ASSESSMENT OF NUTRITIONAL STATUS AND RELATED FACTORS IN PATIENTS WITH SEVERE INFECTIOUS DISEASES AT THE DEPARTMENT OF INTENSIVE CARE IN 108 MILITARY CENTRAL HOSPITAL

Abstract

Objective: Assessment of nutritional status and related factors in severe infection cases feeding with sonde before and after one week of treatment. Subject and method: A cross-sectional study was performedon 42 severe patients at the Department of Infectious disease and Intensive care in108 Military Central Hospital from 7/2017 to 10/2017. Results: according to BMI, the rate of malnutrition at hospital admission was 16.7%; SGA was 35.7%; Protein was31.0% and Albumin was 73.8%; 47.6% of patients had reflux of the stomach, 14.3% had diarrhea. After 1 week at ICU, the prev-alence of malnutrition (by SGA scale) in-creased from 35.7% to 78.6%, OR =2.03, p<0.05, serum protein, albumin, RBC, Hb ware reduced (RRR ranged 6.9% to 10.3%; p <0.05). The influenced status of reflux of the stomach and / or diarrhea on nutritional status - SGA score (OR = 5.2, p<0.05) andon RBC and serum protein (OR ranged 1.5 – 1.6, p>0.05). Infection status influencedon prevalence of anemia 72.9% compare to 20% in group without infection (OR=10.8, p<0.05). A tendency of increased percentage of malnutrition in infectious cases was founded (OR=2.3, p>0.05). Conclusion: The nutrition status of severe infectious diseases gets worst during 1 week of treatment at the ICU; the influencing factors account-ed for status of reflux of the stomach and /or diarrhea, infection during the stay.