Abstract Preview
Abstract
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Title An analysis of the prevalence of nutritional problems and the effectiveness of nutritional intervention among hospitalized cancer patients |
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Type Poster Presentation Only |
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Theme Global Health Literacy Summit 2021 |
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Topic Cancer health literacy |
Authors
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Main Author Yu-Chuan Lai1 |
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Presenting Author Yu-Chuan Lai1 |
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Co-Author Chia-Chin Luan Ya Yun Cheng |
Authors' Institution
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Department / Institution / Country Department of Dietary / Far Eastern Memorial Hospital / Taiwan (台灣)1 |
Content
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Abstract Content (abstracts should be written in Size 11 font, Arial font style) The prevalence of malnutrition, which is the major cause of morbidity and mortality in patients with advanced diseases, was 40 to 80 percent in cancer patients. Nutritional intervention on hospitalized cancer patients can reduce cancer-related complication rates and length of hospital stay caused by malnutrition, resulting in significant impact on quality of life. Nutritional problems vary from different types of cancers. The aim of this study was to determine the effect of nutritional intervention on nutritional problems caused by different types of cancers. This study was conducted in cancer patients admitted to a medical center in 2018. A total 4153 of cancer patients were included and received nutritional assessment. Anthropometric data, serum albumin level, Patient-generated subjective global assessments (PG-SGA) score, and daily calorie and protein intake were collected. All patients received nutritional intervention during hospitalization. Results: About 45.3% of patients were malnourished (n=1,881), while hypoalbuminemia, low calorie intake, low protein intake, and severe weight loss account for 19.2%, 25.9%, 30.4%, 7.4% of patients, respectively. Patients with hepatobiliary and pancreatic tumors had the highest prevalence rate of malnutrition than other patients as measured by hypoalbuminemia, low calorie intake and low protein intake (31.7%, 35.6%, and 42.5%, respectively). We use scored PG-SGA tool to assess the effectiveness of nutritional intervention. In the analysis of 448 malnourished patients who received re-assessment, there were significant improvements in calorie and protein intake (calorie intake 885.2 ± 19.4 vs. 1359.7±18.4 kcal/day, p<0.05) (protein intake 33.2±1.1 vs. 60.5±3.5 g/day, p<0.05). The mean PG-SGA score was significantly reduced (11.3 ± 0.2 vs. 9.6 ± 0.2, p<0.05), which indicated improvement in nutritional status. The scores of 3 patient-generated historical components of the PG-SGA (Food intake, Symptoms, and Activities and Function) were all significantly improved (p<0.05). However, there was no significant improvement in hypoalbuminemia and weight loss. Conclusion: The prevalence of malnutrition in hospitalized cancer patients is high. The most common nutritional problems were low calorie and protein intake, especially in patients with hepatobiliary and pancreatic tumors. There is strong evidence supporting the benefits of nutritional intervention in improving nutritional status in hospitalized cancer patients. |
Requires Audio or Video system for Presentation?: No
