Prevalence of malnutrition in nonsurgical hospitalized patients and its association with disease complications

Naber, Ton H. J.; Schermer, Tjard; Bree, Angelika de; Nusteling, K.; Eggink, L.; Kruimel, Joanna W.; Bakkeren, J. A. J. M.; Heereveld, H. van; Katan, M.B.

doi:10.1093/ajcn/66.5.1232

Cited by 346 publications

(229 citation statements)

References 19 publications

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“…There was a significant difference in the median length of stay of patients who were well-nourished compared to patients who were moderately or severely malnourished (P ¼ 0.024), with 9% of the variance in length of stay being attributable to nutritional status. This is consistent with the findings of Naber et al (1997) and Reilly et al (1988), who found that malnourished hospital patients had a longer length of stay than wellnourished patients. Although there was a trend towards increased mortality within 30 days of discharge for each of the SGA classifications, this was not statistically significant.…”

Section: Discussionsupporting

confidence: 92%

Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer

2002

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Objective: To evaluate the use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Design: An observational study assessing the nutritional status of patients with cancer. Setting: Oncology ward of a private tertiary Australian hospital. Subjects: Seventy-one cancer patients aged 18 -92 y. Intervention: Scored PG-SGA questionnaire, comparison of scored PG-SGA with subjective global assessment (SGA), sensitivity, specificity. Results: Some 24% (17) of 71 patients were well nourished, 59% (42) of patients were moderately or suspected of being malnourished and 17% (12) of patients were severely malnourished according to subjective global assessment (SGA). The PG-SGA score had a sensitivity of 98% and a specificity of 82% at predicting SGA classification. There was a significant difference in the median PG-SGA scores for each of the SGA classifications (P < 0.001), with the severely malnourished patients having the highest scores. Re-admission within 30 days of discharge was significantly different between SGA groups (P ¼ 0.037). The mortality rate within 30 days of discharge was not significantly different between SGA groups (P ¼ 0.305). The median length of stay of well nourished patients (SGA A) was significantly lower than that of the malnourished (SGA B þ C) patients (P ¼ 0.024). Conclusion:The scored PG-SGA is an easy to use nutrition assessment tool that allows quick identification and prioritisation of malnutrition in hospitalised patients with cancer.

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Section: Discussionsupporting

confidence: 92%

Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer

2002

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“…Undernutrition is considered to be a multifactorial disorder caused by metabolic effects of underlying disease, reduced nutritional intake, and additional factors that might increase the general risk of developing nutritional deficits such as age, therapeutic interventions, educational level, and/or low socioeconomic status of the patient (1,2).…”

Section: Introductionmentioning

confidence: 99%

A study in four European countries to examine the importance of sensory attributes of oral nutritional supplements on preference and likelihood of compliance

Ozcagli¹,

Stelling²,

Stanford³

2013

Turk J Gastroenterol

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“…Malnutrition continues to be recognized as a signi®cant component of acute medical illness in 45 ± 62% of hospitalized patients (Naber et al, 1997), ®gures that are unchanged from surveys performed over two decades ago (Weinsier et al, 1979). While convincing controlled studies are often lacking, nutrition support has become a standard of care in the inpatient treatment of the postoperative surgical patient, critically ill patients such as those with severe burns or other trauma, and in diseases that compromise digestion such as severe in¯ammatory bowel disease and the short bowel syndrome .…”

Section: Why Nutrition Education Is Critical To the Practicing Physicianmentioning

confidence: 99%

The relevance of clinical nutrition education and role models to the practice of medicine

Halsted

1999

Eur J Clin Nutr

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Clinical nutrition is concerned with the diagnosis and treatment of diseases that affect the intake, absorption, and metabolism of dietary constituents and with the promotion of health through the prevention of diet related diseases. Adult diseases of clinical nutrition encompass the most common causes of mortality in the developed world and include obesity with its co-morbidities of hypertension, diabetes, dyslipidemias, increased risks of cardiovascular disease, some cancers, and pulmonary failure; intestinal disorders related to inadequate nutrient absorption; eating disorders; and malnutrition associated with chronic illness and surgical trauma. Scienti®c advances on the relationship of dietary substances to the cellular mechanisms of disease occur with regularity and frequency. Yet, despite the prevalence of nutritional disorders in clinical medicine and increasing scienti®c evidence on the signi®cance of dietary modi®cation to disease prevention, present day practitioners of medicine are typically untrained in the relationship of diet to health and disease. In the absence of reliable medical advice on nutrition, patients increasingly turn to herbal dietary supplements, costly diet schemes for weight reduction, and other unproved and potentially harmful remedies. Standardization of curricula for nutrition education of medical students and trainees and the provision of knowledgeable clinical nutrition specialist educators and role models in medical institutions is increasingly relevant to the cost-effective integration of nutritional concepts into medical practice.

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Prevalence of malnutrition in nonsurgical hospitalized patients and its association with disease complications

Cited by 346 publications

References 19 publications

Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer

Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer

A study in four European countries to examine the importance of sensory attributes of oral nutritional supplements on preference and likelihood of compliance

The relevance of clinical nutrition education and role models to the practice of medicine

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