Clinical and economic outcomes associated with malnutrition in hospitalized patients

Ruiz, Álvaro J.; Buitrago, Giancarlo; Rodríguez, Andrea; Gomez, Gustavo A.; Sulo, Suela; Gómez, C.; Partridge, Jamie; Misas, Juan Diego; Dennis, Rodolfo; Alba, Magda; Chaves, Walter Gabriel; Araque, C.

doi:10.1016/j.clnu.2018.05.016

Cited by 128 publications

(110 citation statements)

References 44 publications

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“…[3][4][5] At diagnosis, nearly 20% of patients with head and neck cancer are estimated to be at risk, 4 and shortly after cancer treatment, prevalence may be increased to about 50%. 5 Malnutrition and malnutrition risk are associated with poorer outcomes, such as increased length of hospital stay, 6,7 increased number of readmissions, 8 lower quality of life, decreased survival, 7 and increased healthcare costs. 7,9,10 Hence, nutrition screening is an important component of the nutrition care process.…”

Section: Introductionmentioning

confidence: 99%

“…5 Malnutrition and malnutrition risk are associated with poorer outcomes, such as increased length of hospital stay, 6,7 increased number of readmissions, 8 lower quality of life, decreased survival, 7 and increased healthcare costs. 7,9,10 Hence, nutrition screening is an important component of the nutrition care process. 11 In general, nutrition screening aims to identify patients as being at risk or not and to identify patients that require nutrition intervention.…”

Section: Introductionmentioning

confidence: 99%

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Self‐Completion of the Patient‐Generated Subjective Global Assessment Short Form Is Feasible and Is Associated With Increased Awareness on Malnutrition Risk in Patients With Head and Neck Cancer

et al. 2019

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Background We aimed to assess feasibility of self‐completion of the Patient‐Generated Subjective Global Assessment Short Form (PG‐SGA SF) by head and neck cancer patients, and to assess self‐reported increased awareness regarding malnutrition risk after self‐completion. Methods Participants were randomized to complete the PG‐SGA SF by paper or app. Feasibility was assessed by time needed to complete the PG‐SGA SF, perceived difficulty, and help needed during completion. Participants were asked if they knew what malnutrition was (yes/no) and if they could define “malnutrition.” They were also asked 9 questions on whether they perceived increased awareness of malnutrition risk after having completed the PG‐SGA SF and 2 on their intention to change lifestyle habits. Results Of all participants (n = 59; 65.9 ± 12.6 years; 73% male), 55% completed the PG‐SGA SF paper version and 46% the Pt‐Global app. Median time needed for self‐completion of the PG‐SGA SF was 2 minutes 41 seconds (interquartile range: 1 minute 49 seconds–3 minutes 50 seconds). Forty‐eight percent needed help with completion, indicating acceptable feasibility. Participants who completed the Pt‐Global app needed help significantly more often (66%; 21/32) than those who completed the PG‐SGA SF paper version (26%; 7/27) (P = 0.005). All difficulty scores were excellent. For 7/9 questions on malnutrition risk awareness, >50% of the participants answered positively. Conclusion The results of this study show that self‐completion of the PG‐SGA SF by head and neck cancer patients is feasible and that awareness regarding malnutrition risk may increase after completing the PG‐SGA SF.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Self‐Completion of the Patient‐Generated Subjective Global Assessment Short Form Is Feasible and Is Associated With Increased Awareness on Malnutrition Risk in Patients With Head and Neck Cancer

et al. 2019

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“…The estimated prevalence of malnutrition or its risk at the time of hospital admission ranges from 20% to 50% worldwide. [1][2][3][4] However, as few as 5% to 8% of patients in the United States received a documented or coded diagnosis of malnutrition during their hospital stay. 5,6 Such findings suggest that malnutrition may be underdiagnosed or underdocumented and thus "under the radar" of care in US hospitals, and possibly overshadowed by a focus on acute conditions or high-tech diagnostic and treatment strategies.…”

Section: Isease-associated Malnutrition and Malnutritionassociatedmentioning

confidence: 99%

Hospital Nutrition Care Betters Patient Clinical Outcomes and Reduces Costs: The Malnutrition Quality Improvement Initiative Story

McCauley¹,

Barrocas²,

Malone³

2019

Journal of the Academy of Nutrition and Dietetics

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The Malnutrition Quality Improvement Initiative (MQii) is a project of the Academy of Nutrition and Dietetics, Avalere Health, and other stakeholders who participated in and provided guidance and expertise in this collaborative partnership. S. McCauley is an employee of the Academy of Nutrition and Dietetics. A. Barrocas is self-employed, owner of ALMA, LLC. A. Malone is an employee of Mt Carmel Grove City Hospital and the American Society for Parenteral and Enteral Nutrition.

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“…Malnutrition affects ≈50% of hospitalized patients and it is classified as deficiency, excess, or imbalance of a wide range of nutrients, resulting in various clinical complications such as impairment of healing, impact on immune function, increased rates of postoperative infection, mortality, increased length of hospital stay, and high hospital costs …”

Section: Introductionmentioning

confidence: 99%

Fatty Acid Composition and Lipid Profile of Oral/Enteral Nutrition Supplements Available on the Brazilian Market

Néia

Santos²,

Galuch³

et al. 2019

Euro J Lipid Sci & Tech

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Oral/enteral nutrition supplements enriched with fish oil are widely used for the recovery of the nutritional status of hospitalized patients, due to the omega‐3 fatty acids content. However, they are targets of adulteration. This study evaluates the lipid quality of five brands of oral/enteral nutrition supplements incorporated with fish oil, available on the Brazilian market (Brazil, Holland, and Germany). The fatty acids are quantified by gas chromatography–flame ionization detection, and the lipid profile is acquired by direct electrospray ionization–mass spectrometry, to assess how fatty acids are present in those samples. The eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) contents found ranged from 1.54 to 19.36% and 4.34 to 27.29%, respectively, in the form of triacylglycerols. However, brand 1 presents the lowest levels of EPA + DHA in its lipid composition, and in three brands, the addition of medium chain triglycerides is identified. The lipid quality assessment of these supplements allows an informed choice of appropriate supplements for the nutritional support of patients. Practical Applications: The study highlights and provides information of the lipid composition and fatty acids of oral/enteral nutrition supplements enriched with fish oil, indicated for malnourished patients. The findings allow health professionals to make a more informed choice of oral/enteral nutrition for the adequate treatment of patients. Fatty acids of five brands of oral/enteral nutrition supplements enriched with fish oil and available on the Brazilian market are quantified by gas chromatography–flame ionization detection, and the lipid profile is acquired by electrospray ionization–mass spectrometry. No lipid pattern among the samples is identified.

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Clinical and economic outcomes associated with malnutrition in hospitalized patients

Cited by 128 publications

References 44 publications

Self‐Completion of the Patient‐Generated Subjective Global Assessment Short Form Is Feasible and Is Associated With Increased Awareness on Malnutrition Risk in Patients With Head and Neck Cancer

Self‐Completion of the Patient‐Generated Subjective Global Assessment Short Form Is Feasible and Is Associated With Increased Awareness on Malnutrition Risk in Patients With Head and Neck Cancer

Hospital Nutrition Care Betters Patient Clinical Outcomes and Reduces Costs: The Malnutrition Quality Improvement Initiative Story

Fatty Acid Composition and Lipid Profile of Oral/Enteral Nutrition Supplements Available on the Brazilian Market

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