Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-24T04:09:18.562Z Has data issue: false hasContentIssue false
  • English
  • Français

The impact of malnutrition on hospitalisation and mortality in outpatients with chronic obstructive pulmonary disease

Published online by Cambridge University Press:  01 April 2010

P. F. Collins ,
M. Elia ,
T. R. Smith ,
R. Kurukulaaratchy ,
A. L. Cawood  and
R. J. Stratton
P. F. Collins
Affiliation:
Institute of Human Nutrition, University of Southampton, Southampton, UK
M. Elia
Affiliation:
Institute of Human Nutrition, University of Southampton, Southampton, UK
T. R. Smith
Affiliation:
Gastroenterology, Royal Bournemouth Hospital, BH7 7DW, UK
R. Kurukulaaratchy
Affiliation:
Respiratory Medicine, Southampton University Hospital NHS Trust, SouthamptonSO16 6YD, UK
A. L. Cawood
Affiliation:
Institute of Human Nutrition, University of Southampton, Southampton, UK Medical Affairs, Nutricia, Wiltshire BA14 0XQ, UK
R. J. Stratton
Affiliation:
Institute of Human Nutrition, University of Southampton, Southampton, UK
Rights & Permissions [Opens in a new window]

Abstract

An abstract is not available for this content. As you have access to this content, full HTML content is provided on this page. A PDF of this content is also available in through the ‘Save PDF’ action button.
Type
Abstract
Information
Proceedings of the Nutrition Society , Volume 69 , Issue OCE2: Malnutrition Matters, Joint BAPEN and Nutrition Society Meeting, 13–14 October 2009, Cardiff , 2010 , E148
Copyright
Copyright © The Authors 2009

Chronic obstructive pulmonary disease (COPD) is both a common and costly condition to the NHS(Reference Britton1) and a recent survey suggests malnutrition could be present in one-fifth of outpatients with COPD(Reference Collins, Stratton and Kurukulaaratchy2). This survey aimed to assess the extent to which malnutrition is related to poor clinical outcome (hospitalisation and mortality) in this patient group. Using the ‘Malnutrition Universal Screening Tool’, ‘MUST’(Reference Elia3), 205 COPD outpatients (mean age 73 (sd 9.6) years; mean BMI 25.3 (sd 5.9) kg/m2) were screened for malnutrition with subsequent healthcare use and mortality data prospectively collected 6 months post-screen.

EM=emergency; ELEC=elective; LOS=length of stay; *=χ2 test; †=t test.

Outpatients at risk of malnutrition had almost twice the number of hospital admissions and were three-fold more likely to die within six months than those not at risk (risk ratio 2.83; 95% CI, 1.15–6.94; P=0.023) (Table 1). The impact of malnutrition on admission rate and mortality remained significant even when adjusted for age.

This survey shows that malnutrition in COPD outpatients is associated with increased hospitalisation and mortality rates.

This work was funded by an unrestricted educational grant from Nutricia.

References

1. Britton, M (2003) Respir Med 97, S71–S79.CrossRefGoogle Scholar
2. Collins, PF, Stratton, RJ, Kurukulaaratchy, R, et al. . (2009) Abstract submitted to the BAPEN Conference 2009.Google Scholar
3. Elia, M (editor) (2003) The ‘MUST’ Report. Redditch, Worcs.: BAPEN (http://www.bapen.org.uk).Google Scholar