PD971 - IS ORAL NUTRITIONAL SUPPLEMENTATION STILL UNDERUTILIZED IN HOSPITALIZED OLDER PATIENTS? A MULTICENTRIC, RETROSPECTIVE, AND OBSERVATIONAL STUDY

PD971

IS ORAL NUTRITIONAL SUPPLEMENTATION STILL UNDERUTILIZED IN HOSPITALIZED OLDER PATIENTS? A MULTICENTRIC, RETROSPECTIVE, AND OBSERVATIONAL STUDY

S. F. D. O. Dominski ¹, A. C. D. P. Peliki ², A. C. O. Costa ¹, J. A. Santos³, L. S. F. Pimentel ¹, O. L. Tostes ⁴, L. F. Nogueira¹, L. O. Pinheiro ⁵, B. B. Basbosa ¹, T. Ditrichio ⁶, K. E. Santana ¹, L. Pimentel ⁷, R. S. Oliveira-Filho¹, V. A. S. Rosenfeld¹, S. P. Orlandi⁸, M. C. Gonzalez^8,*

¹Medical Affairs, Nestlé, São Paulo, ²Nutrition, Hospital Nossa Senhora das Graças, Curitiba, ³Nutrition, Unimed, Aracaju, ⁴Nutrition, Hospital São Paulo, Muriaé, ⁵Nutrition, Hemolabor, Goiânia, ⁶Nutrition, Hospital Santa Clara, ⁷Nutrition, Hospital Santa Ana, São Paulo, ⁸Universidade Federal de Pelotas,, Programa de Pós-graduação em Nutrição e Alimentos, Pelotas, Brazil

Rationale: Malnutrition in hospitalized older patients remains high, and the first choice of nutritional therapy should be oral nutritional supplements (ONS), which help patients during hospitalization¹. Aim: to evaluate the use of ONS in hospitalized older patients.

Methods: A multicentric, retrospective, observational study with wards of older patients from eleven different hospitals in Brazil. Different protocols were applied: assessment of calf circumference (CC) and MAN Short Form, ONS compliance, and food intake, all verified by a dietitian. Stata was used for statistical analysis.

Results: A sample of 679 patients was included: 52% female, 73.4 ±10 years old, and 64% were malnourished or at nutritional risk by the MAN-SF. The main chronic diseases were hypertension(67%), diabetes(37%), and cancer(17%). The main reasons for hospitalization were diagnostic and therapeutic procedures(31%) and heart disease(17%). ONS was used by 45% of the subjects. Patients with infections (88%vs.45%,p=0.015), neurological conditions (59%vs.44%,p=0.03), cancer (57%vs.43%;p=0.004), and without hypertension (58%vs.43%; p=0.030) received significantly more ONS.  Patients who received ONS had significantly lower energy expenditure (2037kcal vs 2100kcal, p<0.002) and lower protein requirements (97.5gvs. 108g, p<0.002) than those who did not receive it. Those patients with low BMI (63%<0.001), low CC (58.4%vs.38.8%,p<0.001), and identified as at risk of malnutrition or malnourished by the MAN-SF also received more ONS (p<0.001). However, 46% of the patients who were considered at risk and 32% of the patients considered malnourished didn’t receive ONS.

Conclusion: The prevalence of malnutrition/nutritional risk in hospitalized older patients in Brazil is high. Even at nutritional risk/malnutrition, older patients had underutilized ONS.

References: 1Rev. Nutr. Clin. Metab.2022;5(2):34-41.

Disclosure of Interest: S. Dominski : None declared, A. Peliki : None declared, A. C. Costa : None declared, J. Santos: None declared, L. Pimentel : None declared, O. Tostes : None declared, L. Nogueira: None declared, L. Pinheiro : None declared, B. Basbosa : None declared, T. Ditrichio : None declared, K. Santana : None declared, L. Pimentel : None declared, R. Oliveira-Filho Other: Full-time employer of Nestlé., V. Rosenfeld Other: Full-time employer of Nestlé., S. Orlandi: None declared, M. C. Gonzalez Consultant for: Nestlé, Speakers Bureau of: Abbott and Nutricia