Significado de la pérdida de peso en pacientes hospitalizados
Involuntary weight loss has been shown to predict increased morbidity and mortality, especially in the elderly populations, cancer, AIDS and postoperative patients. This study was designed to assess the clinical impact of a significant weight loss in hospitalized patients. One hundred patients we...
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| Publicado en: | Revista Médica Universitaria |
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| Autores principales: | , , , |
| Materias: | |
| Acceso en línea: | https://bdigital.uncu.edu.ar/fichas.php?idobjeto=3743 |
| Sumario: | Involuntary weight loss has been shown to predict increased morbidity and mortality,
especially in the elderly populations, cancer, AIDS and postoperative patients.
This study was designed to assess the clinical impact of a significant weight loss in
hospitalized patients. One hundred patients were included, (age 57.6 years±11.04,
62% males).The length of hospitalization was 13 days, 6 days higher than the average
of the clinical service. Sixty one patients had a low income and 25% were
unemployed. The weight loss was not the cause of admission of any of the patients
and was involuntary and present before admission in all patients. Fifty seven patients
had malnutrition and the origin of weight loss was established in 70% of all
patients and was related to chronic diseases in 72%, cancer (34 patients), chronic
medical conditions (24), tuberculosis(3) and HIV infections (3), alimentary disorders
in 27% and medication in 1%. Forty six patients developed nosocomial infections,
mainly pulmonary and urinary infections and comorbid conditions were present
in 100% of patients: alcoholism (26%), depression (22%), diabetes mellitus
(20%), chronic obstructive lung disease (11%), congestive heart failure (8%), liver
cirrhosis (8%), dementia (8%) and chronic renal failure (6%). The mortality of this
group was 18% and was related to severe sepsis, multiorgan failure and cancer.
Conclusions: The involuntary weight loss in this group of hospitalized patients was
associated to poverty, malnutrition, comorbid diseases, predisposition to nosocomial
infections, usually secondary to chronic medical conditions, malignant diseases,
tuberculosis and AIDS and increased mortality.
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