Early nutritional therapy for malnourished or nutritionally at-risk adult medical inpatients

Schüetz, Philipp; Yildirim, Prisca Z Blaser; Gloy, Viktoria; Briel, Matthias; Bally, Martina

doi:10.1002/14651858.cd011096

Cited by 7 publications

(6 citation statements)

References 46 publications

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“…The methods used for this updated systematic review and meta-analysis were consistent with an initial analysis, 9 which followed a prespecified Cochrane protocol 12 and the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guidelines, 13 as summarized below.…”

Section: Methodsmentioning

confidence: 99%

Association of Nutritional Support With Clinical Outcomes Among Medical Inpatients Who Are Malnourished or at Nutritional Risk

et al. 2019

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Section: Methodsmentioning

confidence: 99%

Association of Nutritional Support With Clinical Outcomes Among Medical Inpatients Who Are Malnourished or at Nutritional Risk

et al. 2019

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“…A previously published Cochrane protocol outlines our study methods. 15 We included RCTs and quasi-RCTs that randomized noncritically ill medical inpatients with malnutrition or at risk for malnutrition to a nutritional therapy intervention or a control group.…”

Section: Eligibility Criteriamentioning

confidence: 99%

Nutritional Support and Outcomes in Malnourished Medical Inpatients

Yildirim²,

et al. 2016

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IMPORTANCE During acute illness, nutritional therapy is widely used for medical inpatients with malnutrition or at risk for malnutrition. Yet, to our knowledge, no comprehensive trial has demonstrated that this approach is effective and beneficial for patients. OBJECTIVE To assess the effects of nutritional support on outcomes of medical inpatients with malnutrition or at risk for malnutrition in a systematic review of randomized clinical trials (RCTs).

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“…Nutritional problems in hospital patients are complex, resulting from both the consequences of disease and an altered food intake . ‘ Malnutrition is a state of nutrition in which a deficiency or excess (or imbalance) of energy, protein and other nutrients causes measurable adverse effects on tissue/body form (body shape, size and composition) and function and clinical outcome ’ .…”

Section: Introductionmentioning

confidence: 99%

Are energy and protein requirements met in hospital?

Pullen

Collins

Stone³

et al. 2017

J Human Nutrition Diet

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Background Malnutrition is a problem within hospitals, which impacts upon clinical outcomes. The present audit assesses whether a hospital menu meets the energy and protein standards recommended by the British Dietetic Association's (BDA) Nutrition and Hydration Digest and determines the contribution of oral nutrition supplements (ONS) and additional snacks. Methods Patients in a UK South West hospital were categorised as ‘nutritionally well’ or ‘nutritionally vulnerable’ in accordance with their Malnutrition Universal Screening Tool score. Energy and protein content of food selected from the menu (‘menu choice’), menu food consumed (‘hospital intake’) and total food consumed including snacks (‘overall intake’) were calculated and compared with the standards. Results In total, 93 patients were included. For ‘nutritionally well’ patients (n = 81), energy and protein standards were met by 11.1% and 33.3% (‘menu choice’); 7.4% and 22.2% (‘hospital intake’); and 14.8% and 28.4% (‘overall intake’). For ‘nutritionally vulnerable’ patients (n = 12), energy and protein standards were met by 0% and 8.3% (‘menu choice’); 0% and 8.3% (‘hospital intake’); and 8.3% and 16.7% (‘overall intake’). Ten percent of patients consumed ONS. Patients who consumed hospital snacks (34%) were more likely to meet the nutrient standards (P ≤ 0.001). Conclusions The present audit demonstrated that most patients are not meeting the nutrient standards recommended by the BDA Nutrition and Hydration Digest. Recommendations include the provision of energy/protein‐dense snacks, as well as menu, offering ONS where clinically indicated, in addition to training for staff. A food services dietitian is ideally placed to lead this, forming a vital link between patients, caterers and clinical teams.

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Early nutritional therapy for malnourished or nutritionally at-risk adult medical inpatients

Cited by 7 publications

References 46 publications

Association of Nutritional Support With Clinical Outcomes Among Medical Inpatients Who Are Malnourished or at Nutritional Risk

Association of Nutritional Support With Clinical Outcomes Among Medical Inpatients Who Are Malnourished or at Nutritional Risk

Nutritional Support and Outcomes in Malnourished Medical Inpatients

Are energy and protein requirements met in hospital?

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