Prevalence of undernutrition on admission to Swiss hospitals
Summary Background & aims According to the literature, undernutrition is prevalent in 20–60% of patients on hospital admission. The differences in the rate of undernutrition arise from different diagnostic tools used in the studies. We aimed to investigate the prevalence of undernutrition in Swi...
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| Veröffentlicht in: | Clinical nutrition (Edinburgh, Scotland) Scotland), 2010-02, Vol.29 (1), p.38-41 |
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| creator | Imoberdorf, Reinhard Meier, Remy Krebs, Peter Hangartner, Paul J Hess, Bernhard Stäubli, Max Wegmann, Daniel Rühlin, Maya Ballmer, Peter E |
| description | Summary Background & aims According to the literature, undernutrition is prevalent in 20–60% of patients on hospital admission. The differences in the rate of undernutrition arise from different diagnostic tools used in the studies. We aimed to investigate the prevalence of undernutrition in Swiss hospitals using a standardized screening tool. Methods All patients admitted to the departments of internal medicine of 7 Swiss hospitals were screened at entry for nutritional status using the Nutrition Risk Screening 2002 score. Patients with a score of 3 or more, which denotes severe undernutrition or patient “at risk” for undernutrition were analyzed. Results Between May 2003 and April 2006 32 837 patients were included in the study. 5978 (18.2%) had a score of 3 or more and were classified as severely undernourished or at high risk for undernutrition (age < 45 y: 8%; 45–64 y: 11%; 65–84 y: 22%; >85 y: 28%). A nutritional intervention was made in 4175 patients (12.7%). Conclusions Nearly one in five patients was severely undernourished or “at risk” for undernutrition. Undernutrition was directly related to age. Patients with a clear indication for nutrition therapy, as suggested by the formal screening procedure, obtained nutritional intervention in 70%. |
| doi_str_mv | 10.1016/j.clnu.2009.06.005 |
| format | Article |
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The differences in the rate of undernutrition arise from different diagnostic tools used in the studies. We aimed to investigate the prevalence of undernutrition in Swiss hospitals using a standardized screening tool. Methods All patients admitted to the departments of internal medicine of 7 Swiss hospitals were screened at entry for nutritional status using the Nutrition Risk Screening 2002 score. Patients with a score of 3 or more, which denotes severe undernutrition or patient “at risk” for undernutrition were analyzed. Results Between May 2003 and April 2006 32 837 patients were included in the study. 5978 (18.2%) had a score of 3 or more and were classified as severely undernourished or at high risk for undernutrition (age < 45 y: 8%; 45–64 y: 11%; 65–84 y: 22%; >85 y: 28%). A nutritional intervention was made in 4175 patients (12.7%). Conclusions Nearly one in five patients was severely undernourished or “at risk” for undernutrition. Undernutrition was directly related to age. Patients with a clear indication for nutrition therapy, as suggested by the formal screening procedure, obtained nutritional intervention in 70%.</description><identifier>ISSN: 0261-5614</identifier><identifier>EISSN: 1532-1983</identifier><identifier>DOI: 10.1016/j.clnu.2009.06.005</identifier><identifier>PMID: 19573958</identifier><identifier>CODEN: CLNUDP</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cohort Studies ; Dietary fortification ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Gastroenterology and Hepatology ; Hospitalization ; Humans ; Intervention ; Male ; Malnutrition - epidemiology ; Mass Screening - methods ; Mass Screening - statistics & numerical data ; Medical sciences ; Metabolic diseases ; Middle Aged ; Nutritional risk ; Nutritional Status ; Oral supplements ; Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...) ; Prevalence ; Risk Factors ; Screening ; Severity of Illness Index ; Switzerland - epidemiology ; Undernutrition ; Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><ispartof>Clinical nutrition (Edinburgh, Scotland), 2010-02, Vol.29 (1), p.38-41</ispartof><rights>Elsevier Ltd and European Society for Clinical Nutrition and Metabolism</rights><rights>2009 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism</rights><rights>2015 INIST-CNRS</rights><rights>Copyright 2009 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-cfee5529b18bc51e7a5745d16b0b9ab6e62b4560b9c30fd5061db7f154982c333</citedby><cites>FETCH-LOGICAL-c440t-cfee5529b18bc51e7a5745d16b0b9ab6e62b4560b9c30fd5061db7f154982c333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.clnu.2009.06.