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Date Published: 12/07/2023
Online Published: 17/07/2023
Abstract Views: 677
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DOI: https://doi.org/10.58490/ctump.2023i61.1438
Issue
No. 61 (2023): HỘI NGHỊ THƯỜNG NIÊN HỌC VIÊN – SINH VIÊN NGHIÊN CỨU KHOA HỌC NĂM 2023
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Article
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Le, T. H., Nguyen, V. T., Nguyen, T. H. T., & Le, N. T. N. (2023). THE STATUS OF NUTRITIONAL AND RESULTS OF TREATMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE EXACERBATION INPATIENTS AT CAN THO CENTRAL GENERAL HOSPITAL IN 2022-2023. Cantho Journal of Medicine and Pharmacy, 61, 106-112. https://doi.org/10.58490/ctump.2023i61.1438

THE STATUS OF NUTRITIONAL AND RESULTS OF TREATMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE EXACERBATION INPATIENTS AT CAN THO CENTRAL GENERAL HOSPITAL IN 2022-2023

Thi Huong Le1,, Van Thanh Nguyen1, Thi Hong Tran Nguyen1, Nguyen Tri Nhan Le2
1 Can Tho University of Medicine and Pharmacy
2 Nam Can Tho University

Main Article Content

Abstract

Background: Malnutrition is present in 25% to 80% of patients with chronic obstructive pulmonary disease exacerbation and nutritional treatment with a high lipid diet for each patient shows effectiveness in reducing the severity of acute exacerbations. Objectives: To evaluate the nutritional status, value of measurement tools and treatment effectiveness in patients with chronic obstructive pulmonary disease exacerbation. Materials and methods: Cross-sectional of 65 subjects who came for examination and treatment at Can Tho Central General Hospital from August 2022 to March 2023. Results: The rate of malnutrition in COPD patients according to SGA is 84.6%. SGA tool records low agreement with BMI (Kappa = 0.27; <0.05) and very low Albumin (Kappa = 0.13; p = 0.03). For nutritional assessment, the study found effectiveness after treatment in muscle strength (therapeutic effect: 24.3%; p<0.05), PreAlbumin (therapeutic effect: 21.5; p=0.02); reduce CRP index (therapeutic effect: 70.2%; p<0.05). Conclusion: Malnutrition is high in people with acute COPD exacerbations. Short-term nutritional treatment at the hospital on these subjects will improve muscle strength, serum CRP and PreAlbumin evaluation factors.

Article Details

Keywords

Acute exacerbation of chronic obstructive pulmonary disease, nutritional status, malnutrition

References

1. Bộ Y Tế. Quyết định số 4562/QĐ-BYT về việc Hướng dẫn chẩn đoán và điều trị bệnh phổi tắc nghẽn mạn tính. 2018.
2. Tổng hội Y học Việt Nam. Hướng dẫn Quản lý và Điều trị Bệnh phổi tắc nghẽn mạn tính Việt Nam 2021. Nhà xuất bản Y học. 2021.
3. Hogan D, Lan LT, Diep DT, Gallegos D, Collins PF. Nutritional status of Vietnamese outpatients with chronic obstructive pulmonary disease. Journal of human nutrition and dietetics
: the official journal of the British Dietetic Association. 2017, 30(1), 83-9, doi: https://doi.org/10.1111/jhn.12402.
4. Ngân NTK, Tâm LN. Tình trạng dinh dưỡng bệnh nhân bệnh phổi tắc nghẽn mạn tính tại bệnh viện Chợ Rẫy. Tạp chí Y Học TP Hồ Chí Minh, 2015, 19(1), 257-61.
5. Hanna KL, Glen KD, Lau BT, Tran CQ, Truong NT, Gallegos D. Relationship between malnutrition and selected risk factors in two hospitals in Vietnam. Nutrition & Dietetics. 2016, 73(1), 59-66, doi: https://doi.org/10.1111/1747-0080.12240.
6. Tâm LN, Hoa NTQ, Vy DU. Các khái niệm cơ bản trong dinh dưỡng. Những vấn đề cơ bản trong dinh dưỡng lâm sàng. Nhà xuất bản Y Học. TP. Hồ Chí Minh. 2014.
7. Liễu NTT, Anh HTN, Khánh ĐN. Tình trạng dinh dưỡng và một số yếu tố liên quan của người bệnh mắc bệnh phổi tắc nghẽn mạn tính tại Bệnh viện Phổi Trung ương năm 2018. Tạp Chí Nghiên Cứu Khoa Học 2018. 2016. 120(4), 52-8.
8. Gupta B, Kant S, Mishra R. Subjective global assessment of nutritional status of chronic obstructive pulmonary disease patients on admission. Int J Tuberc Lung Dis. 2010. 14(4), 5005, https://doi.org/10.3329/bjm.v33i2.59292.
9. Valassi E, Scacchi M, Cavagnini F. Neuroendocrine control of food intake. Nutrition, metabolism and cardiovascular diseases. 2008, 18(2), 158-68, doi: https://doi.org/10.1016/j.numecd.2007.06.004.
10. Audrain‐McGovern J, Benowitz N. Cigarette smoking, nicotine, and body weight. Clinical Pharmacology & Therapeutics. 2011, 90(1):164-8, doi: https://doi.org/10.1038/clpt.2011.105.
11. Block S, Webb P. Up in smoke: tobacco use, expenditure on food, and child malnutrition in developing countries. Economic Development and Cultural Change. 2009. 58(1), 1-23, doi: https://doi.org/10.1086/605207. 12. Thanh VT. Hiệu quả chế độ dinh dưỡng giàu lipid trong điều trị bệnh nhân đợt cấp bệnh phổi tắc nghẽn mạn tính thở máy .2017.
13. Ferreira IM, Brooks D, Lacasse Y, Goldstein RS. Nutritional support for individuals with COPD: a meta-analysis. Chest. 2000. 117(3), 672-8. doi:10.1378/chest.117.3.672
14. Raizada N, Daga M, Kumar N, Mathur S. Nutritional intervention in stable COPD patients and its effect on anthropometry, pulmonary function, and health-related quality of life (HRQL). Journal, Indian Academy of Clinical Medicine. 2014. 15, 100-5, doi: https://doi.org/ 10.21037/jtd.2019.10.4.