ĐÁNH GIÁ TÌNH TRẠNG DINH DƯỠNG CỦA BỆNH NHÂN VIÊM TỤY CẤP TRONG TUẦN ĐẦU TIÊN NHẬP VIỆN TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Introduction: The proportion of severe acute pancreatitis is 20% with a mortality rate of 30%^1,2, in which malnutrition is considered an important factor influencing prognosis and treatment outcomes. Several recommendations suggest early oral feeding in patients with mild acute pancreatitis², and early enteral nutrition in those with moderate to severe disease³. However, nutritional assessment has not yet been standardized, with various tools such as the Subjective Global Assessment (SGA) and the Global Leadership Initiative on Malnutrition (GLIM 2018). These tools have demonstrated prognostic value, though data on patients with acute pancreatitis in Vietnam remain limited. Objective: To assess the nutritional status of patients with acute pancreatitis at Hanoi Medical University Hospital. Methods:  A cross-sectional descriptive study was conducted on 75 patients with acute pancreatitis at Hanoi Medical University Hospital. Results: The mean age of the study population was 46.54 ± 13.429 years. Male patients predominated, accounting for 88%. Regarding etiologies, alcohol was the most common cause (46.7%), followed by hypertriglyceridemia (37.3%) and gallstones (5.3%). Patients with a higher risk of malnutrition (assessed using SGA and GLIM 2018) had significantly longer hospital stays, with p-values of 0.017 and 0.045 (<0.05), respectively. Early refeeding was associated with shorter hospital stays (p = 0.00 < 0.05). Conclusion: The higher the risk of malnutrition, the longer the hospital stay in patients with acute pancreatitis. The application of tools such as SGA and GLIM 2018 in clinical practice is of great importance, both in predicting the length of hospitalization and guiding early nutritional interventions to improve treatment outcomes