A new epiphany every day!
Discussion with my brilliant students:
Hospital-acquired malnutrition (HAM) [Hospital/ healthcare-acquired infection/ noscomial infection folder].
Thank you for that — adding it to my archives! Something special just happened: I learned a new healthcare term that is very important - hospital-acquired malnutrition. Never heard of it! And it makes sense. I found a article that explains the situation well:
“Non‐preventable hospital‐acquired malnutrition refers to malnutrition in the presence of injury or inflammation, where nutritional status remains compromised despite adequate nutritional intake. 8 The Australian Commission on Safety and Quality in Health Care recognises malnutrition as one of 16 Hospital‐Acquired Complications (HACs), defined as nosocomial conditions for which the clinical risk may be mitigated through appropriate preventive strategies.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790482/#:~:text=Non%E2%80%90preventable%20hospital%E2%80%90acquired%20malnutrition,compromised%20despite%20adequate%20nutritional%20intake. Prevalence of hospital‐acquired malnutrition and modifiable determinants of nutritional deterioration during inpatient admissions: A systematic review of the evidence
Alyssa R. Cass 2022.
Now back to your article by POUNCE correlating COVID-19 with HAM:
“Adverse hospital events of patients with COVID-19 were significantly associated with malnutrition in the univariable analysis (Table 2; Figure 3A). Fully adjusted models show increased odds of mechanical ventilation in patients with a history of malnutrition (aOR, 1.75; 95% CI, 1.65–1.86; P < 0.001) or hospital-acquired malnutrition (aOR, 5.66; 95% CI, 5.45–5.87; P < 0.001). Odds of developing ARDS or requiring ECMO increased by 7.0% (aOR, 1.07; 95% CI, 1.03–1.11; P = 0.001) and 4.97 times (aOR, 4.97; 95% CI, 3.85–6.33; P < 0.001), respectively, in patients with a history of malnutrition. Those with hospital-acquired malnutrition had significantly higher odds of developing ARDS (aOR, 2.52; 95% CI, 2.44–2.61; P < 0.001) and requiring ECMO (aOR, 13.1; 95% CI, 11.8–14.6; P < 0.001). Odds of developing a HAPI were 5.6 times higher in those with a history of malnutrition (aOR, 5.63; 95% CI, 5.26–6.03; P < 0.001) and 8.7 times higher in patients with hospital-acquired malnutrition (aOR, 8.65; 95% CI, 8.21–9.11; P < 0.001) (Table 3; Figure 3B).” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9347569/ Impact of malnutrition on clinical outcomes in patients diagnosed with COVID-19, Jana Ponce. 2022.
Another COVID-19 complication — added to the Long-COVID list.
Now time to read…
Thank you!
