Desnutrición intrahospitalaria: ELAN - ECUADOR. Hospital Alfredo Noboa Montenegro. Guaranda. Provincia de Bolívar. 2011.

Abstract

The Hospital Malnutrition Research: ELAN - Ecuador: Provincial Hospital "Noboa Alfredo Montenegro", at Guaranda, Bolivar Province, 2011was performed in order to determine the revalence of hospital malnutrition and its determinants based on social and demographic factors, clinical condition, surgical, hospitalization and quality of care. The study was a non - experimental and transversal type counted with a sample of 150 patients older than 18 years hospitalized in the internal medicine and surgery, a hospital stay longer than 24 hours with open medical history and diagnosis defined. The patient gave informed consent and two surveys were used: Hospital Nutrition Survey and Subjective Global Assessment survey. Using the JMP statistical software version 5.1,the measures of central tendency and dispersion were calculated. The results of the study showed a high percentage of moderate malnutrition (55.33%) and (7.3%) severe malnutrition. By relating the variables a statistically significant relationship was found (<0.005) among elderly patients and the disease base. There was no significant correlation (> 0.05) with attachment level and days of stay and quality of care which was cataloged as fair. As results, it is conclude that the prevalence of malnutrition in patients is high, because the nutritional assessment is not part of duties in the hospitals belonging to the Ministry of Public Health. Neither, a clinical evaluation on patient at the time of admissi on is performed. It is recommended nutritionalassessment as part of the medical history.