Impact of hospitalization on nutritional status and dysphagia in persons aged 65 years and over (NUTRIFRAG Study): protocol for a prospective observational study-Reference-Cited by-同舟云学术

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

Published:2022-12-13 Issue: Volume: Page:
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Author:

Carretero-Randez Cristina¹,Orts-Cortés María Isabel²,Rodríguez-Pérez Margarita³,González-Chordá Víctor Manuel⁴,Trescastro-López Eva María⁵,Blanco-Blanco Joan⁶,Martínez-Soldevila Jordi⁷,Ruiz-Heras-Hera Aranzazu⁸,Castellano-Santana Pedro Raúl⁹,Márquez-Sixto Amando¹⁰,Domingo-Pozo Manuela¹¹,Zomeño-Ros Antonia Inmaculada¹²,Montero-Marco Jesica¹³,Charlo-Bernardos Marta¹⁴,Moncho Joaquín¹⁵,Abad-González Ángel Luís¹⁶,Castillo-García María Trinidad¹⁷,Sánchez-García Ana Belén¹⁸,Medina Ana María De Pascual y¹⁹,Clement-Santamaría Rosa Ana¹¹,Franco-Bernal Ascensión²⁰,Camacho-Bejarano Rafaela³

Affiliation:

1. Community Health and History of Science Team. Nursing department. University of Alicante

2. Nursing Department, University of Alicante (BALMIS), Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante

3. Department of Nursing. Nursing Faculty. University of Huelva. Campus El Carmen, Huelva

4. Nursing Research Group (241). Nursing Department. Universitat Jaume I. Castellón

5. Balmis Research Group in History of Science, Health Care and Food. Alicante Institute for Health and Biomedical Research (ISABIAL)

6. Nursing and Pysiotherapy Department, University of Lleida, Lleida

7. Health Care Research Group (GRECS), Lleida Institute for Biomedical Research Dr. Pifarré Foundation, IRBLLEIDA, Lleida

8. Diet department. University Hospital of Navarra. Pamplona

9. Surgery Unit of the Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria

10. Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas

11. Nursing Information Systems Unit Dr Balmis General University Hospital, Department of Nursing University of Alicante, Alicante Institute for Health and biomedical Research (ISABIAL)

12. Nursing Department, University of Murcia, Murcia

13. Research Unit. Hospital Clínico Universitario Lozano Blesa. Av. San Juan Bosco, 15. Zaragoza

14. GIIS081-Care Research Group. Instituto de Investigación Sanitaria Aragón (IIS Aragón). Zaragoza

15. Research Unit for the Analysis of mortality and Health Statistics, Department of comunity Nursing, Preventive Medicine, Public health and History of Science, University of Alicante, Alicante

16. Endocrinology Department, Dr. Balmis General University Hospital, Alicante; Institute for Health and Biomedical Research (ISABIAL), Alicante

17. Dr Balmis General University Hospital; Department of Nursing University of Alicante; Alicante Institute for Health and biomedical Research (ISABIAL), Alicante

18. Institute Murciano for Biosanitary Research (IMIB). Nursing and Healthcare Research Unit ENFERAVANZA. El Palmar, Murcia

19. Evaluation Unit of the Canary Islands Health Service, Tenerife

20. Area Manager of Outpatient Care (Day Hospital). Hospital Universitario la Fe, Valencia

Abstract

Abstract Background: Malnutrition is a recurrent problem that has acquired its own identity 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. 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. These results will serve to improve their health status. Trial registration: 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.

Publisher

Research Square Platform LLC

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