Malnutrition in hospitalised patients; a real concern in surgical outcomes

Mahakalkar, Chandrashekhar; Modi, Suchita; Yeola, Meenakshi; Kaple, Meghali; Patwardhan, Maneesha A.; Laddha, Pratik

doi:10.5455/2320-6012.ijrms20140248

Cited by 15 publications

(17 citation statements)

References 44 publications

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“…Dietary counseling for each and every patient is required to avoid hospital-induced malnutrition in surgical wards. [13] Most of the patients were satisfied with the services provided by the various diagnostic centers. The less number of physiotherapies indicates that very few patients are referred to that facility.…”

Section: Discussionmentioning

confidence: 92%

Measuring patient satisfaction: a need of the day for tertiary care services

Mahakalkar¹,

Kaple²,

Jain³

et al. 2015

Int J Med Sci Public Health

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admissions process, encounters with physicians, nurses, lab personnel, and other service providers and their respective physical locations, including patient rooms and the care they receive while in their room, the discharge process, and finally the billing/payment process. There is any number of factors that could impact the patient's perception of the care provided throughout an inpatient stay. Patient satisfaction is as important as other clinical health measures and is a primary means of measuring the effectiveness of health-care delivery. The current competitive environment has forced health-care organizations to focus on patient satisfaction as a way to gain and maintain market share. If you don't know what your strengths and weaknesses are, you can't compete effectively. Mismatch between the patient expectation and the service received is related to decreased satisfaction. [1] Therefore, Background: Patient satisfaction is an important measure as it is a primary means of measuring the effectiveness of health-care delivery and success of health-care facility. Objective: To evaluate the satisfaction level of the patients admitted in surgical wards. Materials and Methods: It was a hospital-based cross-sectional questionnaire based study carried out at Acharya Vinoba Bhave Rural Hospital (AVBRH), Sawangi (Meghe), Wardha, Maharashtra, India. The study was conducted from February 2014 to May 2014 among the patients admitted in surgical wards of AVBRH with a minimum hospital stay of 2 days. The study was conducted for 4 months involving 210 patients. Results: The total number of patients involved in the study was 210 and male-to-female ratio was 2.6:1. The mean satisfaction level for admissions and discharge services was 130 ± 28.80104 (SE = 12.88022) and it was statistically significant (p = 0.00148). The mean satisfaction level for physician services was 128.50 ± 30.94484 (SE = 15.47242) and for nursing services was 95.3333 ± 16.16581 (SE = 9.33333). The overall level of satisfaction (75.24%) was good. Conclusion: Assessments of patient satisfaction and evaluation of the factors for dissatisfaction are relevant to strengthen the bonding between the health-care facility and the faith of a community. The cost effectiveness of the services provided would also go a long way to maintain the bond between the doctor and the patient for the achievement of the optimal level of health of the people.

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Section: Discussionmentioning

confidence: 92%

Measuring patient satisfaction: a need of the day for tertiary care services

Mahakalkar¹,

Kaple²,

Jain³

et al. 2015

Int J Med Sci Public Health

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“…Seven studies evaluated longitudinal changes in measures of nutritional status during hospitalisation, including two studies each in general, surgical, and critically ill populations and one study in patients with cancer [22,30,59,69,75,76,94].…”

Section: Change In Prevalence During Hospitalisationmentioning

confidence: 99%

“…In a prospective study of 70 surgical patients from a tertiary care hospital in India, Mahakalkar et al [59] reported that the prevalence of malnutrition according to BMI increased from 36% at the time of admission to 51% at discharge. Consistent with this finding, Young et al [69] reported significant weight loss during hospitalisation in 48 Vietnamese surgical patients; mean weight declined from 47.2 ± 8.7 kg at admission to 45.2 ± 8.4 kg at discharge (mean difference, À2.0 ± 1.6 kg; p < 0.001).…”

Section: Change In Prevalence During Hospitalisationmentioning

confidence: 99%

Hospital malnutrition in northeast and southeast Asia: A systematic literature review

