Significado de la pérdida de peso en pacientes hospitalizados
Involuntary weight loss has been shown to predict increased morbidity and mortality, especially in the elderly populations, cancer, AIDS and postoperative patients. This study was designed to assess the clinical impact of a significant weight loss in hospitalized patients. One hundred patients we...
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| Publicado en: | Revista Médica Universitaria |
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| Autores principales: | , , , |
| Materias: | |
| Acceso en línea: | https://bdigital.uncu.edu.ar/fichas.php?idobjeto=3743 |
| descriptores_str_mv |
Datos estadísticos Indicadores de morbimortalidad Mendoza (Argentina) Pacientes hospitalizados Pérdida de peso |
|---|---|
| todos_str_mv |
1221 3734 HospLagClinMed HospLagClinMed HospLagClinMed spa UNCuyo FCM |
| autor_str_mv |
Campodónico, V. Carena, José Alberto Masier, G. Salomón, Susana Elsa |
| disciplina_str_mv |
Ciencias médicas |
| description_str_mv |
Involuntary weight loss has been shown to predict increased morbidity and mortality,
especially in the elderly populations, cancer, AIDS and postoperative patients.
This study was designed to assess the clinical impact of a significant weight loss in
hospitalized patients. One hundred patients were included, (age 57.6 years±11.04,
62% males).The length of hospitalization was 13 days, 6 days higher than the average
of the clinical service. Sixty one patients had a low income and 25% were
unemployed. The weight loss was not the cause of admission of any of the patients
and was involuntary and present before admission in all patients. Fifty seven patients
had malnutrition and the origin of weight loss was established in 70% of all
patients and was related to chronic diseases in 72%, cancer (34 patients), chronic
medical conditions (24), tuberculosis(3) and HIV infections (3), alimentary disorders
in 27% and medication in 1%. Forty six patients developed nosocomial infections,
mainly pulmonary and urinary infections and comorbid conditions were present
in 100% of patients: alcoholism (26%), depression (22%), diabetes mellitus
(20%), chronic obstructive lung disease (11%), congestive heart failure (8%), liver
cirrhosis (8%), dementia (8%) and chronic renal failure (6%). The mortality of this
group was 18% and was related to severe sepsis, multiorgan failure and cancer.
Conclusions: The involuntary weight loss in this group of hospitalized patients was
associated to poverty, malnutrition, comorbid diseases, predisposition to nosocomial
infections, usually secondary to chronic medical conditions, malignant diseases,
tuberculosis and AIDS and increased mortality.
La pérdida involuntaria de peso es un predictor independiente de morbimortalidad, especialmente en ancianos, pacientes con cáncer, SIDA y postoperatorios. Con el objeto de determinar la significación clínica de la pérdida de peso en pacientes internados, se estudiaron 100 pacientes. La edad media fue de 57.6 años (DS±11.04); 38% mayores de 65 años y 62% hombres. La permanencia hospitalaria media fue de 13 días, superior a la media del servicio (7,3 días). El 61% pertenecían a clase social baja y 25% eran desocupados. En el 100% fue involuntaria y en ninguno fue causa de hospitalización. Tenían hiporexia 61 pacientes y 57 malnutrición. El IMC fue inferior a 20 en el 50% de los casos. La causa fue determinada en el 70% y en 72% se relacionó con la enfermedad de base, en 27% con trastornos alimentarios y con fármacos en 1%. Las etiologías más frecuentes fueron: neoplasias (34 pacientes), enfermedades crónicas (24), TBC (3) y SIDA (3). El 46% desarrollaron infecciones nosocomiales y el 100% tenían comórbidas (alcoholismo 26%, depresión 22%, diabetes 20%, EPOC 11%, insuficiencia cardiaca, cirrosis y demencia 8% c/u e insuficiencia renal 6%). La mortalidad fue del 18% y las causas más frecuentes fueron sepsis severa, fallo multiorgánico y neoplasias. Conclusiones: La pérdida significativa de peso en el paciente hospitalizado se caracterizó por ser involuntaria, asociada a clase social baja, a malnutrición, a alta taza de comorbilidad, a predisposición a infecciones nosocomiales, secundaria a enfermedades crónicas, neoplasias, tuberculosis y SIDA y a una tasa de mortalidad elevada. |
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Significado de la pérdida de peso en pacientes hospitalizados |
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Textual: Revistas |
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3743 |
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Artículo de Revista |
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article |
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Revista Médica Universitaria |
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Revista Médica Universitaria |
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r-1221 |
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Revista Médica Universitaria |
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Vol. 2, no. 2 |
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Vol. 2, no. 2 |
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textuales |
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Articulos |
| title_full |
Significado de la pérdida de peso en pacientes hospitalizados |
| title_fullStr |
Significado de la pérdida de peso en pacientes hospitalizados Significado de la pérdida de peso en pacientes hospitalizados |
| title_full_unstemmed |
Significado de la pérdida de peso en pacientes hospitalizados Significado de la pérdida de peso en pacientes hospitalizados |
| description |
Involuntary weight loss has been shown to predict increased morbidity and mortality,
especially in the elderly populations, cancer, AIDS and postoperative patients.
