Nutritional screening for improving professional practice for patient outcomes in hospital and primary care settings

Abstract

Costs were com pared by m easuring tim e spent on training and extra tim e needed f or screening m onitoring and intervening in the intervention group; m aterials used, such as diagnostic tests f or inf ection and supplem ents, in control and intervention group; and num ber of in-hospital days f or both groups. No discounting has been perf orm ed, as the study duration is less than one year. No price year was m entioned. xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx 5 Nutritional screening for improving professional practice for patient outcomes in hospital and primary care settings (Review)

Comparison of the Mini-Nutritional Assessment short and long form and serum albumin as prognostic indicators of hip fracture outcomes

“…Many studies recommend measuring nutritional status in geriatric patients (1, 3, 5-7, 19, 20), although the screening benefits remain uncertain in the Cochrane Database 2013 (16). An increase in the nutritional intake during hip fracture care and reduction in complications and improvement in the quality of life have been shown (31,32).…”

Nutritional screening and dietitian consultation rates in a geriatric evaluation and management unit

“…However, many barriers for nutritional screening exist in the hospital setting, including: cost, the perception that nutritional screening is time and labour intensive, indecision associated with which nutritional screening tool to use, the lack of routine nutritional screening in many hospitals, inadequate information on how to administer a nutritional screening tool correctly, the common belief by nursing staff that individual judgement of nutritional status is superior to that of a nutritional screening tool, and that nutritional screening is not important on admission . Moreover, when nutritional screening does identify a malnourished patient, it does not always lead to a patient's referral to a dietitian for entry in the NCP …”

“…13 Moreover, when nutritional screening does identify a malnourished patient, it does not always lead to a patient's referral to a dietitian for entry in the NCP. 14,15 In a population of hospitalised older adults, the present study aimed to determine: (i) the rate of nutritional screening; (ii) whether nutritional screening led to dietitian consultation and (iii) factors associated with malnutrition.…”

Mini Nutritional Assessment Short‐Form (MNA‐SF) Predicts Clinical Outcomes: Cohort Study of Small‐Sized Hospital in Japan

“…Among the aged, the rate of nutritional deficiency is increasingly common, and the relationship with malnutrition and the clinical outcomes is important to identify. 1 There are various ways of assessing nutritional status, the Mini Nutritional Assessment (MNA) is a nutritional assessment tool that was developed for the elderly and which is an 18-item interview. The assessment has identified independent predictictors such as mortality rate, the number of days being hospitalized, and the period of stay in a facility.…”