TY - JOUR ID - 68174 TI - CONUT: A Useful Alarm of Malnutrition in the Centralized Laboratory of a Spanish Hospital JO - Hospital Practices and Research JA - HPR LA - en SN - 2476-390X AU - Menacho-Román, Miriam AU - Pérez-López, Gilberto AU - del Rey-Sánchez, José Manuel AU - Ly-Pen, Domingo AU - Becerra-Fernández, Antonio AD - Clinical Biochemistry Department. University Hospital “Ramón y Cajal”, Madrid, Spain AD - Endocrinology Department. University Hospital “Ramón y Cajal”, Madrid, Spain AD - Abbey House Medical Centre, Navan, Ireland Y1 - 2018 PY - 2018 VL - 3 IS - 4 SP - 113 EP - 117 KW - Malnutrition KW - Early Diagnosis KW - Laboratories KW - Nutritional Status DO - 10.15171/hpr.2018.25 N2 - Background: Hospital malnutrition, usually secondary to various diseases and their treatments, is an important problem in our clinical practice. For its proper assessment, it is crucial to use a nutritional alert system, such as the CONUT (COntrol NUTrition) program; this tool uses 3 analytical parameters: serum albumin, total cholesterol, and total lymphocyte count. Objective: The current study assessed the results of the implementation of this program in the University Hospital Ramón y Cajal. Methods: The CONUT program has been used in the University Hospital Ramón y Cajal since 2013. This retrospective study, throughout 2016, was conducted in the Central Laboratory of Chemical Biochemistry at the University Hospital Ramón y Cajal. All blood tests with serum albumin, total cholesterol, and total lymphocyte count were studied. The degree of malnutrition was assessed using the scale of normal (=0), mild (=4), moderate (=8), and severe (=12). Results: In 2016, there were 405406 analytics performed in the laboratory of University Hospital Ramón y Cajal. The CONUT tool was applied to 3.64% of them (14741 analytics). In the outpatient setting, the highest malnutrition index comprised patients from the liver transplant consultation department, followed by the cardiology, rheumatology, and oncology departments. With inpatients, the hematology, cardiology, and endocrinology departments showed the most severe malnutrition index. Conclusion: The CONUT system seemed to provide useful information about the cohort of the studied hospital. The results showed that 94% of the patients were not classified with malnutrition, there was no gender predilection, and they were younger than the rest. Patients with more severe malnutrition were usually older and male. UR - https://www.jhpr.ir/article_68174.html L1 - https://www.jhpr.ir/article_68174_ca441563bda457f645dd8b409db34e47.pdf ER -