High prevalence of malnutrition both on hospital admission and predischarge
•More than one-third (36%) of patients are malnourished before discharge from hospital.•Prevalence of malnutrition is higher in patients with a longer length of stay.•Approximately 30% of well-nourished patients at admission are malnourished predischarge.•Follow-up of nutritional status and adequate...
Gespeichert in:
| Veröffentlicht in: | Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2020-09, Vol.77, p.110814-110814, Article 110814 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 110814 |
|---|---|
| container_issue | |
| container_start_page | 110814 |
| container_title | Nutrition (Burbank, Los Angeles County, Calif.) |
| container_volume | 77 |
| creator | van Vliet, Iris M.Y. Gomes-Neto, António W. de Jong, Margriet F.C. Jager-Wittenaar, Harriët Navis, Gerjan J. |
| description | •More than one-third (36%) of patients are malnourished before discharge from hospital.•Prevalence of malnutrition is higher in patients with a longer length of stay.•Approximately 30% of well-nourished patients at admission are malnourished predischarge.•Follow-up of nutritional status and adequate transmural nutritional care are recommended.
In Dutch hospitals malnutrition screening is routinely performed at admission, but not during follow-up or before discharge. Therefore we evaluated nutritional status during hospitalization and predischarge in a routine care setting.
The Patient-Generated Subjective Global Assessment (PG-SGA) was used to assess nutritional status (PG-SGA Categories: A = well nourished, B = moderate/suspected malnutrition, C = severely malnourished) in adult patients on four wards of a university hospital at admission, day 5, day 10, and day ≥15. Because data were obtained in the context of clinical routine, not all data points are available for all patients. Last assessment before discharge (within ≤4 d) was taken as predischarge measurement.
PG-SGA data at admission were obtained in 584 patients (age 57.2 ± 17.3 y, 51.4% women, body mass index 27.0 ± 5.5 kg/m2). Prevalence of PG-SGA stage B/C was 31% at admission, 56% on day 5 (n = 292), 66% on day 10 (n = 101), and 79% on day ≥15 (n = 14). PG-SGA predischarge data were available in 537 patients, 36% of whom were PG-SGA stage B/C. Of the 91 patients assessed both at admission and predischarge, 30% of well-nourished patients became malnourished and 82% of malnourished patients remained so.
Prevalence of malnutrition in hospitalized patients is high at admission (31%) and, importantly, also high predischarge (36%). Malnutrition is more prevalent in patients with a longer length of stay. These findings underscore the importance of follow-up of nutritional status in hospitalized patients and adequate transmural nutrition care after discharge to prevent malnutrition from remaining undetected and untreated. |
| doi_str_mv | 10.1016/j.nut.2020.110814 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2406301248</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0899900720300976</els_id><sourcerecordid>2437834498</sourcerecordid><originalsourceid>FETCH-LOGICAL-c424t-5b092965a37feb341b17dde7d2a6e774ae6106326c65081f8d1fec93719649ed3</originalsourceid><addsrcrecordid>eNp9kD1PwzAURS0EoqXwA1hQJBaWFH81jsWEKr5EJRaYLcd-aV2lcbGTSvx7HLUwMDA9We_cq-eD0CXBU4JJcbuetn03pZimN8El4UdoTErBckI5P0ZjXEqZS4zFCJ3FuMYYE1nIUzRiaU9LKsfo9dktV9k2wE430BrIfJ1tdJN6g-ucb7PKd6sszZWPW9fpJtN242IcVrq1Q9K6aFY6LOEcndS6iXBxmBP08fjwPn_OF29PL_P7RW445V0-q7CksphpJmqoGCcVEdaCsFQXIATXUBBcMFqYYpY-VZeW1GAkE-l4LsGyCbrZ926D_-whdipdZKBpdAu-j4ryFMfJQZnQ6z_o2vehTdcliomScS4HiuwpE3yMAWq1DW6jw5ciWA2m1VolI2owrfamU-bq0NxXG7C_iR-1CbjbA5BU7BwEFY0bFFsXwHTKevdP_TdSIY1c</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2437834498</pqid></control><display><type>article</type><title>High prevalence of malnutrition both on hospital admission and predischarge</title><source>Elsevier ScienceDirect Journals Complete</source><creator>van Vliet, Iris M.Y. ; Gomes-Neto, António W. ; de Jong, Margriet F.C. ; Jager-Wittenaar, Harriët ; Navis, Gerjan J.</creator><creatorcontrib>van Vliet, Iris M.Y. ; Gomes-Neto, António W. ; de Jong, Margriet F.C. ; Jager-Wittenaar, Harriët ; Navis, Gerjan J.</creatorcontrib><description>•More than one-third (36%) of patients are malnourished before discharge from hospital.•Prevalence of malnutrition is higher in patients with a longer length of stay.•Approximately 30% of well-nourished patients at admission are malnourished predischarge.•Follow-up of nutritional status and adequate transmural nutritional care are recommended.
