The deleterious consequences of hospital malnutrition are progressively being recognized by the public. The Committee of the Ministers of the European Council has released a resolution for food and nutrition and ask the state members to apply national recommendations in their hospitals. The evaluated domains and actions to be undertaken are based on 4 elements: Access to a healthy and varied food supply is a fundamental human right; a high number of patients hospitalized in Europe are malnourished (30-60%); the demonstration that malnutrition of hospitalized patients increases length of hospital stay and medical costs; the demonstrated beneficial effects of a hospital food service and of optimal nutritional care on morbidity, healing and quality of life. The resolution indicates clearly the options to be followed to optimize the actions and decisions at three levels: patient care, support services, and administration. All caregivers must be involved in the implementation of the recommendations in a way to adapt them to the local needs and restrictions. This review summarizes the actions to be taken by medical and other caregivers in order to sensitize them to the above-mentioned problems and to initiate practical options to treat malnourished patients or patients at risk of becoming malnourished.
"Still, more than one hundred years later, Hill et al.  found that 50% of surgical patients and 40% of medical patients were malnourished. In the majority of these patients, this risk increases during hospitalization . As malnutrition in hospitalized patients is underdiagnosed, 70–80% of the malnourished are not identified as such. "
[Show abstract][Hide abstract] ABSTRACT: Background. Malnutrition in hospitalized patients is underdiagnosed, with 30 to 60% of patients admitted being malnourished. The objective of this study was to investigate the nutritional status of patients in a general surgery ward and to define the correlation between the risk of malnutrition and the hospital course and clinical outcome.
Study design. The study group included 100 consecutive patients admitted to a general surgery ward who were ambulant and could undergo the Malnutrition Universal Screening Tool (MUST).
Results. Thirty-two patients (33%) had aMUST score of 2 or higher, and were therefore defined at high-malnutrition risk. The patients at risk had longer hospitalization and worse outcome. The length of stay of the malnourished patients was significantly longer than that of patients without malnutrition risk (18.8 ± 11.5 vs. 7 ± 5.3 days, P = .003). Mortality in the high-risk group was higher overall, in hospital, and after six months and one year of followup.
Conclusions. Medical personnel must be aware that malnutrition afflicts even patients whose background is not suggestive of malnutrition. Best results are achieved when cooperation of all staff members is enlisted, because malnutrition has severe consequences and can be treated easily.
Gastroenterology Research and Practice 01/2011; 2011(1687-6121). DOI:10.1155/2011/840512 · 1.75 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: The objective of the study was to know the perception of patients about feeding in a reference hospital for the National Humanization Politics. It is a qualitative research with twenty-six in depth and half-structuralized interviews had been carried through. The interviews were applied to internee patients (adults and elders) with four or more days in health clinic. The study revealed that the patients approved the good attendance and the humanized health team care. The feeding is perceived as part of the institution rules, relating it with the disease and the health recovery. Also, the companion presence, the hospital environment, medicines and sensorial aspects are considered to influence the feeding acceptance. The meal time was considered a model to be followed. The patients had demonstrated difficulty in revealing opinions about changes in the feeding or routines. The meal time is an interaction moment among the patients, companions and health team. The study concluded that in order to eat well in a hospital depends on what the patients is allowed to because of their diseases, showing that, there is no hospital food identification with their feeding history, preferences or habits in life.
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