The first nutritionDay in nursing homes: Participation may improve malnutrition awareness

Valentini, Luzia; Schindler, Karin; Schlaffer, R.; Bucher, Hubert; Mouhieddine, M.; Steininger, K.; Tripamer, J.; Handschuh, M.; Schuh, Christian; Volkert, Dorothee; Lochs, Herbert; Sieber, Cornel; Hiesmayr, M.

doi:10.1016/j.clnu.2009.01.021

Cited by 72 publications

(41 citation statements)

References 26 publications

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“…In general, the PEG prevalence in this study is lower than the 7.8% mean PEG prevalence obtained in a previous regional study in Germany [15] , but barely higher than the prevalence of 5.9% described in the data from the 'NutritionDay in nursing homes 2007' [23] of 2,137 residents in 8 Austrian and 30 German nursing homes. For European comparisons, there is only one national Dutch study available, with a tube feeding prevalence in nursing homes of 2.0% in 2007 [17] .…”

Section: Discussioncontrasting

confidence: 49%

“…The authors hope that this investigation will stimulate other scientists to measure the prevalence of tube feeding and PEG tubes in nursing homes, as done in the yearly repeated 'NutritionDay' [23] and 'LPZ' [17] . We hope this study will encourage nursing home managers to take part in such surveys, such that a European and global comparison can be conducted in the future.…”

mentioning

confidence: 99%

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Prevalence of Percutaneous Endoscopic Gastrostomy in Nursing Home Residents – A Nationwide Survey in Germany

Wirth

Bauer

Willschrei³

et al. 2009

Gerontology

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Background: Despite extensive discussion about percutaneous endoscopic gastrostomy (PEG) in nursing home residents, no prevalence data exist in most countries. Objective: This study aimed to determine the prevalence of PEG in German nursing homes, as well as nursing home characteristics that may influence this prevalence. Additionally, we documented the timing of PEG insertion, whether pre- or post-admission to the nursing home, and the proportion of residents receiving oral nutrition in addition to tube feeds. Methods: A 26-item questionnaire was sent to 6,995 German nursing homes. Responses were anonymous. Results: Of the 6,995 questionnaires sent out, 807 (11.5%) were completed and returned. Of the 66,507 total residents in the responding nursing homes, there were 4,390 residents with PEG (6.6%). The median PEG prevalence was 5.6% (5th–95th percentile 1.0–16.3%). Of all PEGs inserted, 55.3% were inserted before and 44.7% were inserted after nursing home admission. Oral beverage intake in addition to tube feeding was reported in 48.8% of residents with a PEG, and 43.5% of patients also received solid food. There were no significant differences in PEG prevalence between the federal states of Germany. The location (rural vs. urban) of the nursing home, its proprietor and food delivery method had no significant influence on PEG prevalence. With regard only to PEG tubes inserted after nursing home admission, all the factors stated above showed no significant influence on PEG prevalence. Weak positive correlations between PEG prevalence and the size of the nursing home as well as the number of total and certified nursing staff per resident could be detected, reflecting the heavy burden of care associated with residents requiring artificial nutrition. Conclusions: Compared to other countries, Germany can be assumed to have an average PEG prevalence in nursing home residents. No specific nursing home characteristics could be identified that affect PEG prevalence.

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Section: Discussioncontrasting

confidence: 49%

mentioning

confidence: 99%

Prevalence of Percutaneous Endoscopic Gastrostomy in Nursing Home Residents – A Nationwide Survey in Germany

Wirth

Bauer

Willschrei³

et al. 2009

Gerontology

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“…Detailed instructions and explanations for each question were provided. For further information, see also the previous publications about the nutritionDay project [4,19,20]. The questionnaires and instructions are accessible at www.nutritionday.org.…”

Section: Methodsmentioning

confidence: 99%

“…The survey was first performed in hospitals [4,19]. Since 2007, the project has been extended to nursing homes [20]. The following analysis is based on all data collected from 2007 to 2012 for the nutritionDay in nursing homes project.…”

Section: Methodsmentioning

confidence: 99%

The impact of weight loss and low BMI on mortality of nursing home residents – Results from the nutritionDay in nursing homes

et al. 2016

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“…Studies have shown that the prevalence of malnutrition varies from almost 10 to 60% depending on the hospital and country [1][2][3] . In hospitals worldwide, it is found that malnutrition greatly influences diseases and disease recovery and therefore is a major challenge in the Key Words NutritionDay · Malnutrition · Nutrition support · Length of hospital stay Abstract Background and Aims: Malnutrition is a common and critical problem that greatly influences the clinical outcomes of hospitalized patients.…”

Section: Introductionmentioning

confidence: 99%

Nutrition Status, Nutrition Support Therapy, and Food Intake are Related to Prolonged Hospital Stays in China: Results from the NutritionDay 2015 Survey

Zheng

Huang²,

Shi³

et al. 2016

Ann Nutr Metab

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Background and Aims: Malnutrition is a common and critical problem that greatly influences the clinical outcomes of hospitalized patients. Nutrition support therapy and food intake, in addition to disease-related factors, are also important to maintain the nutrition status of patients. In light of this, we aimed to examine the risk factors associated with malnutrition in 3 hospitals in China. Methods: This project was part of the NutritionDay audit, an international daylong cross-sectional audit investigating the nutritional intervention profiles of hospitalized patients. Seven standardized questionnaires were used, and malnutrition was defined as a body mass index <18.5 kg/m² or unintentional weight loss >5% in last 3 months. Results: A total of 842 hospitalized patients from 9 units in 3 Chinese hospitals participated in the project on November 19, 2015. Among them, 825 were included in the analyses. Malnutrition was identified in 29.3% of the patients and oral nutrition was the primary nutrition support therapy administered (n = 623, 75.6%). Age, nutrition support, and food intake during the past week were independent risk factors for malnutrition. Furthermore, nutrition status, nutrition support therapy, and food intake during the past week were associated with prolonged length of stay. Conclusions: The prevalence of malnutrition in Chinese hospitals was similar to that in European hospitals. Nutrition status was associated with age, nutrition support, and food intake, which was closely related to patients' clinical outcome, such as prolonged hospital stays as confirmed in this study. More studies are needed to determine why nutrition intake is often inadequate and to determine efficient methods for correcting the nutrition status of patients.

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The first nutritionDay in nursing homes: Participation may improve malnutrition awareness

Cited by 72 publications

References 26 publications

Prevalence of Percutaneous Endoscopic Gastrostomy in Nursing Home Residents – A Nationwide Survey in Germany

Prevalence of Percutaneous Endoscopic Gastrostomy in Nursing Home Residents – A Nationwide Survey in Germany

The impact of weight loss and low BMI on mortality of nursing home residents – Results from the nutritionDay in nursing homes

Nutrition Status, Nutrition Support Therapy, and Food Intake are Related to Prolonged Hospital Stays in China: Results from the NutritionDay 2015 Survey

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