In Dutch hospitals malnutrition screening is routinely performed at admission, but not during follow-up or before discharge. Therefore we evaluated nutritional status during hospitalization and predischarge in a routine care setting.
The Patient-Generated Subjective Global Assessment (PG-SGA) was used to assess nutritional status (PG-SGA Categories: A = well nourished, B = moderate/suspected malnutrition, C = severely malnourished) in adult patients on four wards of a university hospital at admission, day 5, day 10, and day ≥15. Because data were obtained in the context of clinical routine, not all data points are available for all patients. Last assessment before discharge (within ≤4 d) was taken as predischarge measurement.
PG-SGA data at admission were obtained in 584 patients (age 57.2 ± 17.3 y, 51.4% women, body mass index 27.0 ± 5.5 kg/m2). Prevalence of PG-SGA stage B/C was 31% at admission, 56% on day 5 (n = 292), 66% on day 10 (n = 101), and 79% on day ≥15 (n = 14). PG-SGA predischarge data were available in 537 patients, 36% of whom were PG-SGA stage B/C. Of the 91 patients assessed both at admission and predischarge, 30% of well-nourished patients became malnourished and 82% of malnourished patients remained so.
Prevalence of malnutrition in hospitalized patients is high at admission (31%) and, importantly, also high predischarge (36%). Malnutrition is more prevalent in patients with a longer length of stay. These findings underscore the importance of follow-up of nutritional status in hospitalized patients and adequate transmural nutrition care after discharge to prevent malnutrition from remaining undetected and untreated.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/j.nut.2020.110814</identifier><identifier>PMID: 32442829</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Body mass index ; Body size ; Data collection ; Data points ; Dietitians ; Hospital malnutrition ; Hospitalization ; Hospitals ; Intervention ; Malnutrition ; Metabolism ; Nutrition ; Nutritional assessment ; Nutritional status ; Otolaryngology ; Patients ; PG-SGA ; Population ; Practice research ; Practice-based research</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 2020-09, Vol.77, p.110814-110814, Article 110814</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><rights>2020. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-5b092965a37feb341b17dde7d2a6e774ae6106326c65081f8d1fec93719649ed3</citedby><cites>FETCH-LOGICAL-c424t-5b092965a37feb341b17dde7d2a6e774ae6106326c65081f8d1fec93719649ed3</cites><orcidid>0000-0001-8601-9850</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0899900720300976$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32442829$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Vliet, Iris M.Y.</creatorcontrib><creatorcontrib>Gomes-Neto, António W.</creatorcontrib><creatorcontrib>de Jong, Margriet F.C.</creatorcontrib><creatorcontrib>Jager-Wittenaar, Harriët</creatorcontrib><creatorcontrib>Navis, Gerjan J.</creatorcontrib><title>High prevalence of malnutrition both on hospital admission and predischarge</title><title>Nutrition (Burbank, Los Angeles County, Calif.)</title><addtitle>Nutrition</addtitle><description>•More than one-third (36%) of patients are malnourished before discharge from hospital.•Prevalence of malnutrition is higher in patients with a longer length of stay.•Approximately 30% of well-nourished patients at admission are malnourished predischarge.•Follow-up of nutritional status and adequate transmural nutritional care are recommended.
In Dutch hospitals malnutrition screening is routinely performed at admission, but not during follow-up or before discharge. Therefore we evaluated nutritional status during hospitalization and predischarge in a routine care setting.
