Ülkenin dört bir yanındaki hastanelerine elinizi kolunuzu sallayarak girip çıkamayacağınız, uluslararası kuruluşların sağlık alanında bağımsız araştırma yapma ve veri toplama olanaklarının son derece sınırlı olduğu, yayınladığı resmi istatistiklere temel teşkil eden verilerin nasıl toplandığı konusunda hiç de şeffaf olmayan ve işbu verileri kamuoyuyla detaylı bir biçimde paylaşmayan, uluslararası toplumla paylaştığı rakamları şişirdiği yönünde güçlü şüpheler bulunan Küba'nın sağlık sistemine methiyeler düzülmeye başlanmış yine. Fırsat bu fırsat, bu yakınlarda okuma fırsatına sahip olduğum, Küba hastanelerindeki yetersiz beslenme sorununa dair işbu makaleyi sizlerle paylaşmak isterim.
''We surveyed 1905 randomly selected patients from 12 Cuban hospitals in a two-phase study. Patients' clinical charts were audited in phase 1, the Subjective Global Assessment was used to assess patients' nutritional status in phase 2. The study was locally conducted by a properly trained team.
The frequency of undernutrition in Cuban hospitals was 41.2% (95% confidence interval = 38.9 to 43.4), and 11.1% of patients were considered severely undernourished. Statistically significant (P < 0.05) univariate relations were identified between undernutrition and patient's age and sex. Nutritional status was a dependent of the patient's instruction level (P < 0.05). Patients' nutritional status was statistically associated with the presence of cancer and infection. Undernutrition was highly prevalent among cancer patients, no matter the stage of medical or surgical treatment. Undernutrition became extremely frequent after surgical treatment in non-cancer patients. High nutritional risks hospital services/specialties were identified: geriatrics (56.3%), critical care (54.8%), nephrology (54.3%), internal medicine (48.6%), gastroenterology (46.5%), and cardiovascular surgery (44.8%). Malnutrition rates increased progressively with prolonged length of stay.''
makale: https://www.ncbi.nlm.nih.gov/pubmed/15811770