Is the presence of a validated malnutrition screening tool associated with better nutritional care in hospitalized patients?
Abstract Objective To (1) evaluate the association between the use of clinical guidelines and the use of validated screening tools, to (2) evaluate the nutritional screening policy in hospitals, and to (3) examine the association between the use of validated screening tools and a) the prevalence of...
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| Veröffentlicht in: | Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2017-05, Vol.37, p.104-111 |
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| creator | Eglseer, Doris, MSc, RD, PhD Halfens, Ruud, PhD, FEANS Lohrmann, Christa, PhD, RN, FEANS |
| description | Abstract Objective To (1) evaluate the association between the use of clinical guidelines and the use of validated screening tools, to (2) evaluate the nutritional screening policy in hospitals, and to (3) examine the association between the use of validated screening tools and a) the prevalence of malnutrition and b) nutritional interventions in hospitalized patients. Methods This study was a cross-sectional multi-center survey. Data were collected using a standardized questionnaire on three levels: institution (presence of a guideline for malnutrition), department (use of a validated screening tool), and patient level (e.g., malnutrition prevalence). Results 53 hospitals with 5255 patients participated. About 45% of the hospitals indicated that they have guidelines for malnutrition. 38.6% of the departments used validated screening tools as part of a standard procedure. The nutritional status of 74.5% of the patients was screened during admission, mostly on the basis of clinical observation and the patients’ weights. In 21.2% of the patients, a validated screening tool was used. Significant differences between wards with and without validated screening tools were found with regard to malnutrition prevalence (p = 0.002) and the following interventions: referral to a dietitian (p < 0.001), provision of energy-enriched snacks (p = 0.038), adjustment of consistency (food/drinks) (p = 0.004), monitoring of the nutritional intake (p = 0.001), and adjustment of the meal ambiance (p < 0.001). Conclusion Nutritional screening with validated tools in hospitalized patients remains poor. Generally, the nutritional status of patients is screened with unreliable parameters such as clinical observation and BMI. The results of the present study suggest that the use of validated malnutrition screening tools is associated with better nutritional care and lower malnutrition prevalence rates in hospitalized patients. |
| doi_str_mv | 10.1016/j.nut.2016.12.016 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1883179035</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0899900716302908</els_id><sourcerecordid>1885095944</sourcerecordid><originalsourceid>FETCH-LOGICAL-c436t-e1ab9fa1679befcb80b497bbb7d0c23b1757e18d07d7edac0e1b3942a1501303</originalsourceid><addsrcrecordid>eNp9kk9v1DAQxS0EokvhA3BBlrhwSRjHyToWEghV_KlUiQO9W7YzYb1442A7RUV8eJxuKVIPnJ4Pv_esmTeEPGdQM2Db1_t6WnLdlGfNmrrIA7JhveAVa9r2IdlAL2UlAcQJeZLSHgCY3MrH5KTpeSd5123I7_NE8w7pHDHhZJGGkWp6pb0bdMaBHrQvf0SXXZhoshFxctM3mkPwVKcUrLvBfrq8owZzxkjveO2p1RGpm-gupNnlkvqrwLPODqec3j0lj0btEz671VNy-fHD5dnn6uLLp_Oz9xeVbfk2V8i0kaNmWyENjtb0YFopjDFiANtww0QnkPUDiEHgoC0gM1y2jWYdMA78lLw6xs4x_FgwZXVwyaL3esKwJMX6njMhgXcFfXkP3YcllkluqA5kJ9u2UOxI2RhSijiqObqDjteKgVqbUXtVtqDWZhRrVJHieXGbvJgDDneOv1UU4M0RwLKJK4dRJevWSgYX0WY1BPff-Lf33Na7yVntv-M1pn9TqFQM6ut6GutlFCs0Enr-B9tZtdM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1885095944</pqid></control><display><type>article</type><title>Is the presence of a validated malnutrition screening tool associated with better nutritional care in hospitalized patients?</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><source>ProQuest Central UK/Ireland</source><creator>Eglseer, Doris, MSc, RD, PhD ; Halfens, Ruud, PhD, FEANS ; Lohrmann, Christa, PhD, RN, FEANS</creator><creatorcontrib>Eglseer, Doris, MSc, RD, PhD ; Halfens, Ruud, PhD, FEANS ; Lohrmann, Christa, PhD, RN, FEANS</creatorcontrib><description>Abstract Objective To (1) evaluate the association between the use of clinical guidelines and the use of validated screening tools, to (2) evaluate the nutritional screening policy in hospitals, and to (3) examine the association between the use of validated screening tools and a) the prevalence of malnutrition and b) nutritional interventions in hospitalized patients. Methods This study was a cross-sectional multi-center survey. Data were collected using a standardized questionnaire on three levels: institution (presence of a guideline for malnutrition), department (use of a validated screening tool), and patient level (e.g., malnutrition prevalence). Results 53 hospitals with 5255 patients participated. About 45% of the hospitals indicated that they have guidelines for malnutrition. 