Journal of International Dental and Medical Research ISSN 1309-100X Nutritional Status of Hospitalized Nonsurgery Patients http://www.jidmr.com Ari Fahrial Syam, and et al Volume ∙ 11 ∙ Number ∙ 2 ∙ 2018 Page 732 Nutritional Status of Hospitalized Nonsurgery Patients at A Nationwide Referral Hospital in Indonesia Ari Fahrial Syam 1 *, Cecep Suryani Sobur 2 , Murdani Abdullah 1 , Dadang Makmun 1 1.Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia. 2.Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia. Abstract This study investigated the prevalence of malnutrition and its risk factors in hospitalized adult nonsurgery patients at Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia. A total of 210 patients were hospitalized from June to November 2013. Sociodemographic characteristics were collected at admission. Nutritional status was assessed at admission and discharge using subjective global assessment, anthropometric (body mass index, hand grip, and subcutaneous fat) and body impedance analyses, and albumin level. Only 176 patients completed the study. Prevalence of malnutrition was 65.5% and 70.1% at admission and discharge, respectively, and 65.9% of patients had no improvement in nutritional condition. Female patients or those with anemia or tuberculosis were at risk for nutritional worsening. Male patients or those with dyslipidemia had more improvement than others. The nutritional intake target was met in 89.3% patients, but their nutritional status did not change significantly. Nutritional status did not influence length of hospitalization, but patients with worsening nutritional status had an insignificantly longer hospitalization. It can be concluded that prevalence of hospital malnutrition is high at Dr. Cipto Mangunkusumo National General Hospital. Although the nutritional intake improved, the nutritional status at discharge did not change significantly from that at admission. Clinical Article (J Int Dent Med Res 2018; 11(2): pp. 732-739) Keywords: Hospital malnutrition, subjective global assessment. Received date: 14 May 2018 Accept date: 15 June 2018 Introduction Malnutrition is defined as a medical condition caused by nutrient deficiency due to an increase in losses, diminished intake, or increased requirements. Malnutrition can occur because of changes in eating habits or disease. In hospitalized patients, these problems are common and often put them at risk for malnutrition. Although the risk of malnutrition in the hospital is high, comprehensive nutritional care in the hospital is inadequate. 1 This leads to the high prevalence of malnutrition in hospitalized patients in developing and developed countries. 2–7 Malnutrition has a great impact on morbidity, mortality, and quality of life. Malnourished patients experience longer hospitalization and higher cost. 3,8 Hence, it is important to identify risk factors for early identification of malnutrition. In patients with medium or high-risk malnutrition, nutritional interventions, such as oral nutritional supplementation, are associated with reduced hospital stay and bed-day and complication costs compared with those of patients who receive no oral nutritional supplementation. 9 Few reports on hospital malnutrition in adults exist in Indonesia. One study in children reported a 1.8% prevalence of severe malnutrition. 10 This study determined the prevalence of hospital malnutrition in adult nonsurgery patients at Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia. Methodology Study design and sample- This horizontal study was performed on 176 nonsurgical patients admitted to the internal medicine ward of Dr. Cipto Mangunkusumo National General Hospital, a tertiary health care facility in Indonesia, from June to November 2013. The study was *Corresponding author: Ari Fahrial Syam Division of Gastroenterology Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia E-mail: arisyam@hotmail.com