando
Domingo-Pozo, Manuela
Zomeño-Ros, Antonia Inmaculada
Montero-Marco, Jesica
Charlo-Bernardos, Marta
Moncho, Joaquín
Abad-González, Ángel Luís
Castillo-García, María Trinidad
Sánchez-García, Ana Belén
Pascual y Medina, Ana María De
Clement-Santamaría, Rosa Ana
Franco-Bernal, Ascensión
Camacho-Bejarano, Rafaela
author Carretero-Randez, Cristina
author_facet Carretero-Randez, Cristina
Orts-Cortés, María Isabel
Rodríguez-Pérez, Margarita
Gonzalez-Chordá, Víctor Manuel
Trescastro-López, Eva María
Blanco Blanco, Joan
Martínez Soldevila, Jordi
Ruiz-Heras-Hera, Aránzazu
Castellano-Santana, Pedro Raúl
Marquez-Sixto, Amando
Domingo-Pozo, Manuela
Zomeño-Ros, Antonia Inmaculada
Montero-Marco, Jesica
Charlo-Bernardos, Marta
Moncho, Joaquín
Abad-González, Ángel Luís
Castillo-García, María Trinidad
Sánchez-García, Ana Belén
Pascual y Medina, Ana María De
Clement-Santamaría, Rosa Ana
Franco-Bernal, Ascensión
Camacho-Bejarano, Rafaela
author_role author
author2 Orts-Cortés, María Isabel
Rodríguez-Pérez, Margarita
Gonzalez-Chordá, Víctor Manuel
Trescastro-López, Eva María
Blanco Blanco, Joan
Martínez Soldevila, Jordi
Ruiz-Heras-Hera, Aránzazu
Castellano-Santana, Pedro Raúl
Marquez-Sixto, Amando
Domingo-Pozo, Manuela
Zomeño-Ros, Antonia Inmaculada
Montero-Marco, Jesica
Charlo-Bernardos, Marta
Moncho, Joaquín
Abad-González, Ángel Luís
Castillo-García, María Trinidad
Sánchez-García, Ana Belén
Pascual y Medina, Ana María De
Clement-Santamaría, Rosa Ana
Franco-Bernal, Ascensión
Camacho-Bejarano, Rafaela
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
description Background: Malnutrition is a recurring problem that has become more relevant in recent years. The aim of this study is to assess the risk of malnutrition and nutritional status on admission and its evolution until discharge in patients aged 65 and over admitted to medical and surgical hospitalization units in hospitals of the Spanish National Health System. Methods: Prospective observational study to be carried out in the medical-surgical hospitalization units of 9 public hospitals between 01/09/2022 and 31/12/2024. Using consecutive sampling, a total of 4077 patients will be included (453 in each hospital). Variables included are related to the care process, functionality, cognition and comorbidity, risk profile, nutritional status and dysphagia; as well as frailty, dietary quality and contextual variables. The incidence of risk of malnutrition, undernutrition and dysphagia during the care process and at discharge will be calculated. The association with risk factors will be studied with logistic regression models and multivariate Cox regression models. In addition, an analysis of participants' satisfaction with food services will be carried out. The study was approved by the Ethics and Research Committee on 30/09/2020, approved for funding on 02/12/2021 and with registration number RBR-5jnbyhk in the Brazilian clinical trials database (ReBEC) for observational studies. Discussion: Some studies address nutritional status or dysphagia in older people in various care settings. However, there is a lack of large sample studies including both processes of the impact of hospitalization. The results of the project will provide information on the incidence and prevalence of both pathologies in the study subjects, their associated factors and their relationship with the average length of stay, mortality and early readmission. In addition, early detection of a problem such as malnutrition related to the disease and/or dysphagia during a hospital stay will favor the action of professionals to resolve both pathologies and improve the health status of patients.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.1371/journal.pone.0288348
https://hdl.handle.net/10459.1/464763
url https://doi.org/10.1371/journal.pone.0288348
https://hdl.handle.net/10459.1/464763
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1371/journal.pone.0288348
PLoS ONE, 2023, vol. 18, núm. 11, 2023
dc.rights.none.fl_str_mv cc-by (c) autors, 2023
Attribution 4.0 International
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
rights_invalid_str_mv cc-by (c) autors, 2023
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
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instname_str Universitat de Lleida (UdL)
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