38.6% of the departments used validated screening tools as part of a standard procedure. The nutritional status of 74.5% of the patients was screened during admission, mostly on the basis of clinical observation and the patients’ weights. In 21.2% of the patients, a validated screening tool was used. Significant differences between wards with and without validated screening tools were found with regard to malnutrition prevalence (p = 0.002) and the following interventions: referral to a dietitian (p < 0.001), provision of energy-enriched snacks (p = 0.038), adjustment of consistency (food/drinks) (p = 0.004), monitoring of the nutritional intake (p = 0.001), and adjustment of the meal ambiance (p < 0.001). Conclusion Nutritional screening with validated tools in hospitalized patients remains poor. Generally, the nutritional status of patients is screened with unreliable parameters such as clinical observation and BMI. The results of the present study suggest that the use of validated malnutrition screening tools is associated with better nutritional care and lower malnutrition prevalence rates in hospitalized patients.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/j.nut.2016.12.016</identifier><identifier>PMID: 28359355</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Adults ; Age ; Aged ; Aged, 80 and over ; BAK protein ; Body composition ; Body mass ; Body Mass Index ; Body Weight ; Collection ; Cost effectiveness ; Cross-Sectional Studies ; Data acquisition ; Dietary supplements ; Dietitian ; Energy ; Ethics ; Female ; Gastroenterology and Hepatology ; Geriatrics ; Gerontology ; Guideline ; Guideline Adherence ; Health ; Hospital ; Hospitalization ; Hospitals ; Hum ; Human behavior ; Humans ; Incidence ; Indicators ; Internet ; Interventions ; Inventories ; Literature reviews ; Male ; Malnutrition ; Malnutrition - diagnosis ; Malnutrition - epidemiology ; Mass Screening - methods ; Medical ethics ; Medical screening ; Middle Aged ; Nursing ; Nursing care ; Nutrients ; Nutrition ; Nutrition Assessment ; Nutrition Surveys ; Nutrition therapy ; Nutritional Status ; Nutritional Support ; Nutritionists ; Older people ; Patient assessment ; Prevalence ; Quality control ; Quality of care ; Quality of life ; Quantitative analysis ; Questionnaires ; Referral and Consultation ; Reliability ; Reproducibility of Results ; Screening ; Side effects ; Surveys and Questionnaires ; Terminology ; Therapy ; Ulcers ; Undernutrition ; Wound healing ; Young Adult</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 2017-05, Vol.37, p.104-111</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited May 1, 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-e1ab9fa1679befcb80b497bbb7d0c23b1757e18d07d7edac0e1b3942a1501303</citedby><cites>FETCH-LOGICAL-c436t-e1ab9fa1679befcb80b497bbb7d0c23b1757e18d07d7edac0e1b3942a1501303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1885095944?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,781,785,3551,27926,27927,45997,64387,64389,64391,72471</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28359355$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eglseer, Doris, MSc, RD, PhD</creatorcontrib><creatorcontrib>Halfens, Ruud, PhD, FEANS</creatorcontrib><creatorcontrib>Lohrmann, Christa, PhD, RN, FEANS</creatorcontrib><title>Is the presence of a validated malnutrition screening tool associated with better nutritional care in hospitalized patients?</title><title>Nutrition (Burbank, Los Angeles County, Calif.)</title><addtitle>Nutrition</addtitle><description>Abstract Objective To (1) evaluate the association between the use of clinical guidelines and the use of validated screening tools, to (2) evaluate the nutritional screening policy in hospitals, and to (3) examine the association between the use of validated screening tools and a) the prevalence of malnutrition and b) nutritional interventions in hospitalized patients. Methods This study was a cross-sectional multi-center survey. Data were collected using a standardized questionnaire on three levels: institution (presence of a guideline for malnutrition), department (use of a validated screening tool), and patient level (e.g., malnutrition prevalence). Results 53 hospitals with 5255 patients participated. About 45% of the hospitals indicated that they have guidelines for malnutrition. 