How nutritional risk is assessed and managed in European hospitals: A survey of 21,007 patients findings from the 2007-2008 cross-sectional nutritionDay survey

Clinical Nutrition

Volumn 29, Issue 5, 2010, Pages 552-559

  Schindler, Karin ^a   Pernicka, Elisabeth ^a   Laviano, Alessandro ^b   Howard, Pat ^c   Schütz, Tatjana ^d   Bauer, Peter ^a   Grecu, Irina ^e   Jonkers, Cora ^f   Kondrup, Jens ^g,h   Ljungqvist, Olle ⁱ   Mouhieddine, Mohamed ^a   Pichard, Claude ^j   Singer, Pierre ^k   Schneider, Stéphane ^l   Schuh, Christian ^a   Hiesmayr, Michael ^a  

^a MEDICAL UNIVERSITY OF VIENNA   (Austria)

^b SAPIENZA UNIVERSITY OF ROME   (Italy)

^c I School Cottages   (United Kingdom)

^d CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

^e Clinical Emergency Hospital of Bucharest   (Romania)

^f ACADEMIC MEDICAL CENTER   (Netherlands)

^g UNIVERSITY OF COPENHAGEN   (Denmark)

^h Rigshospitalet   (Denmark)

ⁱ KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

^j GENEVA UNIVERSITY HOSPITALS   (Switzerland)

^k RABIN MEDICAL CENTER   (Israel)

^l CENTRE HOSPITALIER UNIVERSITAIRE DE NICE   (France)

more..

Author keywords

Europe; Nutritional risk; NutritionDay; Practice; Screening

Indexed keywords

ADULT; AGE; AGED; ARTICLE; ARTIFICIAL FEEDING; BODY MASS; CALORIC INTAKE; CLINICAL PRACTICE; CONTROLLED STUDY; DIET RESTRICTION; DIET THERAPY; EUROPE; FEMALE; HEALTH SURVEY; HIGH RISK POPULATION; HOSPITAL; HOSPITAL CARE; HUMAN; ISRAEL; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MALE; MALNUTRITION; MALNUTRITION UNIVERSAL SCREENING TOOL; NUTRITION RISK SCREENING; NUTRITIONAL ASSESSMENT; NUTRITIONAL REQUIREMENT; NUTRITIONAL STATUS; PRACTICE GUIDELINE; QUESTIONNAIRE; SCREENING TEST; WEIGHT REDUCTION;

AGED; AGED, 80 AND OVER; CROSS-SECTIONAL STUDIES; DIET; ENERGY INTAKE; EUROPE; FEMALE; HOSPITALS; HUMANS; ISRAEL; LONGITUDINAL STUDIES; MALE; MALNUTRITION; MIDDLE AGED; NUTRITION SURVEYS; NUTRITIONAL STATUS; QUESTIONNAIRES; RISK ASSESSMENT;

EID: 77957337707     PISSN: 02615614     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.clnu.2010.04.001     Document Type: Article

References (30)

