scholarly journals Malnutrition and Inadequate Eating Behaviour during Hospital Stay in Geriatrics—An Explorative Analyses of NutritionDay Data in Two Hospitals

2021 ◽  
Vol 11 (4) ◽  
pp. 929-941
Author(s):  
Fabian Graeb ◽  
Reinhold Wolke
Keyword(s):  
Hospital Stay ◽  
Eating Behaviour ◽  
Nutritional Interventions ◽  
Tailored Interventions ◽  
Significant Barrier ◽  
Medium Risk ◽  
Reported Health ◽  
Espen Criteria ◽  
Inadequate Nutrition ◽  
Malnutrition Universal Screening Tool

(1) Background: Malnutrition in hospitalized patients is prevalent worldwide, but the severity of the issue is often underestimated by practitioners. The purpose of this study is to investigate the prevalence of malnutrition and inadequate eating behaviour in a geriatric sample. (2) Methods: Two hospitals participated with six wards on nutritionDay in 2017, 2018 and 2019. Nutritional status, food intake, and nutritional interventions were analyzed for all patients ≥ 65 years (n = 156), using the official nutritionDay questionnaires. Malnutrition risk is identified by Malnutrition Universal Screening Tool (MUST), malnutrition by the ESPEN criteria (European Society of Clinical Nutrition and Metabolism). (3) Results: According to MUST (n = 136) 16.9% (n = 23) were at medium risk of malnutrition, 33.8% (n = 46) at high risk of malnutrition, 28.1% (n = 38) were malnourished. Overall, 62.8% (n = 98) showed an inadequate eating behaviour during hospital stay. Moreover, patients with inadequate nutrition had significantly worse self-reported health statuses (p = 0.001; r = −0.276), were less able to walk on nutritionDay (p = 0.002; r = −0.255), had eaten little in the week before admission to hospital (p < 0.001; r = −0.313), and had an increased length of stay (p = 0.036; r = −0.174). (4) Conclusion: To identify malnourished patients is a significant barrier for practitioners seeking to administer specific, tailored interventions. Malnutrition screening protocols must be improved, just as nutrition monitoring in general.

scholarly journals Do the User of Nutrition Information System (SISFORNUTRIMIL) Application Have an Impact on Maternal Eating Behaviour and Pregnancy Outcomes?

2019 ◽  
Author(s):  
Mira Trisyani Koeryaman ◽  
Saseendran Pallikadavath ◽  
Isobel Ryder
Keyword(s):  
Food Intake ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Nutrient Intake ◽  
Dietary Diversity ◽  
Eating Behaviour ◽  
Reproductive Age ◽  
Nutrition Intervention ◽  
Maternal Weight ◽  
Inadequate Nutrition

Background: In several studies have reported that complications of pregnancy could be indicated by inadequate nutrition during pregnancy. In this regard, some of the pregnant women are limited-time engagement with health professionals, lack resources and education of nutrition, and consume unhealthy food. Often found that pregnant women and family are difficult to estimate nutrient intake in line with dietary targets and guidelines and nutrient reference value.TheNutritionalInformation System (SISFORNUTRIMIL) is an application which helps the pregnant women to estimate nutrient intake and record their food intake. Objectives: The study aims to determine the maternal eating behaviour and pregnancy outcomes measurements. Methods: This study involved two phases. Phase one: Conducting a literature search required engaging in an extensive and systematic search strategy to be able to identify articles related to this study. Step two: this study will randomized control trial (RCT) and allocate participants 1:1 to the SISFORNUTRIMIL application user and non-user application. The Minimum Dietary Diversity for Women of reproductive age (MDD-W) indicators and Adult Behaviour Eating Questionnaire (ABEQ) will be used to identify maternal eating behaviour. In additional, maternal weight gain, blood sample test, and birth weight examination used to measure pregnancy experience and pregnancy outcome. Discussion: Nutrition intervention during pregnancy is an important strategy to improve health pregnancy in reduced the healthcare and health promotion issue. The SISFORNUTRIMIL application for individual preferences for nutrition intervention and optimal pregnancy outcomes, suggesting a need for food intake guidelines that facilitate pregnant women involvement in eating properly. Furthermore, this research as a proper foundation to contribute to decreasing the morbidity and mortality rate.