38.6% of the departments used validated screening tools as part of a standard procedure. The nutritional status of 74.5% of the patients was screened during admission, mostly on the basis of clinical observation and the patients’ weights. In 21.2% of the patients, a validated screening tool was used. Significant differences between wards with and without validated screening tools were found with regard to malnutrition prevalence (p = 0.002) and the following interventions: referral to a dietitian (p < 0.001), provision of energy-enriched snacks (p = 0.038), adjustment of consistency (food/drinks) (p = 0.004), monitoring of the nutritional intake (p = 0.001), and adjustment of the meal ambiance (p < 0.001). Conclusion Nutritional screening with validated tools in hospitalized patients remains poor. Generally, the nutritional status of patients is screened with unreliable parameters such as clinical observation and BMI. The results of the present study suggest that the use of validated malnutrition screening tools is associated with better nutritional care and lower malnutrition prevalence rates in hospitalized patients.</description><subject>Adult</subject><subject>Adults</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>BAK protein</subject><subject>Body composition</subject><subject>Body mass</subject><subject>Body Mass Index</subject><subject>Body Weight</subject><subject>Collection</subject><subject>Cost effectiveness</subject><subject>Cross-Sectional Studies</subject><subject>Data acquisition</subject><subject>Dietary supplements</subject><subject>Dietitian</subject><subject>Energy</subject><subject>Ethics</subject><subject>Female</subject><subject>Gastroenterology and Hepatology</subject><subject>Geriatrics</subject><subject>Gerontology</subject><subject>Guideline</subject><subject>Guideline Adherence</subject><subject>Health</subject><subject>Hospital</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Hum</subject><subject>Human behavior</subject><subject>Humans</subject><subject>Incidence</subject><subject>Indicators</subject><subject>Internet</subject><subject>Interventions</subject><subject>Inventories</subject><subject>Literature reviews</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Malnutrition - diagnosis</subject><subject>Malnutrition - epidemiology</subject><subject>Mass Screening - methods</subject><subject>Medical ethics</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>Nutrients</subject><subject>Nutrition</subject><subject>Nutrition Assessment</subject><subject>Nutrition Surveys</subject><subject>Nutrition therapy</subject><subject>Nutritional Status</subject><subject>Nutritional Support</subject><subject>Nutritionists</subject><subject>Older people</subject><subject>Patient assessment</subject><subject>Prevalence</subject><subject>Quality control</subject><subject>Quality of care</subject><subject>Quality of life</subject><subject>Quantitative analysis</subject><subject>Questionnaires</subject><subject>Referral and Consultation</subject><subject>Reliability</subject><subject>Reproducibility of Results</subject><subject>Screening</subject><subject>Side effects</subject><subject>Surveys and Questionnaires</subject><subject>Terminology</subject><subject>Therapy</subject><subject>Ulcers</subject><subject>Undernutrition</subject><subject>Wound healing</subject><subject>Young 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the presence of a validated malnutrition screening tool associated with better nutritional care in hospitalized patients?</title><author>Eglseer, Doris, MSc, RD, PhD ; Halfens, Ruud, PhD, FEANS ; Lohrmann, Christa, PhD, RN, FEANS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-e1ab9fa1679befcb80b497bbb7d0c23b1757e18d07d7edac0e1b3942a1501303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>BAK protein</topic><topic>Body composition</topic><topic>Body mass</topic><topic>Body Mass Index</topic><topic>Body Weight</topic><topic>Collection</topic><topic>Cost effectiveness</topic><topic>Cross-Sectional Studies</topic><topic>Data acquisition</topic><topic>Dietary supplements</topic><topic>Dietitian</topic><topic>Energy</topic><topic>Ethics</topic><topic>Female</topic><topic>Gastroenterology and Hepatology</topic><topic>Geriatrics</topic><topic>Gerontology</topic><topic>Guideline</topic><topic>Guideline Adherence</topic><topic>Health</topic><topic>Hospital</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Hum</topic><topic>Human behavior</topic><topic>Humans</topic><topic>Incidence</topic><topic>Indicators</topic><topic>Internet</topic><topic>Interventions</topic><topic>Inventories</topic><topic>Literature reviews</topic><topic>Male</topic><topic>Malnutrition</topic><topic>Malnutrition - diagnosis</topic><topic>Malnutrition - epidemiology</topic><topic>Mass Screening - methods</topic><topic>Medical ethics</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Nursing care</topic><topic>Nutrients</topic><topic>Nutrition</topic><topic>Nutrition Assessment</topic><topic>Nutrition Surveys</topic><topic>Nutrition therapy</topic><topic>Nutritional