ECE2021 Eposter Presentations Endocrine-Related Cancer (7 abstracts)
Consorci Hospital General Universitari de València, València, Spain
Background
Bioelectrical impedance analysis (BIA) has been widely used in the evaluation of body composition. Phase angle (PhA) is obtained from the direct measurements of resistive (Rz) and reactive (Xc). Pha and can be interpreted as an indicator of fluid distribution, electric resistance and cellular membrane capacitance of the human body, and is associated with nutritional status. Its screening, and an early intervention in patients with a low PhA, may help to prevent malnutrition. However, there are no studies on its role in urinary tract infection. We aim to establish the association between PhA and urinary infections in hospitalized cancer patients.
Methods
Prospective observational study carried out in hospitalized cancer patients at the General University Hospital of Valencia, from November 2019 to March 2020. BIA and other anthropometric parameters were evaluated within the first 48 h after admission. PhA was measured using a bioelectrical impedance (Akern®). Inpatient were followed-up through daily medical oncologist reports, and urinary infections were registered during hospitalization.
Results
A total of 100 cancer patients were evaluated. The mean age was 66.1 years and 66 were males. Most patients (74%) had an advanced stage disease, mostly lung (29%) and gastrointestinal tumors (32%). Mean weight and BMI was 68 kg and 24.73 kg/m2 respectively. During admission, 10% developed a urinary infection. PhA was significantly lower in patients who developed an urinary infection (OR 0.531; CI 95%: 0.293 0.022; P = 0.022).
Conclusions
A low PhA is associated with a higher risk of urinary infections in hospitalized cancer patients. An adequate nutritional evaluation is essential to detect patients with a low PhA. A timely implementation of nutritional support during hospitalization could avoid urinary infection risk.