Background & aims: Nutritional risk on admission to hospital, which turns out to be high in mostcountries, was investigated. However, when consulting the ‘‘malnutrition-mapping’’ in Europe, the lackof Italian data raises attention. Accordingly, we designed a multidisciplinary, cross-sectional survey: thePIMAI study (Project: Iatrogenic MAlnutrition in Italy).Methods: Patients were enrolled from 13 large (>400 beds) multidisciplinary hospitals. Randomlyselected adult (>18-year-old) patients were included according to a 4-strata model by gender and age(<65 and >65 years). Nutritional risk was assessed by the Nutritional Risk Screening 2002 tool.Results: A total of 1284 patients were evaluated. Overall prevalence of nutritional risk was 28.6% withsimilar distribution between sexes and higher rates in medical rather than in surgical departments(33.6% vs 22.8%; p < 0.0001). Risk prevalence was markedly heterogeneous among specialties, rangingbetween 4.8% (ophthalmology) and 62.5% (oncology units). Moreover, in adults aged 18–65 years theprevalence of ‘‘risk of malnutrition’’ was significantly lower than in those >65 years (18.3% vs 41.9%;p < 0.0001).Conclusions: The prevalence of nutritional risk on admission to hospital is high also in Italy. However, inpatients aged 18–65 years nutritional risk appears a less prevalent comorbidity, thus supporting the roleof age as an important determinant
An Italian investigation on nutritional risk at hospital admission:The PIMAI (Project: Iatrogenic MAlnutrition in Italy) study / L., Lucchin; A., D’Amicis; M. G., Gentile; Battistini, Nino Carlo; M. A., Fusco; A., Palmo; M., Muscaritoli; F., Contaldo; E., Cereda. - In: E-SPEN. - ISSN 1751-4991. - STAMPA. - 4:4(2009), pp. e199-e202. [10.1016/j.eclnm.2009.05.012]
An Italian investigation on nutritional risk at hospital admission:The PIMAI (Project: Iatrogenic MAlnutrition in Italy) study
BATTISTINI, Nino Carlo;
2009-01-01
Abstract
Background & aims: Nutritional risk on admission to hospital, which turns out to be high in mostcountries, was investigated. However, when consulting the ‘‘malnutrition-mapping’’ in Europe, the lackof Italian data raises attention. Accordingly, we designed a multidisciplinary, cross-sectional survey: thePIMAI study (Project: Iatrogenic MAlnutrition in Italy).Methods: Patients were enrolled from 13 large (>400 beds) multidisciplinary hospitals. Randomlyselected adult (>18-year-old) patients were included according to a 4-strata model by gender and age(<65 and >65 years). Nutritional risk was assessed by the Nutritional Risk Screening 2002 tool.Results: A total of 1284 patients were evaluated. Overall prevalence of nutritional risk was 28.6% withsimilar distribution between sexes and higher rates in medical rather than in surgical departments(33.6% vs 22.8%; p < 0.0001). Risk prevalence was markedly heterogeneous among specialties, rangingbetween 4.8% (ophthalmology) and 62.5% (oncology units). Moreover, in adults aged 18–65 years theprevalence of ‘‘risk of malnutrition’’ was significantly lower than in those >65 years (18.3% vs 41.9%;p < 0.0001).Conclusions: The prevalence of nutritional risk on admission to hospital is high also in Italy. However, inpatients aged 18–65 years nutritional risk appears a less prevalent comorbidity, thus supporting the roleof age as an important determinant
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