Application Value of Nutritional Risk Screening 2002 in Elderly COPD Patients with Dysphagia

Quanyue JI; Mengjing HAN; Kun XU; Tianyun LIU; Hongling SHI; Meng HUANG

doi:10.12259/j.issn.2095-610X.S20230815

Volume 44 Issue 8

Aug. 2023

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Article Navigation > Journal of Kunming Medical University > 2023 > 44(8): 123-127

Quanyue JI, Mengjing HAN, Kun XU, Tianyun LIU, Hongling SHI, Meng HUANG. Application Value of Nutritional Risk Screening 2002 in Elderly COPD Patients with Dysphagia[J]. Journal of Kunming Medical University, 2023, 44(8): 123-127. doi: 10.12259/j.issn.2095-610X.S20230815

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Quanyue JI, Mengjing HAN, Kun XU, Tianyun LIU, Hongling SHI, Meng HUANG. Application Value of Nutritional Risk Screening 2002 in Elderly COPD Patients with Dysphagia[J]. Journal of Kunming Medical University, 2023, 44(8): 123-127. doi: 10.12259/j.issn.2095-610X.S20230815

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Application Value of Nutritional Risk Screening 2002 in Elderly COPD Patients with Dysphagia

doi: 10.12259/j.issn.2095-610X.S20230815

1.
School of Nursing，Yunnan University of Traditional Chinese Medicine，Kunming Yunnan 650504
2.
Dept. of Nursing，The Third People’s Hospital of Yunnan Province，Kunming Yunnan 650011
3.
Dept. of Rehabilitation Medicine，The Third People Hospital of Yunnan Province，Yunnan Kunming 650011，China

Received Date: 2023-05-19
Available Online: 2023-09-02
Publish Date: 2023-08-30

Abstract

Abstract

Objective To evaluate the incidence of nutritional risk in hospitalized elderly patients with chronic obstructive pulmonary disease complicated with dysphagia with the Nutritional Risk Screening 2002 scale, and to explore the clinical application value of NRS 2002. Methods A total of 124 elderly patients with COPD complicated with swallowing disorder admitted to the Department of General Medicine of the Third People’s Hospital of Yunnan Province from November 2021 to October 2022 were selected. The patients were divided into NRS≥3 group （n = 69 cases） and NRS < 3 group （n = 55 cases）. The general data and nutrition-related biochemical indexes （total protein, albumin, and prealbumin） of the two groups were compared, and a correlation analysis was performed. Results The incidence of nutritional risk in elderly COPD patients with dysphagia was 55.6%. Among the patients with nutritional risk, 84.0% were over 80 years old （P < 0.05）. The levels of total protein, albumin, prealbumin and BMI of nutritional risk score ≥3 group were lower than those of group with < 3 （P < 0.05）. Spearman correlation analysis showed that the nutritional risk score was positively correlated with age, length of stay, and hospitalization cost （P < 0.05）, and negatively correlated with the levels of nutrition-related indicators （total protein, albumin, prealbumin and BMI）（P < 0.05）. The results of one-way ANOVA showed that there were statistically significant differences （P < 0.05） in the mean values of NRS 2002 score, total protein, albumin, and BMI among patients with different levels of swallowing disorders. However, there was no statistically significant difference （P > 0.05） in the levels of pre-albumin among the groups. Conclusion Elderly COPD patients with swallowing disorders have a high incidence of nutritional risk （55.6%）. NRS 2002 can be used as an early nutritional risk screening tool for elderly COPD patients with swallowing disorders. Early identification of nutritional risk in patients and taking proactive intervention measures can prevent the occurrence of swallowing disorders in elderly COPD patients.
- Chronic obstructive pulmonary disease,
- Old age,
- Dysphagia,
- Nutritional Risk Screening 2002 Scale,
- Nutritional risk

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