1. Norman K., Pichard C., Lochs H., Pirlich M. Prognostic impact of disease-related malnutrition. Clin Nutr 2008, 27:5-15.
2. Bistrian B.R., Blackburn G.L., Hallowell E., Heddle R. Protein status of general surgical patients. J Am Med Assoc 1974, 230:858-860.
3. Hill G.L., Blackett R.L., Pickford I., Burkinshaw L., Young G.A., Warren J.V., et al. Malnutrition in surgical patients. An unrecognised problem. Lancet 1977, 1:689-692.
4. McWhirter J.P., Pennington C.R. Incidence and recognition of malnutrition in hospital. Br Med J 1994, 308:945-948.
5. Kondrup J., Johansen N., Plum L.M., Bak L., Larsen I.H., Martinsen A., et al. Incidence of nutritional risk and causes of inadequate nutritional care in hospitals. Clin Nutr 2002, 21:461-468.
6. Mowe M., Bosaeus I., Rasmussen H.H., Kondrup J., Unosson M., Rothenberg E., et al. Insufficient nutritional knowledge among health care workers?. Clin Nutr 2008, 27:196-202.
7. Gibney E.R. Energy expenditure in disease: time to revisit?. Proc Nutr Soc 2000, 59:199-207.
8. Kulstad R., Schoeller D.A. The energetics of wasting diseases. Curr Opin Clin Nutr Metab Care 2007, 10:488-493.
9. British Association for Enteral and Parenteral Nutrition (BAPEN). The 'MUST' explanatory booklet. A guide to 'Malnutrition Universal Screening Tool' ('MUST') for adults. Available at: ; November 2003 [accessed 08.05.09]. http://www.bapen.org.uk/pdfs/must/must_explan.pdf.
10. Ferguson M., Capra S., Bauer J., Banks M. Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition 1999, 15:458-464.
11. Kondrup J., Allison S.P., Elia M., Vellas B., Plauth M. ESPEN guidelines for nutrition screening 2002. Clin Nutr 2003, 22:415-421.
12. Kyle U.G., Kossovsky M.P., Karsegard V.L., Pichard C. Comparison of tools for nutritional assessment and screening at hospital admission: a population study. Clin Nutr 2006, 25:409-417.
13. Meijers J.M., Halfens R.J., van Bokhorst-de van der Schueren M.A., Dassen T., Schols J.M. Malnutrition in Dutch health care: prevalence, prevention, treatment, and quality indicators. Nutrition 2009, 25:512-519.
14. Weekes C.E., Elia M., Emery P.W. The development, validation and reliability of a nutrition screening tool based on the recommendations of the British Association for Parenteral and Enteral Nutrition (BAPEN). Clin Nutr 2004, 23:1104-1112.
15. Lochs H., Valentini L., Schütz T., Allison S.P., Howard P., Pichard C. ESPEN guidelines on adult enteral nutrition. Clin Nutr 2006, 25:177-360.
16. Lochs H., Luebke H., Weimann A., Herbst A., Schuetz T., Pirlich M., et al. DGEM - Leitlinie Enterale Ernaehrung. Aktuel Ernahrungsmed 2003, 28:1-120.
17. Bankhead R., Boullata J., Brantley S., Corkins M., Guenter P., Krenitsky J., et al. Enteral nutrition practice recommendations. J Parenter Enteral Nutr 2009, 33:122-167.
18. Ulibarri J.I., Burgos R., Lobo G., Martinez M.A., Planas M., Perez de la Cruz A., et al. Recommendations for assessing the hyponutrition risk in hospitalised patients. Nutr Hosp 2009, 24:467-472.
19. Lindorff-Larsen K., Højgaard Rasmussen H., Kondrup J., Staun M., Ladefoged K. Management and perception of hospital undernutrition-A positive change among Danish doctors and nurses. Clin Nutr 2007, 26:371-378. Scandinavian Nutrition Group.
20. Mowe M., Bosaeus I., Rasmussen H.H., Kondrup J., Unosson M., Irtun O. Nutritional routines and attitudes among doctors and nurses in Scandinavia: a questionnaire based survey. Clin Nutr 2006, 25:524-532.
21. Hiesmayr M., Schindler K., Pernicka E., Schuh C., Schoeniger-Hekele A., Bauer P., et al. Decreased food intake is a risk factor for mortality in hospitalised patients: the nutritionDay survey 2006. Clin Nutr 2009, 28:484-491.
22. World Health Organization (WHO). Comparative analysis of nutrition policies in the WHO European Region. A comparative analysis of nutrition policies and plans of action in WHO European Member States. Available at: ; November 2006 [accessed 08.05.09]. http://www.euro.who.int/document/nut/instanbul_conf_%2520ebd02.pdf.
23. Council of Europe Committee of Ministers Resolution ResAP(2003)3 on food and nutritional care in hospitals 2003, [accessed 05.08.09]. http://www.ake-nutrition.at/uploads/media/Resolution_of_the_Council_of_Europe_english.pdf.
24. Russell C.A., Elia M. Nutrition Screening Survey in the UK in 2007. Nutrition Screening Survey and Audit of Adults on Admission to Hospitals, Care Homes and Mental Health Units 2008, BAPEN, Redditch. BAPEN (Ed.).
25. Valentini L., Schindler K., Schlaffer R., Bucher H., Mouhieddine M., Steininger K., et al. The first nutritionDay in nursing homes: participation may improve malnutrition awareness. Clin Nutr 2009, 28:109-116.
26. Expertenstandard Ernährungsmanagement zur Sicherstellung und Förderung der oalen Ernährung in der Pflege. Deutsches Netzwerk für Qualitätsentwicklung in der Pflege 2008, 92-104.
27. Porter J., Raja R., Cant R., Aroni R. Exploring issues influencing the use of the Malnutrition Universal Screening Tool by nurses in two Australian hospitals. J Hum Nutrit Diet 2009, 22:203-209.
28. Pirlich M., Schutz T., Norman K., Gastell S., Lubke H.J., Bischoff S.C., et al. The German hospital malnutrition study. Clin Nutr 2006, 25:563-572.
29. Howard P., Jonkers-Schuitema C., Furniss L., Kyle U., Muehlebach S., Odlund-Olin A., et al. Managing the patient journey through enteral nutritional care. Clin Nutr 2006, 25:187-195.
30. Manthorpe J., Watson R. Poorly served? Eating and dementia. J Adv Nurs 2003, 41:162-169.