Inciong

Chaudhary²,

Hsu

et al. 2020

Clinical Nutrition ESPEN

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Background & aims: Hospital malnutrition is a prevalent yet frequently under-recognised condition that is associated with adverse clinical and economic consequences. Systematic reviews from various regions of the world have provided regional estimates of the prevalence of malnutrition and the magnitude of the associated health and economic burden; however, a systematic assessment of the prevalence and consequences of hospital malnutrition in northeast and southeast Asia has not been conducted. Methods: We performed a systematic literature search for articles on hospital malnutrition in 11 Asian countries published in English between January 1, 1997 and January 15, 2018. Studies reporting data on the prevalence, clinical consequences, or economic impact of hospital malnutrition in an adult inpatient population with a sample size !30 were eligible for inclusion. Results: The literature search identified 3207 citations; of these, 92 studies (N ¼ 62,280) met the criteria for inclusion. There was substantial variability in study populations and assessment methods; however, a majority of studies reported a malnutrition prevalence of >40%. Malnutrition was associated with an increase in clinical complications, mortality, length of hospitalisation, hospital readmissions, and healthcare costs. Conclusions: Hospital malnutrition is a highly prevalent condition among hospitalised patients in northeast and southeast Asia. Additionally, poor nutritional status is associated with increased morbidity and mortality and increased healthcare costs. Further research aimed at improving the identification and proactive management of hospitalised patients at risk for malnutrition is necessary to improve patient outcomes and alleviate the burden on local healthcare budgets.

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“…Beslenme yetersizliği cerrahi hastalarında ciddi sonuçlara sebep olmaktadır. En önemli sonuçlar arasında; yara iyileşmesinde yavaşlama, komplikasyonlarda artış, hastanede kalış süresinde uzama, morbidite, mortalite oranlarında ve bakım maliyetlerinde artma sayılabilir (1,2,5,6,8,9). Beslenme yetersizliği, hastalık sürecini etkileyen ciddi bir faktör olduğundan, beslenme ve metabolik destek, hasta bakımının sürekli ve önemli bir parçası olmalıdır (10,11).…”

Section: Introductionunclassified

An Examination of the Knowledge, Attitudes and Practice of Nurses Regarding the Nutrition of Surgery Patients

Özşaker¹,

Karasu²

2019

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi

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Amaç: Bu araştırma, cerrahi birimlerde çalışan hemşirelerin cerrahi hastalarının beslenmesine ilişkin bilgi, tutum ve uygulamalarını belirlemek amacıyla yapıldı. Yöntem: Tanımlayıcı tipteki bu araştırma, İzmir ilinde iki üniversite hastanesinin cerrahi birimlerinde çalışan 252 hemşire ile Haziran-Ekim 2014 tarihleri arasında yapıldı. Araştırmada veri toplama aracı olarak araştırmacılar tarafından geliştirilen ve cerrahi hemşirelerinin sosyodemografik özellikleri ile beslenmeye ilişkin bilgi, tutum ve uygulamalarını değerlendiren 48 sorudan oluşan anket formu kullanıldı. Veri analizinde, sayı, yüzde, ortalama, Mann Whitney U, Kruskal Wallis testleri, Cronbach's α ve Spearman rank korelasyon analizleri kullanıldı. Bulgular: Cerrahi hemşirelerin, cerrahi hastasının beslenmesine ilişkin ortalama bilgi skorunun %75.75 olduğu, ortalama tutum skorunun %82.57 olduğu ve %63.9'unun cerrahi hastasının beslenmesine ilişkin bilgi puanlarının iyi düzeyde olduğu saptandı. Sonuç: Araştırma sonucunda cerrahi hemşirelerinin beslenmeye ilişkin bilgi ve tutum skorlarının yüksek olduğu, bilgi düzeyi puanları arttıkça tutum puanlarının da arttığı saptandı.

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Malnutrition in hospitalised patients; a real concern in surgical outcomes

Cited by 15 publications

References 44 publications

Measuring patient satisfaction: a need of the day for tertiary care services

Measuring patient satisfaction: a need of the day for tertiary care services

Hospital malnutrition in northeast and southeast Asia: A systematic literature review

An Examination of the Knowledge, Attitudes and Practice of Nurses Regarding the Nutrition of Surgery Patients

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