Adult malnutrition: prevalence and use of nutrition-related quality indicators in South African public-sector hospitals

Tonder, Esmarie Van; Gardner, Lynn; Cressey, Saskia; Tydeman-Edwards, Reinette; Gerber, Karin

doi:10.1080/16070658.2017.1410003

Cited by 22 publications

(38 citation statements)

References 17 publications

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“…The effects of malnutrition are extensive and include delayed recovery and prolonged hospital stay, increased risk of morbidity and mortality, increased general practitioner visits, and an increased probability of admission to tertiary care facilities [3]. Correspondingly, other literature supports these data and reports that poor nutritional states are associated with increased morbidity and mortality, increased length of hospitalisation, more frequent re-admissions, increased infectious and non-infectious clinical complications and increased healthcare costs [4].…”

Section: Outcomes Of Malnutritionmentioning

confidence: 93%

“…The prevalence of malnutrition in hospitalised adults has been extensively reported in the international literature and varies between 13 and 78% among acute-care patients [3]. Reports pertaining to Latin America describe adult specific values with a much narrower range, with prevalence levels in hospitalised adults totalling 20-50% [4].…”

Section: Global Epidemiology and Trends In Malnutritionmentioning

confidence: 99%

“…It was estimated that nutritionally at-risk patients have a fourfold increased cost of hospital care when compared with well-nourished patients in part due to their delay in recovery and the protraction of their hospitalisation. Moreover, in the United Kingdom in 2009, health costs associated with malnutrition was quantified as being at least £13 billion annually [3].…”

Section: Outcomes Of Malnutritionmentioning

confidence: 99%

“…It is imperative to identify and classify malnourished patients promptly to prevent or counter the associated negative health outcomes. Currently, physicians and nurses assess patients on admission to hospital, and it has been suggested that they are in an ideal position to screen patients for malnutrition [3]. Moreover, clinicians suggest that nutritional status evaluation include clinical and biochemical assessments.…”

Section: Nutritional Screening Assessment and Evaluationmentioning

confidence: 99%

See 3 more Smart Citations

Nutrition and Hospital Mortality, Morbidity and Health Outcomes

Wright¹

2019

Strategies to Reduce Hospital Mortality in Lower and Middle Income Countries (LMICs) and Resource-Limited Settings

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Nutrition has a strong positive linear relationship with hospitalisation, recovery and death. Nutritional status serves as an independent predictor of hospital morbidity and mortality. There is an ensuing academic debate concerning the role and magnitude of nutrition in modifying health outcomes and the strategies that are to be employed to ensure nutritional adequacy. Professional, skill, knowledge and experience are important correlates that may modify patient outcomes, but hospitals continue to be under-resourced even in developed states. It is imperative that current standards, recommendations and policies be examined with the view to aligning the appropriate needs and services to realise positive gains with hospital mortality and morbidity.

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Section: Outcomes Of Malnutritionmentioning

confidence: 93%

Section: Global Epidemiology and Trends In Malnutritionmentioning

confidence: 99%

Section: Outcomes Of Malnutritionmentioning

confidence: 99%

Section: Nutritional Screening Assessment and Evaluationmentioning

confidence: 99%

See 2 more Smart Citations

Nutrition and Hospital Mortality, Morbidity and Health Outcomes

Wright¹

2019

Strategies to Reduce Hospital Mortality in Lower and Middle Income Countries (LMICs) and Resource-Limited Settings

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show abstract

“…7 Hospitalized and critical care unit patients especially patients that are from communities having inadequate resources are often found to have malnourishment. [8][9][10] They are found in 13-78% admitted to acute care settings. 10 Malnutrition detection tools are available to screen patients in many hospitals but are unreliable and requires further validation.…”

Section: Introductionmentioning

confidence: 99%

Nutritional dermatoses and its association with anemia and systemic illness

Lakhani

Surti

Doshi³

et al. 2018

Int J Res Dermatol

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Background: Mucocutaneous changes may be a "tell-tale" signs of multi nutrional deficiency including anemia. Some are very characteristic of a specific nutrient deficiency, while other signs may overlap and will reflect multiple deficiency states. Methods: To scrutinize clinical signs of multi nutritional deficiencies accompanied with anemia, this observational clinical study of 75 patients (adult and adolescents) was undertaken. Patients were selected from out-patient and inpatient department (OPD and IPD) of dermatology as well as General Medicine ward including medical ICU. Relevant investigations were carried out whenever required. Detail clinical history of diet, tuberculosis as well as HIV disease, worm infestation, other co-morbid conditions and alcohol intake were taken. Clinical signs of nutritional deficiencies like of pellagra, kwashiorkor, beriberi, ariboflavinosis and other signs of avitaminosis and micronutrient deficiency were looked for in all such patients. Results: Of 75 patients, 37 were male (M) and 38 female (F). One of the important findings was that one third patients were admitted in ICU and in 60 of 75 patients risk factors could be identified. Mental illness, ICU admission, elderly age, systemic illness and alcohol consumption were the predisposing factors. Iron deficiency anemia was the commonest anemia followed by dimorphic anemia with other multinutrional manifestations. Clinical signs which were observed due to multinutritional deficiency were of pellagra dermatosis, kwashiorkor, koilonychia with pale tongue and mucous membranes, angular cheilosis, hair changes of various types and other signs due to systemic involvement. Conclusions: Anemia may be associated with other nutritional abnormality which is reflected in changes in the skin, mucous membrane, hairs and nails. Nutritional dermatosis and anemia can be part of systemic illness which maybe reflected as deficiency of multiple nutritive factors.

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Validity of the Graz Malnutrition Screening as an indicator of malnutrition in hospitalized patients

Şahin

Tek

2022

Nut in Clin Prac

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Background: Hospital malnutrition is an important health problem for developed and developing countries, and screening tools are recommended in practice because they can be obtained quickly and easily to identify the risk of malnutrition. This study aimed to validate the use of the Graz Malnutrition Screening (GMS) in combination with different methods of nutrition assessment in the identification of malnutrition risk in hospitalized adult and older patients. Methods:The study was performed with a total of 348 adult (64.4%) and older (35.6%) patients treated in the internal and surgical clinical units of Ankara Gazi Hospital between May and July 2019. A questionnaire including general information, anthropometric measurements, and biochemical parameters was applied.The Nutritional Risk Screening-2002 (NRS-2002, Short Nutritional Assessment Questionnaire (SNAQ), and GMS were applied, and results were evaluated by comparison. Results:The mean age of the patients was 57.0 years, and the mean hospital length of stay (LOS) was 7.9 days. According to GMS, malnutrition risk was found in 47.7% of the patients. When NRS-2002 was taken as a reference, the sensitivity and specificity of GMS were calculated as 95.16% and 78.57%, respectively, and Cohen's kappa coefficient was 0.686. When SNAQ was taken as a reference, the sensitivity and specificity of GMS were calculated as 91.59% and 75.11%, respectively, and Cohen's kappa coefficient was 0.609. Conclusion:GMS can be used as a valid screening tool to identify malnutrition risk in both adult and older patients in the different hospital departments in Turkey.

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Adult malnutrition: prevalence and use of nutrition-related quality indicators in South African public-sector hospitals

Cited by 22 publications

References 17 publications

Nutrition and Hospital Mortality, Morbidity and Health Outcomes

Nutrition and Hospital Mortality, Morbidity and Health Outcomes

Nutritional dermatoses and its association with anemia and systemic illness

Validity of the Graz Malnutrition Screening as an indicator of malnutrition in hospitalized patients

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