scholarly journals Efficacy of Nutrition Screening Tools in Predicting the Length of Hospital Stay in Older Hospitalized Patients

Acta Medica ◽  
2021 ◽  
pp. 1-7
Author(s):  
Cafer Balcı
Keyword(s):  
Hospital Stay ◽  
Universal Screening ◽  
Global Assessment ◽  
Screening Tool ◽  
Length Of Hospital Stay ◽  
Subjective Global Assessment ◽  
Risk Screening ◽  
Nutrition Risk ◽  
Prolonged Length ◽  
Malnutrition Universal Screening Tool

Objective: The prevalence of malnutrition remains high in older hospitalized patients. Subjective Global Assessment, the Nutrition Risk Screening-2002, and Malnutrition Universal Screening Tool are widely used screening and assessment tools, but comparison of their efficacy in predicting clinical outcomes like length of hospital stay remain scarce. This study aimed to compare the efficacy of these tools in predicting length of hospital stay in a group of older hospitalized patients. Materials and Methods: A retrospective analysis was performed in a sample of 72 patients consecutively admitted to a geriatric medicine ward. Subjective Global Assessment, Nutrition Risk Screening-2002 and Malnutrition Universal Screening Tool were performed within 24 hours of admission. Patients were classified as having prolonged length of hospital stay if they stay in the hospital for more than ten days. The association of baseline malnutrition defined by each tool and the prolonged length of hospital stay was assessed using unadjusted and adjusted logistic regression models. Results: The mean age of the patients was 73.5 ± 6.9 years, and 61.1% were women. The prevalence of malnutrition was 45.8% with Subjective Global Assessment, 51.4% with Nutrition Risk Screening-2002, and 33.3% with Malnutrition Universal Screening Tool. Among the entire cohort, twenty-nine patients (40.2%) had longer length of the hospital stay. After adjusted for covariates, multivariate logistic regression analysis revealed that the Subjective Global Assessment had the best predictive power (OR: 3.9; p: 0.02), followed by Nutrition Risk Screening-2002 (OR: 3.8; p: 0.03), and Malnutrition Universal Screening Tool (OR: 2.9; p: 0.02). Conclusion: Malnutrition assessed by the Subjective Global Assessment, Nutrition Risk Screening-2002 and Malnutrition Universal Screening Tool on admission predict prolonged length of hospital stay in hospitalized older patients.

scholarly journals BAPEN Malnutrition Universal Screening Tool in Adults in the City of Vlora, Albania

2020 ◽  
Vol 5 (7) ◽  
pp. 766-780
Author(s):  
Brunilda Subashi
Keyword(s):  
Higher Education ◽  
High Risk ◽  
Universal Screening ◽  
Screening Tool ◽  
Activity Level ◽  
Master's Level ◽  
Full Time ◽  
Medium Risk ◽  
The City ◽  
Malnutrition Universal Screening Tool

Malnutrition, in all its forms, is a global problem and continues to be one of the greatest challenges facing our generation. ‘MUST’ is a five-step screening tool to identify adults, who are malnourished, at risk of malnutrition (undernutrition), or obese. Purpose: Evaluation of BMI, malnutrition and percentage of weight loss in the city of Vlora, Albania. Methodology: This is an exploratory study, carried out in the city of Vlora during May 20 - June 20, 2020, using the ‘MUST’ since data such as: height, weight and weight before 3-6 months, was obtained through the AFQPHALS Survey (Adult Food Quality and Physical Activity Level Survey), which was distributed online on social networks during May 17- 27, 2020 and completed by 545 adult subjects 18 years and older, including some Albanian cities with the predominance of the city of Vlora. Results & conclusions: Vlora constitute 55% part of the study sample; women 75%; with higher education 45% and master's degree 29%; full-time employees 38% and students 35%; 24% overweight, 9% obesity and 8% underweight; 73% has low risk, 16% has medium risk and 11% has high risk for malnutrition; 73% has not lost weight (0%). The high risk for malnutrition prevails in gender female, at higher education and master's level in students and full-time employees. Recommendations: Recognition and use of the Malnutrition Universal Screening Tool by the community, that is a free tool, easy and accessible for all to know and reduce malnutrition.

