Nutritional risk, nutrition impact symptoms, and dietary intake after four or more days of admission: A cross-sectional study on hospitalised patients
Summary: Background: Regular audits on nutrition screening, therapy, and dietary intake monitoring are essential for ensuring optimal nutrition practice. This study aimed to investigate the prevalence of nutritional risk, nutritional coverage, and nutrition impact symptoms (NIS) in hospitalized pat...
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Elsevier
2024-12-01
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| Series: | Clinical Nutrition Open Science |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667268524000937 |
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| author | Jonas Anias Svendsen Ines Raben Matias Holskou Anja Weirsøe Dynesen |
| author_facet | Jonas Anias Svendsen Ines Raben Matias Holskou Anja Weirsøe Dynesen |
| author_sort | Jonas Anias Svendsen |
| collection | DOAJ |
| description | Summary: Background: Regular audits on nutrition screening, therapy, and dietary intake monitoring are essential for ensuring optimal nutrition practice. This study aimed to investigate the prevalence of nutritional risk, nutritional coverage, and nutrition impact symptoms (NIS) in hospitalized patients. Methods: A cross-sectional study was conducted, including adult patients admitted for ≥5 days on November 1, 2023. Data were collected from medical records to estimate the prevalence of nutritional risk using the NRS-2002 score. Additionally, data on dietary intake and NIS were collected through interviews with patients identified as being at nutritional risk. Results: A total of 104 patients (48% females) were included in the study, with 51% identified as being at nutritional risk. Patients at nutritional risk and those not at risk differed significantly in terms of length of admission (median 9 (IQR: 7–17) vs. 7 days (6–11), P = 0.015) and BMI (median 22.3 (IQR: 20.3–27.7) vs. 25.9 (22.9–29.7), P = 0.015). Patients at nutritional risk had a median energy coverage of 60% (IQR: 38–87) and a median protein coverage of 45% (IQR: 36–82). However, only 42% of them achieved an energy intake of ≥75% of the estimated requirement, while 28% met the same level for protein intake. The most prevalent NIS affecting dietary intake was ‘diarrhea, constipation, or discomfort from the stomach’, reported by 50% of patients. Conclusion: This study highlights the significant prevalence of nutritional risk among hospitalised patients, with one in every two patients identified as being at risk. Despite efforts, nutritional needs were not adequately met, particularly regarding protein intake. Regular audits and interdisciplinary collaboration are necessary for improving nutritional care and outcomes in hospital settings. |
| format | Article |
| id | doaj-art-6eb5dda0c91248fab96d5cc7d632b47e |
| institution | Kabale University |
| issn | 2667-2685 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Nutrition Open Science |
| spelling | doaj-art-6eb5dda0c91248fab96d5cc7d632b47e2024-12-13T11:07:16ZengElsevierClinical Nutrition Open Science2667-26852024-12-0158121130Nutritional risk, nutrition impact symptoms, and dietary intake after four or more days of admission: A cross-sectional study on hospitalised patientsJonas Anias Svendsen0Ines Raben1Matias Holskou2Anja Weirsøe Dynesen3Centre for Health and Rehabilitation, University College Absalon, Sdr. Stationsvej 30, DK-4200 Slagelse, Denmark; Corresponding author. Centre for Health and Rehabilitation, University College Absalon, Sdr. Stationsvej 30, DK-4200 Slagelse, Denmark.Unit for Clinical Nutrition, Medical Department, Zealand University Hospital, Lykkebækvej 1, DK-4600 Køge, DenmarkZealand University Hospital, Nykøbing Falster, Fjordvej 7, DK-4800 Nykøbing F, DenmarkCentre for Health and Rehabilitation, University College Absalon, Sdr. Stationsvej 30, DK-4200 Slagelse, DenmarkSummary: Background: Regular audits on nutrition screening, therapy, and dietary intake monitoring are essential for ensuring optimal nutrition practice. This study aimed to investigate the prevalence of nutritional risk, nutritional coverage, and nutrition impact symptoms (NIS) in hospitalized patients. Methods: A cross-sectional study was conducted, including adult patients admitted for ≥5 days on November 1, 2023. Data were collected from medical records to estimate the prevalence of nutritional risk using the NRS-2002 score. Additionally, data on dietary intake and NIS were collected through interviews with patients identified as being at nutritional risk. Results: A total of 104 patients (48% females) were included in the study, with 51% identified as being at nutritional risk. Patients at nutritional risk and those not at risk differed significantly in terms of length of admission (median 9 (IQR: 7–17) vs. 7 days (6–11), P = 0.015) and BMI (median 22.3 (IQR: 20.3–27.7) vs. 25.9 (22.9–29.7), P = 0.015). Patients at nutritional risk had a median energy coverage of 60% (IQR: 38–87) and a median protein coverage of 45% (IQR: 36–82). However, only 42% of them achieved an energy intake of ≥75% of the estimated requirement, while 28% met the same level for protein intake. The most prevalent NIS affecting dietary intake was ‘diarrhea, constipation, or discomfort from the stomach’, reported by 50% of patients. Conclusion: This study highlights the significant prevalence of nutritional risk among hospitalised patients, with one in every two patients identified as being at risk. Despite efforts, nutritional needs were not adequately met, particularly regarding protein intake. Regular audits and interdisciplinary collaboration are necessary for improving nutritional care and outcomes in hospital settings.http://www.sciencedirect.com/science/article/pii/S2667268524000937Nutritional riskNutrition impact symptomsDietary intakeProtein intakeHospital |
| spellingShingle | Jonas Anias Svendsen Ines Raben Matias Holskou Anja Weirsøe Dynesen Nutritional risk, nutrition impact symptoms, and dietary intake after four or more days of admission: A cross-sectional study on hospitalised patients Clinical Nutrition Open Science Nutritional risk Nutrition impact symptoms Dietary intake Protein intake Hospital |
| title | Nutritional risk, nutrition impact symptoms, and dietary intake after four or more days of admission: A cross-sectional study on hospitalised patients |
| title_full | Nutritional risk, nutrition impact symptoms, and dietary intake after four or more days of admission: A cross-sectional study on hospitalised patients |
| title_fullStr | Nutritional risk, nutrition impact symptoms, and dietary intake after four or more days of admission: A cross-sectional study on hospitalised patients |
| title_full_unstemmed | Nutritional risk, nutrition impact symptoms, and dietary intake after four or more days of admission: A cross-sectional study on hospitalised patients |
| title_short | Nutritional risk, nutrition impact symptoms, and dietary intake after four or more days of admission: A cross-sectional study on hospitalised patients |
| title_sort | nutritional risk nutrition impact symptoms and dietary intake after four or more days of admission a cross sectional study on hospitalised patients |
| topic | Nutritional risk Nutrition impact symptoms Dietary intake Protein intake Hospital |
| url | http://www.sciencedirect.com/science/article/pii/S2667268524000937 |
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