Download PDF

ES Journal of Clinical Medicine

ISSN: 2768-010X

Differences in Nutritional Risk in Hospitalized Patients versus Primary Care Patients.

  • Short Communication

  • De la Torre FJM1*, Pena NB2, Reyes MM1 and Garcia RM1
  • 1Clinical Biochemistry Department. Puerto Real University Hospital. Calle Romería, 7, 11510 Puerto Real, Cádiz. Spain
  • 2Clinical Laboratory Department. Serranía de Málaga Healthcare Management Division. Carretera de San Pedro, km. 2. 29400 Málaga. Spain
  • *Corresponding author: Francisco Javier Mérida De la Torre, Clinical Biochemistry Department. Puerto Real University Hospital. Calle Romería, 7, 11510 Puerto Real, Cádiz, Spain
  • Received: Nov 19, 2020; Accepted: Nov 30, 2020; Published: Dec 01, 2020


Introduction: Nutritional status is a determining factor in the progress of diseases. There are different methods for its evaluation, but they generally require many resources. However, the laboratory nutritional risk assessment CONUT, or Control Nutritional (Nutritional Control), is a widely validated, effective alternative. Hospitalized patients have different pathologies than primary care outpatients and these pathologies may be aggravated by nutritional status. Therefore, this work aims to determine differences in the nutritional risk of hospitalized patients versus primary care outpatients as measured by the CONUT method.

Method: From July 1 to December 31, 2019, nutritional risk was estimated using the CONUT method in all patients admitted to the hospital and patients who had an initial consultation in primary care in Ronda, Spain. The sample was analyzed as a whole and in groups according to origin (hospitalization vs. primary care) and sex.

Results: Of the 7,741 patients studied, 59% were women and 41% men. In regard to origin, 61.7% were primary care patients and 38.3% were hospitalized patients. In the total study population, 90.6% of patients had no nutritional risk, 2.2% had severe risk, 7% moderate risk, and 0.2% mild risk. Significant differences were found in the nutritional risk profiles of hospitalized patients versus primary care patients as well as according to sex.

Conclusions: There are differences in nutritional risk between hospitalized and primary care patients and between men and women. Use of the CONUT method in these populations allows for corrective measures to be taken according to the patient type.


Nutritional status; Inpatients; Outpatients; Laboratory.