Abstract
multidisciplinary nutrition intervention project at a major urban general hospital in Hanoi. Methods: Cross-sectional data from patients aged 31 d 90 y hospitalized in seven key wards were obtained using a one-day survey method in 2010 and repeated in 2013. Data included age, sex, admission type, route of feeding, days of hospitalization, actual or recall weight and height, and nutrition Subjective Global Assessment (SGA) scores. Unavailable patientsand those expected to be discharged within 24 hours were excluded. Malnutrition was defined based on WHO references. Kappa and logistic regression analyses were performed. Results: The 2010 and 2013 samples consisted of 674 (57% male) and 791 (58% male) patients. At baseline, 18% (19/106) children were wasted, 13% (14/106) stunted, 4% (4/106) overweight and 0% obese, while 33% (179/536) adults were underweight, 5% (29/536) overweight and 1% (4/536) obese. Using SGA at baseline, 48% (52/108) children and 50% (268/542) adults were at nutrition risk (Fair agreement, Kappa 0.21 [0.06 0.35], p < 0.01). Inpatients in 2013 vs. 2010 differed by admission type, weight documentation, and feeding route (P< 0.05). After adjusting for potential confounding variables including sex, age, missing actual weight (or height), and days of hospitalization, patients admitted in 2013 vs. 2010 were 23% less likely to be malnourished (OR: 0.77 [0.61 0.98]). Using this adjusted model, the hazard ratio of malnutrition in children <5 y was 75% lower (OR: 0.25 [0.13 0.49]) and 2.6 times higher in adults 19 24.9 y (OR: 2.57[1.62 4.10]) compared to adults age 25 65 y. Conclusion: The risk of malnutrition in a major Vietnamese general hospital improved over a three-year period of nutrition intervention and was highest in young adults. Prospective studies are needed.
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