ArticleMedical science monitor : international medical journal of experimental and clinical research2015
Malnutrition in Hospitals: It Was, Is Now, and Must Not Remain a Problem!
Article in Medical science monitor : international medical journal of experimental and clinical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.
- Evaluation of Blood Biomarkers Associated with Risk of Malnutrition in Older Adults: A Systematic Review and Meta-Analysis.Nutrients · 2017Pooled it
- Energy intake and nutritional status in older adults undergoing long-term rehabilitation for chronic diseases: A multicentre prospective study.Asia Pacific journal of clinical nutrition · 2026Observational
- Professionals' perception on nutritional care of adult patients in comprehensive specialized hospitals of East Wollega Zone, Ethiopia.BMC nutrition · 2025Article
- A nomogram for predicting nutritional risk before gastric cancer surgery.Asia Pacific journal of clinical nutrition · 2024Article
- A survey of the Nutrition Care Process in Japanese acute care hospitals using a nationwide web-based questionnaire.Asia Pacific journal of clinical nutrition · 2024Article
- Article
- Observational
- Managing food waste in the inpatient population.BMJ open quality · 2023Article
- Association between nutritional status and biochemical markers among hematopoietic stem cell transplant candidates: a cross-sectional study.BMC nutrition · 2023Article
- In-hospital malnutrition among adult patients in a national referral hospital in Indonesia.Nutrition research and practice · 2023Article
- The Relationship between Nutritional Risk and the Most Common Chronic Diseases in Hospitalized Geriatric Population from Central Poland.Nutrients · 2023Article
- Healthcare providers' knowledge, attitude, and practice on quality of nutrition care in hospitals from a developing country: a multicenter experience.Journal of health, population, and nutrition · 2023Article
- Admission serum albumin concentrations and response to nutritional therapy in hospitalised patients at malnutrition risk: Secondary analysis of a randomised clinical trial.EClinicalMedicine · 2022Article
- Nutritional risk screening 2002 scale and subsequent risk of stroke-associated infection in ischemic stroke: The REMISE study.Frontiers in nutrition · 2022Article
- Nutritional Status of Lebanese Hospitalized Patients With Chronic Disease: A Cross-Sectional Study.Hospital pharmacy · 2021Article
- Nutrition Screening, Reported Dietary Intake, Hospital Foods, and Malnutrition in Critical Care Patients in Malawi.Nutrients · 2021Article
- Article
- Comparing the Performance of Calf Circumference, Albumin, and BMI for Predicting Mortality in Immobile Patients.Risk management and healthcare policy · 2021Article
- NUTRITIONAL RISK SCREENING IN GASTROENTEROLOGICAL PATIENTS AT THE RIJEKA UNIVERSITY HOSPITAL CENTRE.Acta clinica Croatica · 2020Article
- Being at risk of malnutrition predicts poor outcomes at 3 months in acute ischemic stroke patients.European journal of clinical nutrition · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMalnutrition is an under-recognized problem in hospitalized patients. Despite systematic screening, the prevalence of malnutrition in the hospital did not decrease in the last few decades. The aim of our study was to evaluate the prevalence of malnutrition and to determine the explicit daily calorie intake of hospitalized patients, to identify the risk factors of developing malnutrition during hospitalization and the effect on the financial reimbursement according to the German DRG-system. MATERIAL AND
methods815 hospitalized patients were included in this study. The detection of malnutrition was based on the nutritional-risk-screening (NRS) and subjective-global-assessment (SGA) scores. A trained investigator recorded the daily calorie and fluid intake of each patient. Furthermore, clinical parameters, and the financial reimbursement were evaluated.
resultsThe prevalence of malnutrition was 53.6% according to the SGA and 44.6% according the NRS. During hospitalization, patients received on average 759.9±546.8 kcal/day. The prevalence of malnutrition was increased in patients with hepatic and gastrointestinal disease and with depression or dementia. The most important risk factors for malnutrition were bed rest and immobility (OR=5.88, 95% CI 2.25-15.4). In 84.5% of patient records, malnutrition was not correctly coded, leading to increased financial losses according to the DRG-system (94.908 Euros).
conclusionsHospitalized patients suffer from inadequate nutritional therapy and the risk for developing malnutrition rises during the hospital stay. The early screening of patients for malnutrition would not only improve management of nutritional therapy but also, with adequate coding, improve financial reimbursement according to the DRG-system.
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