Predictors for achieving protein and energy requirements in undernourished hospital patients

Leistra, E.; Willeboordse, Floor; Schueren, Marian A.E. de van der; Visser, Marjolein; Weijs, P.J.M.; Oord, Annelie Haans van den; Oostenbrink, Jan B.; Evers, A.M.; Kruizenga, Hinke

doi:10.1016/j.clnu.2011.01.008

Cited by 45 publications

(34 citation statements)

References 25 publications

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“…However, the energy intake from the five main meals provided by the hospital kitchen only around 1300 kcal and only very few patient actually met their estimated requirement. Previous studies have reported similar results [27,28]. Furthermore, our result showed that about one third of food from the kitchen was wasted, which is in accordance with other studies suggesting that even though the nutritional value of the hospital food is calculated, much of the food goes to waste and a large proportion of patients fail to meet their nutritional needs [16,17,29e31].…”

Section: Discussionsupporting

confidence: 94%

Energy- and protein intake of surgical patients after the implementation of energy dense hospital menus

Ingadottir

Hilmisdottir

Ramel

et al. 2015

Clinical Nutrition ESPEN

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Section: Discussionsupporting

confidence: 94%

Energy- and protein intake of surgical patients after the implementation of energy dense hospital menus

Ingadottir

Hilmisdottir

Ramel

et al. 2015

Clinical Nutrition ESPEN

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“…A Swiss study by Dupertuis et al 19 concludes that 43%–70% of patients did not meet energy and protein requirements, and an English study 20 revealed high food wastage and low nutrition intakes. A recent Dutch study showed adequate intake in only 25% of patients 9 …”

Section: Methodsmentioning

confidence: 98%

“…A recent Dutch study of 575 hospitalized patients 9 reported that only 25% of patients achieved a sufficient protein and energy intake and that protein requirements were less commonly met than energy requirements. The following factors were identified as predictors for not achieving protein and energy requirements: nausea, cancer, acute infections, BMI, age, chronic lung disease, and tube feeding.…”

Section: Methodsmentioning

confidence: 99%

High Waste Contributes to Low Food Intake in Hospitalized Patients

Schueren¹,

Roosemalen

Weijs³

et al. 2012

Nut in Clin Prac

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“…Most (83.3%) patients in the study consumed less than 75.0% of the prescribed calories and proteins, and only 16.2% had adequate calorie-protein intake. A retrospective study 13 found that only 25.0% of the patients consumed enough calories and proteins by the fourth day of stay. In a 10-year comparative prospective study of hospitals in Switzerland, the authors found that the proportion of undernourished patients remained unchanged (69.0 versus 70.0%) after the implementation of a nutritional program 14 .…”

Section: Discussionmentioning

confidence: 99%

Decreased calorie and protein intake is a risk factor for infection and prolonged length of stay in surgical patients: A prospective cohort study

Assis¹,

Silveira

Beghetto

et al. 2016

Rev. Nutr.

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Objective The aim was to assess whether postoperative calorie and protein intakes increase the risk of infection and prolonged length of stay in a tertiary care university hospital in Southern Brazil. Methods This is a prospective cohort study approved by the hospital's Research Ethics Committee. The sample consisted of adult patients undergoing elective surgery. The exclusion criteria included patients who could not undergo nutritional assessment and those with a planned hospital stay of fewer than 72 hours. Nutritional status was assessed on admission and every seven days thereafter until hospital discharge or death. Demographic and clinical data, as well as information regarding independent and outcome variables, were collected from the patient's records. Food intake assessment was conducted by researchers six times a week. Calorie and protein intakes were considered adequate if equal to or greater than 75% of the prescribed amount, and length of stay was considered prolonged when above the average for specialty and type of surgery. Data was analyzed using Poisson regression. Results Of the 519 study patients, 16.2% had adequate nutritional therapy. Most of these patients were men with ischemic heart disease and acquired immunodeficiency syndrome. After adjusting for confounders, inadequate nutritional therapy increased risk of infection by 121.0% (RR=2.21; 95%CI=1.01-4.86) and risk of prolonged length of stay by 89.0% (RR=1.89; 95%CI=1.01-3.53). Conclusion Most patients did not have adequate nutritional therapy. Those with inadequate nutritional therapy had a higher risk of infection and longer length of stay.

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Predictors for achieving protein and energy requirements in undernourished hospital patients

Cited by 45 publications

References 25 publications

Energy- and protein intake of surgical patients after the implementation of energy dense hospital menus

Energy- and protein intake of surgical patients after the implementation of energy dense hospital menus

High Waste Contributes to Low Food Intake in Hospitalized Patients

Decreased calorie and protein intake is a risk factor for infection and prolonged length of stay in surgical patients: A prospective cohort study

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