E-ISSN: 1305-9327 ISSN: 1305-9319
Comparison of Immigrants and Turkish Patients Hospitalized in the ICU with the Diagnosis of Gastrointestinal Cancer in Terms of Malnutrition and Its Effects on Mortality
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Original Article
VOLUME: 16 ISSUE: 4
P: 406-411
December 2020

Comparison of Immigrants and Turkish Patients Hospitalized in the ICU with the Diagnosis of Gastrointestinal Cancer in Terms of Malnutrition and Its Effects on Mortality

Med J Bakirkoy 2020;16(4):406-411
DOI: 10.5222/BMJ.2020.41275
Begum Seyda Avci 1
Adnan Kuvvetli 2
Alper Parlakgumus 3
1. Health Science University, Adana City Research and Training Hospital, Department of Internal Medicine, Adana, Turkey
2. Health Science University, Adana City Research and Training Hospital, Department of General Surgery, Adana, Turkey.
3. Health Science University, Adana City Research and Training Hospital, Department of Surgical Oncology, Adana, Turkey
No information available.
No information available
Received Date: 11.11.2020
Accepted Date: 01.12.2020
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ABSTRACT

Objective:

The aim of this study was to compare the effects of malnutrition on mortality in immigrants and Turkish patients hospitalized in our ICU with the indication of gastrointestinal cancer.

Method:

This study was performed as a prospective observational study. One-hundered and three (41.3%) patients were Turkish and 146 (58.7%) were immigrants (all Syrian). Age, body mass index (BMI), duration of hospitalization, albumin value, and 30-day and 6-month mortality rates were evaluated. Also, the following assessment tools were calculated: Subjective Global Assessment (SGA), Nutrition risk screening-2002 (NRS), Charlson Comorbidity Index (CCI) Acute Physiology and Chronic Health Evaluation (APACHE) II and III.

Results:

In total, 150 (60.2%) patients had moderate (SGA B), while 71 (28.5%) patients had severe malnutrition (SGA C). The frequency of SGA C in the immigrants was significantly higher than Turkish ciitzens (p=0.004). The overall mortality rate in our study was 36.9%. No significant difference was found between Turkish citizens and immigrants in terms of overall mortality (p=0.592). Albumin value, APACHE II, APACHE III, CCI and NRS scores were significantly higher in those that died within 30 days. The APACHE 3 score was the most successful tool in predicting 30-day mortality according to ROC analyses.

Conclusion:

This study revealed that malnutrition is a significant problem for both immigrants and Turkish citizens hospitalized in the ICU. Although there are tools specific for malnutrition assessment, APACHE III score was found to have the highest likelihood to predict mortality.

Keywords: Malnutrition, immigrants, subjective global assessment, mortality

References

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