Tình trạng dinh dưỡng và thực trạng nuôi dưỡng của bệnh nhân suy tim cấp tại Viện Tim mạch Việt Nam 2020

Abstract

The nutritional status of patients with acute heart failure affects their treatment and dietary support in the hospital. Among 103 in-patients, 20.4% have malnutrition according to the general BMI; 20% of acute heart failure patients without edema are malnourrished (male 22.2% higher than female 15.4%). While the rate of malnutrition according to the NUTRIC scale was 35.9%, the high risk rate in men (30.3%) is lower than in women (45.9%) the difference is not statistically significant (p < 0.05). During the first week of admission for treatment, the maximum weight loss was 8 kg and the maximum weight gain was 7.3 kg. There was 60.2% of patients with diet intake interruption. The main and highest recorded reason was high gastric residual (33.9%), followed by procedure-related effects (26.2%). The highest caloric intake attained was at 66.5% of the recommended daily allowance. Only 6.8% of patients can reached 25-30 kcal/kg/day on the first day of hospitalization, which increased to 17.2% patients on the 7th day of hospitalization. Patients’ nutritional status, dietary intake and feeding disruption must be attentively evaluated for timely intervention.