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    Being Nutritionally At-Risk: Its Effect on Health Expenses and Length of Stay In Hospital
    (Mattioli 1885, 2022) Güngör, Anıl Evrim; Kılınç, Fatma Nişancı; Alparslan, İrem; Cakır, Biriz; Asil, Esma; Esatoglu, A. Ezel; Yavuz, Yasemin
    Objective: Hospital malnutrition is a critical, cost-increasing public health problem that is common in many countries. The study aimed to evaluate the effect of being nutritionally at risk on health expenses and length of stay (LOS) in hospital. Material and Method Nutritional Risk Screening-2002 (NRS-2002) was used to screen 1069 adult patients on admission day. Patients' anthropometric measurements, unintentional weight loss, hand grip strength (HGS), cancer diagnosis, as well as LOS were recorded. Health expenses for each patient was obtained from hospital billing system. Results: Of the patients, 19.1% had NRS-200233 (nutritionally at risk) which was more frequent among male patients (61.8%) than female patients (38.2%) (p<0.001). The odds of being nutritionally at risk increased by 1.029 times with one year increase in age (p<0.05). The median of HGS was lower in patients with NRS-200233 (p<0.05). Patients without nutritional risk (NRS-2002<3) had a LOS of 7.65 +/- 7.61 days, while corresponding figure was 16.5 +/- 15.64 days for patients with NRS-200233 (p<0.001). Patients' health expenses with NRS-2002<3 and NRS-200233 were $384.19 and $873.89, respectively (p<0.01). One percent increase in involuntary weight loss and one unit decrease in HGS resulted in $2588 and $1066 increase in average expenses, respectively (p<0.05). The odds of becoming NRS-2002 >= 3 increased 1.566 times with 1% increase of involuntary weight loss (p<0.001). Cancer patients whose average LOS was 4.5 days longer had 4.93 times increased risk of developing nutritional risk during hospital stay (p<0.001). Conclusion: Nutritional status of patients should be assessed during hospitalization. Patients with nutritional risk have higher total costs and stay longer in the hospital than the patients with no risk.
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    Öğe
    Characteristics of asthma in an older adult population according to sex and control level: why are asthma symptoms in older women not well-controlled?
    (Taylor & Francis Ltd, 2024) Karadogan, Dilek; Yilmazel Ucar, Elif; Yavuz, Yasemin; Baccioglu, Ayse; Ozturk, Ayse Bilge; Bozkurt, Nurgul; Kavas, Murat
    ObjectiveThe older adult population in Turkey has increased by 22.6% in the last 5 years, and the characteristics of such patients with asthma remain uninvestigated. Therefore, we aimed to evaluate the characteristics of older adults with asthma according to sex and asthma control status to provide an in-depth overview of asthma in this population in Turkey.MethodsThe data of older adults (age 65 years and over) with asthma were obtained from a multicenter, cross-sectional asthma database registry (Turkish Adult Asthma Registry, TAAR) funded by the Turkish Thoracic Society. Comparisons were made based on sex and asthma control levels using the Global Initiative for Asthma (GINA) Asthma Symptom Control Questionnaire.ResultsOf the 2053 (11.5%) patients registered with the TAAR, 227 were older adults (median age, 69 (8), women, 75.8% (n = 172)). Of these, 46.5% (n = 101) had obesity to some degree. Compared with men, women had lower education, income levels, and employment rates. Additionally, women exhibited a higher prevalence of obesity, hypertension, and thyroid gland disease than men. Being female (OR: 2.99; 95% CI: 1.307-6.880), the presence of gastroesophageal reflux disease (OR: 2.855; 95% CI: 1.330-6.130), and a predicted forced expiratory volume in the first-second value lower than 80% (OR: 2.938; 95% CI: 1.451-5.948) were associated with poorly controlled asthma.ConclusionsHerein, older adults comprised 11.5% of adult patients with asthma. Being female poses a disadvantage in terms of both asthma prevalence and control in the older adult asthmatic population owing to the prevalence of comorbidities and socioeconomic sex-related distinguishing factors.