The prevalence of malnutrition in spinal cord injuries patients:a UK multicentre study

Wong, Samford, Derry, Fadel, Jamous, Ali, Hirani, Shashivadan P, Grimble, George and Forbes, Alastair (2012) The prevalence of malnutrition in spinal cord injuries patients:a UK multicentre study. British Journal of Nutrition, 108 (5). pp. 918-23. ISSN 0007-1145

Full text not available from this repository. (Request a copy)

Abstract

Data on the prevalence of malnutrition among patients with spinal cord injuries (SCI) are lacking. The aim of the present study was to assess nutritional risk at admission, and the status of nutritional support in the UK SCI Centres (SCIC); a cross-sectional, multicentre study in four SCIC. A standardised questionnaire was used and distributed to the participating SCIC. After obtaining informed consent, baseline demographic data, nutritional risk score by the 'Malnutrition Universal Screening Tool', BMI and routine blood biochemistry were collected from every patient admitted to an SCIC. The four SCIC, comprising 48·2 % of the total UK SCI beds, contributed data from 150 patients. On admission, 44·3 % of patients were malnourished or at risk of undernutrition. Nutritional risk was more common in patients with acute high cervical SCI than those with lower SCI (60·7 v. 34·5 %), and nutritional risk was more common in those with additional complications including ventilatory support (with tracheostomy, 56·3 v. 38·7 %). Also, 45 % of patients were at risk of overnutrition (BMI ≥ 25 kg/m2). The prevalence of malnutrition in SCI patients admitted to SCIC is higher than national figures focused on general hospitalised patients, indicating that SCI patients are particularly vulnerable to malnutrition. Patients with SCI who have a tracheostomy may need additional attention. Given the potential negative impact of malnutrition on clinical outcomes, an emphasis on mandatory nutrition screening, followed by detailed assessment for at-risk individuals should be in place in the SCIC.

Item Type: Article
Uncontrolled Keywords: great britain,humans,malnutrition,middle aged,prevalence,spinal cord injuries
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Pure Connector
Date Deposited: 06 Aug 2014 11:00
Last Modified: 21 Apr 2020 23:21
URI: https://ueaeprints.uea.ac.uk/id/eprint/49833
DOI: 10.1017/S0007114511006234

Actions (login required)

View Item View Item