Poor nutritional status correlates with mortality and worse postoperative outcomes in patients with femoral neck fractures

2021 ◽  
Vol 103-B (1) ◽  
pp. 164-169
Author(s):  
Lawrence O'Leary ◽  
Lara Jayatilaka ◽  
Ross Leader ◽  
James Fountain
Keyword(s):  
High Risk ◽  
Femoral Neck ◽  
Hospital Stay ◽  
Risk Group ◽  
Length Of Hospital Stay ◽  
High Risk Group ◽  
Femoral Neck Fractures ◽  
Inpatient Mortality ◽  
Supported Living ◽  
Medium Risk

Aims Patients who sustain neck of femur fractures are at high risk of malnutrition. Our intention was to assess to what extent malnutrition was associated with worse patient outcomes. Methods A total of 1,199 patients with femoral neck fractures presented to a large UK teaching hospital over a three-year period. All patients had nutritional assessments performed using the Malnutrition Universal Screening Tool (MUST). Malnutrition risk was compared to mortality, length of hospital stay, and discharge destination using logistic regression. Adjustments were made for covariates to identify whether malnutrition risk independently affected these outcomes. Results Inpatient mortality was 5.2% (35/678) in the group at low risk of malnutrition, 11.3% (46/408) in the medium-risk group, and 17.7% (20/113) in the high-risk group. Multivariate analysis showed each categorical increase in malnutrition risk independently predicted inpatient mortality with an odds ratio (OR) of 1.59 (95% confidence interval (CI) 1.14 to 2.21; p = 0.006). An increased mortality rate persisted at 120 days post-injury (OR 1.64, 95% CI 1.20 to 2.22; p = 0.002). There was a stepwise increase in the proportion of patients discharged to a residence offering a greater level of supported living. Multivariate analysis produced an OR of 1.34 (95% CI 1.03 to 1.75; p = 0.030) for each category of MUST score. Median length of hospital stay increased with a worse MUST score: 13.9 days (interquartile range (IQR) 8.2 to 23.8) in the low-risk group; 16.6 days (IQR 9.0 to 31.5) in the medium-risk group; and 22.8 days (IQR 10.1 to 41.1) in the high-risk group. Adjustment for covariates revealed a partial correlation coefficient of 0.072 (p = 0.008). Conclusion A higher risk of malnutrition independently predicted increased mortality, length of hospital stay, and discharge to a residence offering greater supported living after femoral neck fracture. Cite this article: Bone Joint J 2021;103-B(1):164–169.

Nutritional risk in early childhood and parent-reported school concerns

2021 ◽  
pp. 1-9
Author(s):  
Jessica A Omand ◽  
Magdalena Janus ◽  
Jonathon L Maguire ◽  
Patricia C Parkin ◽  
Janis Randall Simpson ◽  
...  
Keyword(s):  
Early Childhood ◽  
Language Learning ◽  
Motor Coordination ◽  
Eating Behaviour ◽  
Nutritional Risk ◽  
Research Network ◽  
Fine Motor ◽  
Nutritional Interventions ◽  
Logistic Regression Models ◽  
Individual School

