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- 저자 : 장문경(Moon Kyung Jang) (검색결과 3 건)
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윤기영(Ki Young Yoon),안수미(Su Mi Ahn),신연명(Yeon Myeong Shin),최경현(Kyung Hyun Choi),장문경(Moon Kyung Jang),공은진(Eun Jin Kong),송윤미(Yun Mi Song) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.72 No.6
Purpose: The length of a patient’s stay in a hospital is an indication of the patient’s recovery rate. The length of the hospital stay has an important economic factor for hospitals. This study was conducted to determine the relationship of the nutritional status at the time of admission to mortality and the length of the hospital stay (LOHS). Methods: The study subjects were 1,619 patients who suffered with cancer, were admitted to Kosin University Gospel Hospital during 2005 and they met the study criteria. The patients were classified to the not at risk group, the patients having one risk factor for malnutrition were the Ⅰ group, the patients having two risk factors for malnutrition were the Ⅱ group, the patients having three risk factors for malnutrition were the Ⅲ group and the patients having 4 risk factors for malnutrition were the Ⅳ group, based on the established criteria of serum albumin <3.0 g/㎗, a total lympocyte count of <1,500 cells/㎣, a cholesterol level of ≥240 ㎎/㎗ or ≤130 ㎎/㎗, weight for height ≥120% or <90% ideal body weight. Results: 24.3% of the patients were classified into the not at risk group, 37.6% were classified into the at risk group Ⅰ, 24.2% were classified into the at risk group Ⅱ, 10.3% were classified into the at risk group Ⅲ and 3.6% were classified into the at risk group Ⅳ. The at risk group (at risk Ⅲ, at risk Ⅳ) had a significantly higher prevalence of liver disease. The relationship between liver disease and low serum albumin albumin levels may have confounded the data. Although the estimated LOHS was similar in all the groups, the average length of stay was 14.4±16.38 days in the malnourished group (at risk group Ⅳ) compared to approximately 2.8 days in the not at risk group. The more nutritional risk factors the patients had, the longer was the LOHS and the mortality rates were higher. Correlation was not observed between the risk factors and the length of the hospital stay, as well as the lack of correlation with the mortality rate. Conclusion: These results suggest that a patient’s nutritional status upon admission has an effect on the length of the hospital stay for patients with carcinoma.
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안수미,윤기영,신연명,최경현,임근승,장문경,송윤미,공은희 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.2
Background : About 30% of patients in the hospital are under nourishment. A large portion of people are undernourished when they are admitted to the hospital and in the majority of these, undernutrition develops further while in hospital. Patient-Generated subjective global assessment(PG-SGA), a method of nutritional assessment based on clinical judgment, has been widely used to assess the nutritional status of adults for both clinical and research purposes. Modified PG-SGA can be used as a nutrition screening tool, and a comprehensive nutrition assessment is desirable for those who are malnourished. The purpose of this study is to develop a simple, reliable and valid nutrition screening program(NSP). Methods : We applied the nutrition screening program(NSP) to adult inpatients who are at risk of malnutrition using the Modified Patient-Generated subjective global assessment(PG-SGA) and objective assessment(electrical medical record data). Results : Therefore simple and beneficial NSP is developed for patients with severe malnutrition. Using NSP. nutritional information of the severe malnutrition patient should be shared with the physicians and they should be taken care of by clinical dietitians to improve their nutritional status. Conclusion : The Modified PG-SGA and nutrition screening tool are simple, reliable and valid nutrition screening program(NSP).
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