Asociación entre estado nutricional y tiempo de estancia hospitalaria en pacientes con diagnóstico de neumonía adquirida en la comunidad ingresados en los hospitales Teodoro Maldonado Carbo y Abel Gilbert Pontón período 2014-2017.

Abstract

Introduction: Historically in Ecuador, pneumonia has been among the main causes of morbidity, becoming in 2011 the main cause of general morbidity, especially in men and children. Malnutrition is associated with low protein levels, which affects the immune response of the host, increasing the severity of infections and prolonging hospitalization days. Objective: To determine the association between nutritional status and hospital stay in patients with community acquired pneumonia. Materials and Methods: A retrospective, observational, analytical and cross-sectional study was conducted in a population of 69 patients diagnosed with community acquired pneumonia at Teodoro Maldonado Carbo and Abel Gilbert Pontón Hospitals from January 2014 to July 2017. The data collection was performed using a documentary method based on the clinical history of the patients on admission, where the behavior of the NRI factor on the hospital stay was observed . Results and discussion: In the analysis of factorial variance analysis it was observed that there was a significant effect of the NRI factor for the hospital stay (P = 0.00). It was also observed that there is a significant effect of the CURB -65 value on hospital stay (P = 0.02). No significant interactions were found between the NRI and the other factors included in the model. Conclusions: Patients admitted with a moderate / severe nutritional risk had on average more days of hospitalization than patients without risk / mild nutritional risk. value of CURB 65 to the income of the elderly patient, will be their hospital stay.