The Patient-Generated Subjective Global Assessment (PG-SGA) was used to assess nutritional status (PG-SGA Categories: A = well nourished, B = moderate/suspected malnutrition, C = severely malnourished) in adult patients on four wards of a university hospital at admission, day 5, day 10, and day ≥15. Because data were obtained in the context of clinical routine, not all data points are available for all patients. Last assessment before discharge (within ≤4 d) was taken as predischarge measurement.
PG-SGA data at admission were obtained in 584 patients (age 57.2 ± 17.3 y, 51.4% women, body mass index 27.0 ± 5.5 kg/m2). Prevalence of PG-SGA stage B/C was 31% at admission, 56% on day 5 (n = 292), 66% on day 10 (n = 101), and 79% on day ≥15 (n = 14). PG-SGA predischarge data were available in 537 patients, 36% of whom were PG-SGA stage B/C. Of the 91 patients assessed both at admission and predischarge, 30% of well-nourished patients became malnourished and 82% of malnourished patients remained so.
Prevalence of malnutrition in hospitalized patients is high at admission (31%) and, importantly, also high predischarge (36%). Malnutrition is more prevalent in patients with a longer length of stay. These findings underscore the importance of follow-up of nutritional status in hospitalized patients and adequate transmural nutrition care after discharge to prevent malnutrition from remaining undetected and untreated.</description><subject>Body mass index</subject><subject>Body size</subject><subject>Data collection</subject><subject>Data points</subject><subject>Dietitians</subject><subject>Hospital malnutrition</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Intervention</subject><subject>Malnutrition</subject><subject>Metabolism</subject><subject>Nutrition</subject><subject>Nutritional assessment</subject><subject>Nutritional status</subject><subject>Otolaryngology</subject><subject>Patients</subject><subject>PG-SGA</subject><subject>Population</subject><subject>Practice research</subject><subject>Practice-based research</subject><issn>0899-9007</issn><issn>1873-1244</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kD1PwzAURS0EoqXwA1hQJBaWFH81jsWEKr5EJRaYLcd-aV2lcbGTSvx7HLUwMDA9We_cq-eD0CXBU4JJcbuetn03pZimN8El4UdoTErBckI5P0ZjXEqZS4zFCJ3FuMYYE1nIUzRiaU9LKsfo9dktV9k2wE430BrIfJ1tdJN6g-ucb7PKd6sszZWPW9fpJtN242IcVrq1Q9K6aFY6LOEcndS6iXBxmBP08fjwPn_OF29PL_P7RW445V0-q7CksphpJmqoGCcVEdaCsFQXIATXUBBcMFqYYpY-VZeW1GAkE-l4LsGyCbrZ926D_-whdipdZKBpdAu-j4ryFMfJQZnQ6z_o2vehTdcliomScS4HiuwpE3yMAWq1DW6jw5ciWA2m1VolI2owrfamU-bq0NxXG7C_iR-1CbjbA5BU7BwEFY0bFFsXwHTKevdP_TdSIY1c</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>van Vliet, Iris M.Y.</creator><creator>Gomes-Neto, António W.</creator><creator>de Jong, Margriet F.C.</creator><creator>Jager-Wittenaar, Harriët</creator><creator>Navis, Gerjan J.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8601-9850</orcidid></search><sort><creationdate>20200901</creationdate><title>High prevalence of malnutrition both on hospital admission and predischarge</title><author>van Vliet, Iris M.Y. ; Gomes-Neto, António W. ; de Jong, Margriet F.C. ; Jager-Wittenaar, Harriët ; Navis, Gerjan J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-5b092965a37feb341b17dde7d2a6e774ae6106326c65081f8d1fec93719649ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Body mass index</topic><topic>Body size</topic><topic>Data collection</topic><topic>Data points</topic><topic>Dietitians</topic><topic>Hospital malnutrition</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Intervention</topic><topic>Malnutrition</topic><topic>Metabolism</topic><topic>Nutrition</topic><topic>Nutritional assessment</topic><topic>Nutritional status</topic><topic>Otolaryngology</topic><topic>Patients</topic><topic>PG-SGA</topic><topic>Population</topic><topic>Practice research</topic><topic>Practice-based research</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Vliet, Iris M.Y.</creatorcontrib><creatorcontrib>Gomes-Neto, António W.</creatorcontrib><creatorcontrib>de Jong, Margriet F.C.</creatorcontrib><creatorcontrib>Jager-Wittenaar, Harriët</creatorcontrib><creatorcontrib>Navis, Gerjan J.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central 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>van Vliet, Iris M.Y.</au><au>Gomes-Neto, António W.</au><au>de Jong, Margriet F.C.</au><au>Jager-Wittenaar, Harriët</au><au>Navis, Gerjan J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High prevalence of malnutrition both on hospital admission and predischarge</atitle><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle><addtitle>Nutrition</addtitle><date>2020-09-01</date><risdate>2020</risdate><volume>77</volume><spage>110814</spage><epage>110814</epage><pages>110814-110814</pages><artnum>110814</artnum><issn>0899-9007</issn><eissn>1873-1244</eissn><abstract>•More than one-third (36%) of patients are malnourished before discharge from hospital.•Prevalence of malnutrition is higher in patients with a longer length of stay.•Approximately 30% of well-nourished patients at admission are malnourished predischarge.•Follow-up of nutritional status and adequate transmural nutritional care are recommended.
