Prevalence of undernutrition in Dutch hospital outpatients

Leistra, E.; Neelemaat, F.; Evers, A.M.; Zandvoort, Myriam H.W.M. van; Weijs, P.J.M.; Schueren, Marian A.E. de van der; Visser, Marjolein; Kruizenga, Hinke

doi:10.1016/j.ejim.2009.03.011

Cited by 31 publications

(18 citation statements)

References 17 publications

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“…According to the statistics published by the World Health Organization in 2012, from 2000 to 2009, the Greek total expenditure on health rose from 7.8% to 10.6% of the total GDP, whereas in 2011, total health spending accounted for 10.2% of GDP due to the reduction of costs caused by the economic crisis 10 . In 2009, the number of hospital beds per 100,000 population in the country was 48 and the total number of hospitals in ESY in June 2010 was 131, with a total of 35,000 beds 11 . In July 2011, due to the economic crisis, it was decided by the government to reduce the number of hospitals to 83, with a reduction in the bed number to 33,000 12 .…”

Section: Resultsmentioning

confidence: 99%

Prevalence of Malnutrition in Various Political, Economic, and Geographic Settings

Kłęk¹,

Krznarić

Gündoğdu³

et al. 2013

J Parenter Enteral Nutr

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Section: Resultsmentioning

confidence: 99%

Prevalence of Malnutrition in Various Political, Economic, and Geographic Settings

Kłęk¹,

Krznarić

Gündoğdu³

et al. 2013

J Parenter Enteral Nutr

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show abstract

“…Nevertheless, nutritional deficiency in a hospital setting is still a common issue, despite the advances in medical and nutritional science. Surveys show that 40-50% of patients admitted to hospitals are at risk of nutritional deficiency and up to 12% are severely malnourished [3, 4]. On the other site, studies report a variable prevalence of obesity from 40 to 66% in persons with SCI completing the spectrum of malnutrition [5-8].…”

Section: Introductionmentioning

confidence: 99%

Malnutrition in Spinal Cord Injury: More Than Nutritional Deficiency

Dionyssiotis¹

2012

J Clin Med Res

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Denervation of the spinal cord below the level of injury leads to complications producing malnutrition. Nutritional status affects mortality and pathology of injured subjects and it has been reported that two thirds of individuals enrolled in rehabilitation units are malnourished. Therefore, the aim should be either to maintain an optimal nutritional status, or supplement these subjects in order to overcome deficiencies in nutrients or prevent obesity. This paper reviews methods of nutritional assessment and describes the physiopathological mechanisms of malnutrition based on the assumption that spinal cord injured subjects need to receive adequate nutrition to promote optimal recovery, placing nutrition as a first line treatment and not an afterthought in the rehabilitation of spinal cord injury.

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“…Nutritional status in hospital inpatient has been the object of many studies [6-11], but there are only a few literature works on quality indicators concerning hospital food and nutrition services (HFNSs) as well as food and nutritional care actions conducted by dietitians in health institutions [12-15]. Hospital expectations often place the food and nutrition service as an undervalued support service [16], even though changes and improvements in hospital diets and nutritional care can prevent nutritional aggravations [7,8,12,17] that have a negative impact on the length of hospital stay and hospitalization costs [10,11,18-20].…”

Section: Introductionmentioning

confidence: 99%

Gauging food and nutritional care quality in hospitals

Diez‐Garcia

Sousa

Proença

et al. 2012

Nutr J

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BackgroundFood and nutritional care quality must be assessed and scored, so as to improve health institution efficacy. This study aimed to detect and compare actions related to food and nutritional care quality in public and private hospitals.MethodsInvestigation of the Hospital Food and Nutrition Service (HFNS) of 37 hospitals by means of structured interviews assessing two quality control corpora, namely nutritional care quality (NCQ) and hospital food service quality (FSQ). HFNS was also evaluated with respect to human resources per hospital bed and per produced meal.ResultsComparison between public and private institutions revealed that there was a statistically significant difference between the number of hospital beds per HFNS staff member (p = 0.02) and per dietitian (p < 0.01). The mean compliance with NCQ criteria in public and private institutions was 51.8% and 41.6%, respectively. The percentage of public and private health institutions in conformity with FSQ criteria was 42.4% and 49.1%, respectively. Most of the actions comprising each corpus, NCQ and FSQ, varied considerably between the two types of institution. NCQ was positively influenced by hospital type (general) and presence of a clinical dietitian. FSQ was affected by institution size: large and medium-sized hospitals were significantly better than small ones.ConclusionsFood and nutritional care in hospital is still incipient, and actions concerning both nutritional care and food service take place on an irregular basis. It is clear that the design of food and nutritional care in hospital indicators is mandatory, and that guidelines for the development of actions as well as qualification and assessment of nutritional care are urgent.

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Prevalence of undernutrition in Dutch hospital outpatients

Cited by 31 publications

References 17 publications

Prevalence of Malnutrition in Various Political, Economic, and Geographic Settings

Prevalence of Malnutrition in Various Political, Economic, and Geographic Settings

Malnutrition in Spinal Cord Injury: More Than Nutritional Deficiency

Gauging food and nutritional care quality in hospitals

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