Abstract Objective: To determine if nutritional risk in early childhood is associated with parent-reported school concerns. Design: A prospective cohort study conducted through the TARGet Kids! primary care research network (2011–2018). Nutritional risk was measured between 18 months and 5 years of age using validated parent-completed NutriSTEP® questionnaires with eating behaviour and dietary intake subscores (0 = lowest and 68 = highest total nutritional risk score). Parent-reported school concerns were measured at school age (4–10 years of age) and included: speech and language; learning; attention; behaviour; social relationships; physical coordination; fine motor coordination and self-help skills and independence. The primary outcome was any parent-reported school concerns, and individual school concerns were used as secondary outcomes. Multiple logistic regression models were conducted adjusting for clinically relevant confounders to assess the relationship between nutritional risk and school concerns. Setting: Toronto, Canada. Participants: Children aged 18 months to 10 years. Results: The study included 3655 children, 52 % were male, mean NutriSTEP® score was 14·4 (sd 6·4). Each 1 sd increase in NutriSTEP® total score was associated with a 1·18 times increased odds of school concerns (adj OR: 1·18, 95 % CI 1·07, 1·28, P = 0·0004), and high nutritional risk was associated with a 1·42 times increased odds of school concerns (adj OR: 1·42, 95 % CI 1·13, 1·78, P = 0·002). Conclusions: Nutritional risk in early childhood was associated with school concerns. Nutritional interventions in early childhood may reveal opportunities to enhance school outcomes.

scholarly journals The relation between Malnutrition Universal Screening Tool (MUST), computed tomography–derived body composition, systemic inflammation, and clinical outcomes in patients undergoing surgery for colorectal cancer

2019 ◽  
Vol 110 (6) ◽  
pp. 1327-1334 ◽  
Author(s):  
Arwa S Almasaudi ◽  
Stephen T McSorley ◽  
Ross D Dolan ◽  
Christine A Edwards ◽  
Donald C McMillan
Keyword(s):  
Colorectal Cancer ◽  
Computed Tomography ◽  
Body Composition ◽  
Nutritional Status ◽  
Hospital Stay ◽  
Clinical Outcomes ◽  
Universal Screening ◽  
Screening Tool ◽  
Length Of Hospital Stay ◽  
Malnutrition Universal Screening Tool

ABSTRACT Background Nutritional status is an important factor affecting a patient's clinical outcomes. Early identification of patients who are at risk of malnutrition is important to improve clinical outcomes and reduce health cost. The Malnutrition Universal Screening Tool (MUST) has been recommended as part of the routine nursing assessment for all patients at hospital admission. Objective The aim of this study was to examine the association between nutritional status (MUST), systemic inflammatory response (SIR), body composition, and clinical outcomes in patients undergoing surgery for colorectal cancer. Methods The malnutrition risk was examined using MUST in patients admitted for surgery for colorectal cancer between March 2013 and June 2016. Preoperative computed tomography scans were used to define the body composition. The presence of SIR was evidenced by the modified Glasgow prognostic score and the neutrophil to lymphocyte ratio. Postoperative complications, severity of complication, length of hospital stay, and mortality were considered as outcome measures. Results The study included 363 patients (199 males, 164 females); 21% of the patients presented with a medium or high nutritional risk. There were significant associations between MUST and subcutaneous adiposity (P < 0.001), visceral obesity (P < 0.001), and low skeletal muscle index (P < 0.001). No statistically significant association was identified between MUST score and presence of any complication or severity of complication. On multivariate analysis, MUST remained independently associated with the length of hospital stay (OR: 2.17; 95% CI: 1.45, 3.26; P < 0.001). Kaplan–Meier survival curves showed an increased number of deaths for patients at medium or high risk of malnutrition (P < 0.001). This association was found to be independent of other confounding factors (HR: 1.45; 95% CI: 1.06, 1.99; P = 0.020). Conclusions MUST score is an independent marker of risk in those undergoing surgery for colorectal cancer and should remain a key part of preoperative assessment.

scholarly journals SP9.1.4 Management of Small Bowel Obstruction: A Comparison to NASBO

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Babur Ahmed ◽  
Anna Thompson ◽  
Aoife Colgan ◽  
Rachel Brindle
Keyword(s):  
Small Bowel ◽  
Hospital Stay ◽  
Small Bowel Obstruction ◽  
Median Time ◽  
Bowel Obstruction ◽  
Nutritional Assessment ◽  
Water Soluble ◽  
Contrast Study ◽  
Cross Sectional ◽  
Nutritional Interventions

