How nutritional risk is assessed and managed in European hospitals: A survey of 21,007 patients findings from the 2007–2008 cross-sectional nutritionDay survey

Schindler, Karin; Pernicka, Elisabeth; Laviano, Alessandro; Howard, Pat; Schütz, Tatjana; Bauer, Péter; Grecu, I.; Jonkers, C.; Kondrup, Jens; Ljungqvist, Olle; Mouhieddine, M.; Pichard, Claude; Singer, Pierre; Schneider, S.; Schuh, Christian; Hiesmayr, Michael

doi:10.1016/j.clnu.2010.04.001

Cited by 235 publications

(188 citation statements)

References 23 publications

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“…And as time restraints were often mentioned as a relevant factor, it seems that many surgeons still prefer these parameters as a surrogate for an effective nutritional assessment. Our findings are in accordance with a recent European multicentric study that reported an overall routine nutritional screening rate of 52% in the participating countries (Schindler et al, 2010). A remarkably high screening rate of 93% was reported from the United Kingdom, whereas only 33% of the partner hospitals in Germany and Austria performed nutritional screening; Locally developed tools were preferred over comprehensive screening instruments such as the NRS or the Malnutrition Universal Screening Tool (MUST) as in our study.…”

Section: Nutritional Screeningsupporting

confidence: 81%

“…Although time restraints were mentioned by 32% as main reasons against the use of perioperative nutrition, it would be expected that a multidisciplinary approach would facilitate the proper implementation of routine nutritional screening and nutritional support. The Nutrition Day study did not find a major impact of nutritional specialists on quality of care and their findings go along with our results that nutritional teams do not do any better (Schindler et al, 2010).…”

Section: Impact Of Multidisciplinary Collaboration In Perioperative Nsupporting

confidence: 76%

“…Implementation of nutritional support strategies into daily clinical practice encounters many difficulties and considerable efforts are needed to be successful (Hiesmayr et al, 2009;Schindler et al, 2010). To facilitate this process, guidelines provided by the American and European Nutritional Societies may be helpful.…”

Section: Introductionmentioning

confidence: 99%

“…This is particularly related to the fact that even severe pre-existing comorbidities, like cardiovascular disease, pulmonary restrictions, impaired renal function and malnutrition, as well as age are no longer considered as contraindications for major GI surgery. There is increasing evidence that nutritional screening and therapy are important adjuncts in modern surgical care as 40% of surgical patients are malnourished (Bozzetti et al, 2007;Schiesser et al, 2008;Sorensen et al, 2008;Hiesmayr et al, 2009;Schindler et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

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Perioperative nutrition is still a surgical orphan: results of a Swiss–Austrian survey

et al. 2011

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Background/Objectives: There is strong evidence for the beneficial effects of perioperative nutrition in patients undergoing major surgery. We aimed to evaluate implementation of current guidelines in Switzerland and Austria. Subjects/Methods: A survey was conducted in 173 Swiss and Austrian surgical departments. We inquired about nutritional screening, perioperative nutrition and estimated clinical significance. Results: The overall response rate was 55%, having 69% (54/78) responders in Switzerland and 44% (42/95) in Austria. Most centres were aware of reduced complications (80%) and shorter hospital stay (59%). However, only 20% of them implemented routine nutritional screening. Non-compliance was because of financial (49%) and logistic restrictions (33%). Screening was mainly performed in the outpatient's clinic (52%) or during admission (54%). The nutritional risk score was applied by 14% only; instead, various clinical (78%) and laboratory parameters (56%) were used. Indication for perioperative nutrition was based on preoperative screening in 49%. Although 23% used preoperative nutrition, 68% applied nutritional support pre-and postoperatively. Preoperative nutritional treatment ranged from 3 days (33%), to 5 (31%) and even 7 days (20%). Conclusions: Although malnutrition is a well-recognised risk factor for poor post-operative outcome, surgeons remain reluctant to implement routine screening and nutritional support according to evidence-based guidelines.