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22415184$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19573958$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Imoberdorf, Reinhard</creatorcontrib><creatorcontrib>Meier, Remy</creatorcontrib><creatorcontrib>Krebs, Peter</creatorcontrib><creatorcontrib>Hangartner, Paul J</creatorcontrib><creatorcontrib>Hess, Bernhard</creatorcontrib><creatorcontrib>Stäubli, Max</creatorcontrib><creatorcontrib>Wegmann, Daniel</creatorcontrib><creatorcontrib>Rühlin, Maya</creatorcontrib><creatorcontrib>Ballmer, Peter E</creatorcontrib><title>Prevalence of undernutrition on admission to Swiss hospitals</title><title>Clinical nutrition (Edinburgh, Scotland)</title><addtitle>Clin Nutr</addtitle><description>Summary Background & aims According to the literature, undernutrition is prevalent in 20–60% of patients on hospital admission. The differences in the rate of undernutrition arise from different diagnostic tools used in the studies. We aimed to investigate the prevalence of undernutrition in Swiss hospitals using a standardized screening tool. Methods All patients admitted to the departments of internal medicine of 7 Swiss hospitals were screened at entry for nutritional status using the Nutrition Risk Screening 2002 score. Patients with a score of 3 or more, which denotes severe undernutrition or patient “at risk” for undernutrition were analyzed. Results Between May 2003 and April 2006 32 837 patients were included in the study. 5978 (18.2%) had a score of 3 or more and were classified as severely undernourished or at high risk for undernutrition (age < 45 y: 8%; 45–64 y: 11%; 65–84 y: 22%; >85 y: 28%). A nutritional intervention was made in 4175 patients (12.7%). Conclusions Nearly one in five patients was severely undernourished or “at risk” for undernutrition. Undernutrition was directly related to age. Patients with a clear indication for nutrition therapy, as suggested by the formal screening procedure, obtained nutritional intervention in 70%.</description><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Dietary fortification</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology and Hepatology</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Malnutrition - epidemiology</subject><subject>Mass Screening - methods</subject><subject>Mass Screening - statistics & numerical data</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>Nutritional risk</subject><subject>Nutritional Status</subject><subject>Oral supplements</subject><subject>Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Screening</subject><subject>Severity of Illness Index</subject><subject>Switzerland - epidemiology</subject><subject>Undernutrition</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><issn>0261-5614</issn><issn>1532-1983</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kd9rFDEQgIMo9jz9B3yQfZE-7TpJNskGiiClVqFgofocstlZzLmXnMlupf99s9xhwQchMBn45gffEPKWQkOByg-7xk1haRiAbkA2AOIZ2VDBWU11x5-TDTBJayFpe0Ze5byDQnDVvSRnVAvFteg25OI24b2dMDis4lgtYcAUljn52cdQlWeHvc95TeZY3f0p_-pnzAc_2ym_Ji_GEvDNKW7Jj89X3y-_1Dffrr9efrqpXdvCXLsRUQime9r1TlBUVqhWDFT20GvbS5Ssb4UsieMwDgIkHXo1UtHqjjnO-ZacH_seUvy9YJ5N2cnhNNmAcclGFaZTSslCsiPpUsw54WgOye9tejAUzCrN7MwqzazSDEizKtmSd6f2S7_H4ankZKkA70-Azc5OY7LB-fyXY6ylgnZt4S6OHBYZ9x6Tyc6vagef0M1miP7_e3z8p9xNPvgy8Rc-YN7FJYWi2VCTmQFzt553vS5oAMo154_riZ83</recordid><startdate>20100201</startdate><enddate>20100201</enddate><creator>Imoberdorf, Reinhard</creator><creator>Meier, Remy</creator><creator>Krebs, Peter</creator><creator>Hangartner, Paul J</creator><creator>Hess, Bernhard</creator><creator>Stäubli, Max</creator><creator>Wegmann, Daniel</creator><creator>Rühlin, Maya</creator><creator>Ballmer, Peter E</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100201</creationdate><title>Prevalence of undernutrition on admission to Swiss hospitals</title><author>Imoberdorf, Reinhard ; Meier, Remy ; Krebs, Peter ; Hangartner, Paul J ; Hess, Bernhard ; Stäubli, Max ; Wegmann, Daniel ; Rühlin, Maya ; Ballmer, Peter E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-cfee5529b18bc51e7a5745d16b0b9ab6e62b4560b9c30fd5061db7f154982c333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Dietary fortification</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology and Hepatology</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Malnutrition - epidemiology</topic><topic>Mass Screening - methods</topic><topic>Mass Screening - statistics & numerical data</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Middle Aged</topic><topic>Nutritional risk</topic><topic>Nutritional Status</topic><topic>Oral supplements</topic><topic>Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Screening</topic><topic>Severity of Illness Index</topic><topic>Switzerland - epidemiology</topic><topic>Undernutrition</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Imoberdorf, Reinhard</creatorcontrib><creatorcontrib>Meier, Remy</creatorcontrib><creatorcontrib>Krebs, Peter</creatorcontrib><creatorcontrib>Hangartner, Paul J</creatorcontrib><creatorcontrib>Hess, Bernhard</creatorcontrib><creatorcontrib>Stäubli, Max</creatorcontrib><creatorcontrib>Wegmann, Daniel</creatorcontrib><creatorcontrib>Rühlin, Maya</creatorcontrib><creatorcontrib>Ballmer, Peter E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nutrition (Edinburgh, Scotland)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Imoberdorf, Reinhard</au><au>Meier, Remy</au><au>Krebs, Peter</au><au>Hangartner, Paul J</au><au>Hess, Bernhard</au><au>Stäubli, Max</au><au>Wegmann, Daniel</au><au>Rühlin, Maya</au><au>Ballmer, Peter E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of undernutrition on admission to Swiss hospitals</atitle><jtitle>Clinical nutrition (Edinburgh, Scotland)</jtitle><addtitle>Clin Nutr</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>29</volume><issue>1</issue><spage>38</spage><epage>41</epage><pages>38-41</pages><issn>0261-5614</issn><eissn>1532-1983</eissn><coden>CLNUDP</coden><abstract>Summary Background & aims According to the literature, undernutrition is prevalent in 20–60% of patients on hospital admission. The differences in the rate of undernutrition arise from different diagnostic tools used in the studies. We aimed to investigate the prevalence of undernutrition in Swiss hospitals using a standardized screening tool. Methods All patients admitted to the departments of internal medicine of 7 Swiss hospitals were screened at entry for nutritional status using the Nutrition Risk Screening 2002 score. Patients with a score of 3 or more, which denotes severe undernutrition or patient “at risk” for undernutrition were analyzed. Results Between May 2003 and April 2006 32 837 patients were included in the study. 5978 (18.2%) had a score of 3 or more and were classified as severely undernourished or at high risk for undernutrition (age < 45 y: 8%; 45–64 y: 11%; 65–84 y: 22%; >85 y: 28%). A nutritional intervention was made in 4175 patients (12.7%). Conclusions Nearly one in five patients was severely undernourished or “at risk” for undernutrition. Undernutrition was directly related to age. Patients with a clear indication for nutrition therapy, as suggested by the formal screening procedure, obtained nutritional intervention in 70%.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>19573958</pmid><doi>10.1016/j.clnu.2009.06.005</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Age Distribution Aged Aged, 80 and over Biological and medical sciences Cohort Studies Dietary fortification Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Gastroenterology and Hepatology Hospitalization Humans Intervention Male Malnutrition - epidemiology Mass Screening - methods Mass Screening - statistics & numerical data Medical sciences Metabolic diseases Middle Aged Nutritional risk Nutritional Status Oral supplements Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...) Prevalence Risk Factors Screening Severity of Illness Index Switzerland - epidemiology Undernutrition Vertebrates: anatomy and physiology, studies on body, several organs or systems |
| title | Prevalence of undernutrition on admission to Swiss hospitals |
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