In Dutch hospitals malnutrition screening is routinely performed at admission, but not during follow-up or before discharge. Therefore we evaluated nutritional status during hospitalization and predischarge in a routine care setting.
The Patient-Generated Subjective Global Assessment (PG-SGA) was used to assess nutritional status (PG-SGA Categories: A = well nourished, B = moderate/suspected malnutrition, C = severely malnourished) in adult patients on four wards of a university hospital at admission, day 5, day 10, and day ≥15. Because data were obtained in the context of clinical routine, not all data points are available for all patients. Last assessment before discharge (within ≤4 d) was taken as predischarge measurement.
PG-SGA data at admission were obtained in 584 patients (age 57.2 ± 17.3 y, 51.4% women, body mass index 27.0 ± 5.5 kg/m2). Prevalence of PG-SGA stage B/C was 31% at admission, 56% on day 5 (n = 292), 66% on day 10 (n = 101), and 79% on day ≥15 (n = 14). PG-SGA predischarge data were available in 537 patients, 36% of whom were PG-SGA stage B/C. Of the 91 patients assessed both at admission and predischarge, 30% of well-nourished patients became malnourished and 82% of malnourished patients remained so.
Prevalence of malnutrition in hospitalized patients is high at admission (31%) and, importantly, also high predischarge (36%). Malnutrition is more prevalent in patients with a longer length of stay. These findings underscore the importance of follow-up of nutritional status in hospitalized patients and adequate transmural nutrition care after discharge to prevent malnutrition from remaining undetected and untreated.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32442829</pmid><doi>10.1016/j.nut.2020.110814</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-8601-9850</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0899-9007 |
| ispartof | Nutrition (Burbank, Los Angeles County, Calif.), 2020-09, Vol.77, p.110814-110814, Article 110814 |
| issn | 0899-9007 1873-1244 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2406301248 |
| source | Elsevier ScienceDirect Journals Complete |
| subjects | Body mass index Body size Data collection Data points Dietitians Hospital malnutrition Hospitalization Hospitals Intervention Malnutrition Metabolism Nutrition Nutritional assessment Nutritional status Otolaryngology Patients PG-SGA Population Practice research Practice-based research |
| title | High prevalence of malnutrition both on hospital admission and predischarge |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-12T23%3A59%3A52IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=High%20prevalence%20of%20malnutrition%20both%20on%20hospital%20admission%20and%20predischarge&rft.jtitle=Nutrition%20(Burbank,%20Los%20Angeles%20County,%20Calif.)&rft.au=van%20Vliet,%20Iris%20M.Y.&rft.date=2020-09-01&rft.volume=77&rft.spage=110814&rft.epage=110814&rft.pages=110814-110814&rft.artnum=110814&rft.issn=0899-9007&rft.eissn=1873-1244&rft_id=info:doi/10.1016/j.nut.2020.110814&rft_dat=%3Cproquest_cross%3E2437834498%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2437834498&rft_id=info:pmid/32442829&rft_els_id=S0899900720300976&rfr_iscdi=true |