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Section: Nutritional Screeningsupporting

confidence: 81%

Section: Impact Of Multidisciplinary Collaboration In Perioperative Nsupporting

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perioperative nutrition is still a surgical orphan: results of a Swiss–Austrian survey

et al. 2011

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“…The 24-hour recall, which was validated in our center, was divided into the four intakes of the hospital menu and the amount ingested was registered according to the scale used in the Nutrition Day (all, more than a half, half, less than a half, nothing) (16,17). Actual intake was calculated based on the content of protein and energy of the hospital diet components, and the intake recorded by the patient during 24-hour recall.…”

Section: Methodsmentioning

confidence: 99%

A short nutritional intervention in a cohort of hematological inpatients improves energy and protein intake and stabilizes nutritional status

Taibo¹,

Calleja-Fernández²,

Vidal-Casariego³

et al. 2017

Nutr Hosp

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A short nutritional intervention in a cohort of hematological inpatients improves energy and protein intake and stabilizes nutritional status Una intervención nutricional en una cohorte de pacientes hospitalizados hematológicos mejora la ingesta calórico-proteica y estabiliza el estado nutricional ResumenIntroducción: las enfermedades oncohematológicas se asocian con una elevada prevalencia de malnutrición. Objetivo: nuestro objetivo es determinar si la detección y el tratamiento precoz de la malnutrición en los pacientes hematológicos hospitalizados pueden mejorar su ingesta, su estado nutricional y reducir la estancia hospitalaria. Métodos: estudio prospectivo de 2 años de duración realizado en una cohorte de pacientes hematológicos hospitalizados. El Malnutrition Screening Tool (MST) fue el método de cribado efectuado el primer día del ingreso. En los pacientes con un resultado positivo en el cribado se realizó una valoración nutricional completa y una intervención terapéutica cuando fue preciso, siguiendo la práctica clínica habitual. La valoración nutricional se repitió una semana después de la inicial. Resultados: se evaluaron 617 pacientes hematológicos (de los cuales el 37,8% tuvo un resultado positivo en el cribado). Tras una semana de ingreso, la mediana de ingesta aumentó del 80% al 90% de la dieta (p < 0,001), y se logró un incremento en el consumo de 407,36 (DE 679,37) Kcal y 17,58 (DE 31,97) g de proteínas. El número de pacientes que alcanzaron sus requerimientos calórico-proteicos aumentó (41,6% vs. 63,3%, p = 0,009) y los parámetros nutricionales permanecieron estables. La estancia hospitalaria tendió a ser menor en los pacientes que cubrían sus necesidades nutricionales (3,5 a 4,5 días menos). Conclusiones: la implantación de un método de cribado nutricional precoz y la realización de intervenciones nutricionales cortas consiguió mejorar la ingesta calórico-proteica, aumentando el porcentaje de pacientes que cubrían sus necesidades y evitando el deterioro del estado nutricional. AbstractIntroduction: Oncohematological diseases are associated with an important prevalence of malnutrition. Aim: Our aim is to determine if early recognition and treatment of malnourished hematological inpatients can improve their oral intake, nutritional status and reduce the length of hospital stay. Methods: Prospective 2-year study conducted in a cohort of hematology inpatients. Malnutrition Screening Tool (MST) was carried out on the fi rst day of admission. Patients with a positive screening were recruited to have a complete nutritional evaluation and intervention, following usual clinical practice. Nutritional evaluation was repeated after one week.Results: Six hundred and seventeen hematological patients were screened (37.8% with positive screening). After one week, median diet intake increased from 80% to 90% (p < 0.001), and an increase of 407.36 Kcal (SD 679.37) and 17.58 g of protein (SD 31.97) was also achieved. More patients reached their energy and protein requirements (41.6 vs.% 63.3%, p = 0.009) and nu...

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Successful Product Launch: Combining Industrial Technologies with Adapted Health Ingredients

Ronfard¹

2014

Food Oligosaccharides

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How nutritional risk is assessed and managed in European hospitals: A survey of 21,007 patients findings from the 2007–2008 cross-sectional nutritionDay survey

Cited by 235 publications

References 23 publications

Perioperative nutrition is still a surgical orphan: results of a Swiss–Austrian survey

Perioperative nutrition is still a surgical orphan: results of a Swiss–Austrian survey

A short nutritional intervention in a cohort of hematological inpatients improves energy and protein intake and stabilizes nutritional status

Successful Product Launch: Combining Industrial Technologies with Adapted Health Ingredients

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