# Hospital malnutrition in gastro-entero-hepatology (GEH) patients and its relationship to clinical outcomes: a retrospective cohort study
> Puspita M.R.

URL kanonis: https://discover.unhas.ac.id/publications/hospital-malnutrition-in-gastro-entero-hepatology-geh-patients-and-its-relations
Jurnal / Konferensi: Nutricion Clinica Y Dietetica Hospitalaria
Tahun terbit: 2025
DOI: https://doi.org/10.12873/451maya
ISSN: 02116057
Kuartil SJR: Q4
Citations: 0

## Authors
- Puspita M.R.

## Abstract
Background: Hospital malnutrition remains a significant global health burden, particularly among gastro-entero-hepatology patients. It adversely impacts clinical outcomes, prolongs hospital stays, and raises healthcare costs. Despite its relevance, recent data on malnutrition among Indonesia’s gastro-entero-hepatology (GEH) patients are limited. Objective: To determine the prevalence of malnutrition and its associated risk factors and clinical outcomes, inflammatory markers, and Prognostic Nutritional Index (PNI) in GEH patients at Wahidin Sudirohusodo General Hospital. Methods: A retrospective cohort study was conducted among 569 GEH inpatients aged 18–59 years with hospital stays exceeding 7 days. Nutritional risk was assessed using the Malnutrition Screening Tool (MST), while Neutrophil-Lymphocyte Ratio (NLR), Total Lymphocyte Count (TLC), and Prognostic Nutritional Index (PNI) were measured as inflammatory markers. Statistical analyses evaluated correlations between malnutrition risk, clinical outcomes, and laboratory values. Results: Of the 569 patients, 7.4% were at high risk of malnutrition, 38.7% at moderate risk, and 54% at low risk. High-risk patients showed significantly elevated NLR (p = 0.000) and lower TLC (p = 0.000), reflecting an impaired immune response. These patients also had a lower PNI (p = 0.000) and more extended hospital stays (p = 0.000). No significant difference in mortality was found between different malnutrition risk groups. Conclusion: Malnutrition is prevalent among GEH patients, particularly those with malignancies. Early nutritional screening and appropriate interventions are essential to improving clinical outcomes and reducing hospital stay durations. A multidisciplinary approach is necessary to optimize patient care.

## Keywords
- Hepatology
- Medicine
- Internal medicine
- Retrospective cohort study
- Gastro-
- Malnutrition
- Cohort
- Cohort study
- Gastroenterology
- Disease
- Reflux

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Sumber: Discover Unhas — RIMS Universitas Hasanuddin.
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