Prevalence of Malnutrition Using Patient Generated – Subjective Global Assessment (PG-SGA) and its Associated Factors Among Adult Hospitalised Medical Patients in Hospital Serdang, Selangor

Lu, Kennedy Jian Hua (2020) Prevalence of Malnutrition Using Patient Generated – Subjective Global Assessment (PG-SGA) and its Associated Factors Among Adult Hospitalised Medical Patients in Hospital Serdang, Selangor. [Project Paper] (Submitted)

Text FPSK6 2020 23.pdf Download (1MB)

Abstract

Malnutrition is widespread and has a significant impact on patient’s clinical outcomes and health care cost. Malnutrition, however, was frequently overlooked, particularly in hospital setting. This cross-sectional study aimed to determine the prevalence of malnutrition and its association with socio-demographic factors, health status, functional status, anthropometric measures, biochemical profiles and nutrition support among adult hospitalised patients in Hospital Serdang, Selangor. Information on socio-demographic factors, health status, biochemical profiles and nutrition support were accessed from the medical record and gathered in the data collection form. Functional status assessment includes handgrip grip strength which was assessed by using hand-grip dynamometer (Charder MG4800). Body weight and height were measured and body mass index (BMI) was computed. Malnutrition was assessed by Patient-Generated Subjective Global Assessment (PG-SGA). There was a total of 250 subjects (51.6% male and 48.4% female) with mean (± SD) age of 52.62 ± 16.62 participated in this study. Majority of the subjects had cardiovascular diseases (55.6%), followed by diabetes mellitus (46.8%) and pulmonary diseases (38.8%). Majority of the subjects (81.2%) had weak hand-grip strength. Mean (± SD) BMI of the subjects were 25.85 ± 6.54kg/m2 which was classified as overweight. For biochemical profiles, majority of the patients have high CRP level (94.5%). Only 27.6% of the subjects had been referred to a dietitian. More than half (51.6%) of the subjects were malnourished. Subjects with older age, low education level, unemployment, longer hospital stays, had underlying diseases including cardiovascular, and pulmonary diseases, poor hand-grip strength, higher BMI, weight loss experience, lymphocyte, low albumin, low total protein and prescribed with oral nutrition support (ONS) were associated with malnutrition. This research indicates multi-dimensional causes of inpatient malnutrition. Therefore, an early detection of malnutrition is warranted to reduce the adverse outcomes of malnutrition. Effective strategies and intervention should be implemented to improve the nutritional status of adult hospitalised medical patients.

Item Type:	Project Paper
Faculty:	Faculty of Medicine and Health Science
Depositing User:	Mr Khoirul Asrimi Md Nor
Date Deposited:	21 Aug 2023 08:12
Last Modified:	21 Aug 2023 08:12
URI:	http://psaspb.upm.edu.my/id/eprint/851

Actions (login required)

View Item