Abstract Aim Prompt diagnosis and proactive decisions in management of small bowel obstruction (SBO) can reduce the associated morbidity, in-hospital stay and mortality. Following recommendations of National Audit of Small Bowel Obstruction (NASBO) and Bologna (2017), the “agreed pathway” of The Association of Surgeons of Great Britain and Ireland (ASGBI, 2018) sets clear guidelines to aid timely management of SBO. We aimed to audit our practice to these guidelines and compared outcomes to NASBO. Methods Data was collected retrospectively on patients admitted with SBO from July 2019 - December 2019 and presented as percentage, median or interquartile range (IQR). Results Median age of 76 included patients was 62.0 years, 53.9% were female. Aetiologies were; adhesions (59.2%), hernia (27.6%), malignancy (10.5%) and others (2.6%). Admission CTs were performed in 92.1% vs. 80.0% (NASBO), with a median time of 3.3 hours vs. 2.2 days (NASBO). Median time to surgery in those managed operatively (n = 35) was 10 hours vs. 1 day (NASBO), while in 72.0% vs. 21.0% (NASBO) of non-settling SBO, water soluble contrast study (WSCS) was performed in a median (IQR) time of 39.0 (20.0-45.4) hours. Adhesional SBO resolved in 85.7% of cases suitable for non-operative approach. Objective nutritional assessment was performed in 94.7% vs. 90.0% (NASBO). In-hospital stay, 30-day morbidity and mortality compared to NASBO were 5.0 vs. 10.7 days, 31.6% vs. 23.0% and 5.3% vs. 8.0% respectively. Conclusion ASGBI guidelines provide multi-faceted proactive approach in managing SBO; including early cross-sectional imaging, prompt WSCS use and timely nutritional interventions, promoting improved outcomes.

scholarly journals Social influences on eating: implications for nutritional interventions

2013 ◽  
Vol 26 (2) ◽  
pp. 166-176 ◽  
Author(s):  
Eric Robinson ◽  
Jackie Blissett ◽  
Suzanne Higgs
Keyword(s):  
Social Context ◽  
Social Norms ◽  
Food Choice ◽  
Eating Behaviour ◽  
Theoretical Models ◽  
Self Presentation ◽  
Nutritional Interventions ◽  
Identity Signalling ◽  
Underlying Mechanisms ◽  
The Impact

We review recent research on the effect of social context on food intake and food choice and assess the implications for nutritional interventions. We focus on studies of modelling of eating behaviour and the impact of perceived eating norms on the amounts and types of food that individuals eat. We suggest that social context influences eating via multiple mechanisms, including identity signalling and self-presentation concerns. However, building on existing theoretical models, we propose that social factors may be particularly influential on nutrition because following the behaviour of others is adaptive and social norms inform individuals about behaviours that are likely to be optimal (‘if everyone else is doing it, I probably should be’). Guided by understanding of the potential underlying mechanisms, we discuss how social norms might be used to promote healthier nutrition.

The Diagnosis of Viral Disease by Electron Microscopy

1982 ◽  
Vol 40 ◽  
pp. 270-273
Author(s):  
William B. McCombs ◽  
Cameron E. McCoy
Keyword(s):  
Electron Microscopy ◽  
Hospital Stay ◽  
Viral Infections ◽  
Medical Profession ◽  
Bacterial Pathogens ◽  
Viral Disease ◽  
Viral Pathogens ◽  
Academic Interest ◽  
The Past

Recent years have brought a reversal in the attitude of the medical profession toward the diagnosis of viral infections. Identification of bacterial pathogens was formerly thought to be faster than identification of viral pathogens. Viral identification was dismissed as being of academic interest or for confirming the presence of an epidemic, because the patient would recover or die before this could be accomplished. In the past 10 years, the goal of virologists has been to present the clinician with a viral identification in a matter of hours. This fast diagnosis has the potential for shortening the patient's hospital stay and preventing the administering of toxic and/or expensive antibiotics of no benefit to the patient.

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