This study was designed to assess the clinical impact of a significant weight loss in
hospitalized patients. One hundred patients were included, (age 57.6 years±11.04,
62% males).The length of hospitalization was 13 days, 6 days higher than the average
of the clinical service. Sixty one patients had a low income and 25% were
unemployed. The weight loss was not the cause of admission of any of the patients
and was involuntary and present before admission in all patients. Fifty seven patients
had malnutrition and the origin of weight loss was established in 70% of all
patients and was related to chronic diseases in 72%, cancer (34 patients), chronic
medical conditions (24), tuberculosis(3) and HIV infections (3), alimentary disorders
in 27% and medication in 1%. Forty six patients developed nosocomial infections,
mainly pulmonary and urinary infections and comorbid conditions were present
in 100% of patients: alcoholism (26%), depression (22%), diabetes mellitus
(20%), chronic obstructive lung disease (11%), congestive heart failure (8%), liver
cirrhosis (8%), dementia (8%) and chronic renal failure (6%). The mortality of this
group was 18% and was related to severe sepsis, multiorgan failure and cancer.
Conclusions: The involuntary weight loss in this group of hospitalized patients was
associated to poverty, malnutrition, comorbid diseases, predisposition to nosocomial
infections, usually secondary to chronic medical conditions, malignant diseases,
tuberculosis and AIDS and increased mortality.
|
| dependencia_str_mv |
Facultad de Ciencias Médicas |
| title |
Significado de la pérdida de peso en pacientes hospitalizados |
| spellingShingle |
Significado de la pérdida de peso en pacientes hospitalizados Datos estadísticos Indicadores de morbimortalidad Mendoza (Argentina) Pacientes hospitalizados Pérdida de peso Campodónico, V. Carena, José Alberto Masier, G. Salomón, Susana Elsa |
| topic |
Datos estadísticos Indicadores de morbimortalidad Mendoza (Argentina) Pacientes hospitalizados Pérdida de peso |
| topic_facet |
Datos estadísticos Indicadores de morbimortalidad Mendoza (Argentina) Pacientes hospitalizados Pérdida de peso |
| author |
Campodónico, V. Carena, José Alberto Masier, G. Salomón, Susana Elsa |
| author_facet |
Campodónico, V. Carena, José Alberto Masier, G. Salomón, Susana Elsa |
| title_sort |
Significado de la pérdida de peso en pacientes hospitalizados |
| title_short |
Significado de la pérdida de peso en pacientes hospitalizados |
| url |
https://bdigital.uncu.edu.ar/fichas.php?idobjeto=3743 |
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3 |
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Biblioteca Digital |
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Biblioteca Digital |
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Artículo de Revista |
| institution |
Sistema Integrado de Documentación |
| indexed_str |
2023-04-25 00:38 |
| _version_ |
1764120328040087552 |
