Post-hospital syndrome – how to prevent it? Review article
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Published:
Mar 31, 2024
Keywords:
post-hospital syndrome, malnutrition, oral nutritional supplements, ONS, lifestyle
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Abstract
During the hospitalization, patient is exposed to the various of stressors like sleep deficiency, low physical activity, inadequate nutrition, mental and physical stress, which disturb homeostasis and cause allostatic load. As a result, the patient weakens and adverse health events may occur, thus exposing him to the risk of post-hospital syndrome and re-hospitalization. Lifestyle factors are the key in preventing re-hospitalization – nutrition with adequate protein supply and physical activity, which will allow to rebuild muscle mass and restore disturbed homeostasis after a stay in the hospital. During recovery, it may also be necessary to use oral nutritional supplements.
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How to Cite
Karabin, K., & Sapilak, B. J. (2024). Post-hospital syndrome – how to prevent it?. Medycyna Faktow (J EBM), 17(1(62), 89-93. https://doi.org/10.24292/01.MF.0124.14
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References
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2. Krumholz HM. Post-Hospital Syndrome – A Condition of Generalized Risk. N Engl J Med. 2013; 368(2): 100-2.
3. Yu J, Zhuang CL, Shao SJ et al. Risk factors for postoperative fatigue after gastrointestinal surgery. J Surg Res. 2015; 194(1): 114-9.
4. Waterer G. Recovery from community acquired pneumonia: the view from the top of the iceberg. Eur Respir J. 2017; 49(6): 1700571.
5. Farhan H, Moreno-Duarte I, Latronico N et al. Acquired Muscle Weakness in the Surgical Intensive Care Unit: Nosology, Epidemiology, Diagnosis, and Prevention. Anesthesiology. 2016; 124(1): 207-34.
6. Zisberg A, Shadmi E, Sinoff G et al. Low mobility during hospitalization and functional decline in older adults. J Am Geriatr Soc. 2011; 59(2): 266-73.
7. Wesselius HM, van den Ende ES, Alsma J et al. Quality and Quantity of Sleep and Factors Associated With Sleep Disturbance in Hospitalized Patients. JAMA Intern Med. 2018; 178(9): 1201-8.
8. Di Girolamo FG, Fiotti N, Milanović Z et al. The Aging Muscle in Experimental Bed Rest: A Systematic Review and Meta-Analysis. Front Nutr. 2021; 8: 633987.
9. Dirks M, Wall BT, van de Valk B et al. One week of bed rest leads to substantial muscle atrophy and induces whole-body insulin resistance in the absence of skeletal muscle lipid accumulation. Diabetes. 2016; 65(10): 2862-75.
10. Tolkin L, Vidberg M, Munter G. Basal serum cortisol levels predict a normal response to the Synacthen stimulation test in hospitalised patients. Intern Med J. 2022; 52(1): 105-9.
11. McEwen BS. Central effects of stress hormones in health and disease: understanding the protective and damaging effects of stress and stress mediators. Eur J Pharmacol. 2008; 583(2-3): 174-85.
12. Santos-Buelga C, González-Manzano S, González-Paramás AM. Wine, Polyphenols, and Mediterranean Diets. What Else Is There to Say? Molecules. 2021; 26(18): 5537.
13. Sobotka L (ed). Podstawy żywienia klinicznego. Edycja Czwarta. Wydanie Polskie. Krakowskie Wydawnictwo Scientifica Sp. z o.o., Kraków 2013.
14. Wunderle C, Gomes F, Schuetz P et al. ESPEN guideline on nutritional support for polymorbid medical inpatients. Clin Nutr. 2023; 42(9): 1545-68.
15. Prado CM, Landi F, Chew STH et al. Advances in muscle health and nutrition: A toolkit for healthcare professionals. Clin Nutr. 2022; 41: 2244-63.
16. Cawood AL, Elia M, Stratton RJ. Systematic review and meta-analysis of the effects of high protein oral nutritional supplements. Ageing Res Rev. 2012; 11(2): 278-96.
17. WHO. WHO guidelines on physical activity and sedentary behaviour. World Health Organization, Geneva 2020.
18. Dunstan DW, Dogra S, Carter SE et al. Sit less and move more for cardiovascular health: emerging insights and opportunities. Nat Rev Cardiol. 2021; 18(9): 637-48.
19. English KL, Paddon-Jones D. Protecting muscle mass and function in older adults during bed rest. Curr Opin Clin Nutr Metab Care. 2010; 13(1): 34-9.
20. Phillips SM, Paddon-Jones D, Layman DK. Optimizing Adult Protein Intake During Catabolic Health Conditions. Adv Nutr. 2020; 11(4): S1058-69.
21. Robinson SM, Reginster JY, Rizzoli R et al. Does nutrition play a role in the prevention and management of sarcopenia? Clin Nutr. 2018; 37(4): 1121-32.
22. Hirshkowitz M, Whiton K, Albert SM et al. National Sleep Foundation’s updated sleep duration recommendations: final report. Sleep Health. 2015; 1(4): 233-43.
23. Caraballo C, Dharmarajan K, Krumholz HM. Post Hospital Syndrome: Is the Stress of Hospitalization Causing Harm? Rev Esp Cardiol (Engl Ed). 2019; 72(11): 896-8.