Status</topic><topic>Nutritional Support</topic><topic>Nutritionists</topic><topic>Older people</topic><topic>Patient assessment</topic><topic>Prevalence</topic><topic>Quality control</topic><topic>Quality of care</topic><topic>Quality of life</topic><topic>Quantitative analysis</topic><topic>Questionnaires</topic><topic>Referral and Consultation</topic><topic>Reliability</topic><topic>Reproducibility of Results</topic><topic>Screening</topic><topic>Side effects</topic><topic>Surveys and Questionnaires</topic><topic>Terminology</topic><topic>Therapy</topic><topic>Ulcers</topic><topic>Undernutrition</topic><topic>Wound healing</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eglseer, Doris, MSc, RD, PhD</creatorcontrib><creatorcontrib>Halfens, Ruud, PhD, FEANS</creatorcontrib><creatorcontrib>Lohrmann, Christa, PhD, RN, 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Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eglseer, Doris, MSc, RD, PhD</au><au>Halfens, Ruud, PhD, FEANS</au><au>Lohrmann, Christa, PhD, RN, FEANS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is the presence of a validated malnutrition screening tool associated with better nutritional care in hospitalized patients?</atitle><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle><addtitle>Nutrition</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>37</volume><spage>104</spage><epage>111</epage><pages>104-111</pages><issn>0899-9007</issn><eissn>1873-1244</eissn><abstract>Abstract Objective To (1) evaluate the association between the use of clinical guidelines and the use of validated screening tools, to (2) evaluate the nutritional screening policy in hospitals, and to (3) examine the association between the use of validated screening tools and a) the prevalence of malnutrition and b) nutritional interventions in hospitalized patients. Methods This study was a cross-sectional multi-center survey. Data were collected using a standardized questionnaire on three levels: institution (presence of a guideline for malnutrition), department (use of a validated screening tool), and patient level (e.g., malnutrition prevalence). Results 53 hospitals with 5255 patients participated. About 45% of the hospitals indicated that they have guidelines for malnutrition. 38.6% of the departments used validated screening tools as part of a standard procedure. The nutritional status of 74.5% of the patients was screened during admission, mostly on the basis of clinical observation and the patients’ weights. In 21.2% of the patients, a validated screening tool was used. Significant differences between wards with and without validated screening tools were found with regard to malnutrition prevalence (p = 0.002) and the following interventions: referral to a dietitian (p < 0.001), provision of energy-enriched snacks (p = 0.038), adjustment of consistency (food/drinks) (p = 0.004), monitoring of the nutritional intake (p = 0.001), and adjustment of the meal ambiance (p < 0.001). Conclusion Nutritional screening with validated tools in hospitalized patients remains poor. Generally, the nutritional status of patients is screened with unreliable parameters such as clinical observation and BMI. The results of the present study suggest that the use of validated malnutrition screening tools is associated with better nutritional care and lower malnutrition prevalence rates in hospitalized patients.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28359355</pmid><doi>10.1016/j.nut.2016.12.016</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Adults Age Aged Aged, 80 and over BAK protein Body composition Body mass Body Mass Index Body Weight Collection Cost effectiveness Cross-Sectional Studies Data acquisition Dietary supplements Dietitian Energy Ethics Female Gastroenterology and Hepatology Geriatrics Gerontology Guideline Guideline Adherence Health Hospital Hospitalization Hospitals Hum Human behavior Humans Incidence Indicators Internet Interventions Inventories Literature reviews Male Malnutrition Malnutrition - diagnosis Malnutrition - epidemiology Mass Screening - methods Medical ethics Medical screening Middle Aged Nursing Nursing care Nutrients Nutrition Nutrition Assessment Nutrition Surveys Nutrition therapy Nutritional Status Nutritional Support Nutritionists Older people Patient assessment Prevalence Quality control Quality of care Quality of life Quantitative analysis Questionnaires Referral and Consultation Reliability Reproducibility of Results Screening Side effects Surveys and Questionnaires Terminology Therapy Ulcers Undernutrition Wound healing Young Adult |
| title | Is the presence of a validated malnutrition screening tool associated with better nutritional care in hospitalized patients? |
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