Nutritional status at submission for dietetic services and screening for malnutrition at admission to hospital

I. Thorsdóttir*, B. Eriksen, S. Eysteinsdóttir

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

42 Citations (Scopus)

Abstract

This paper presents two studies in a quality management project that aims to diminish malnutrition among hospitalized patients. The objective of study 1 was to investigate what information was available on the nutritional status of patients submitted for dietetic services for reasons other than obesity (n = 167) and of study 2 to evaluate a nine-question screening sheet for malnutrition in patients (n = 115) within 48 h of admission to the hospital. In study 1 sufficient data to evaluate nutritional status was found for 17% of the patients submitted for dietetic services. In study 2 the screening sheet identified 21% of the patients as malnourished and a full nutritional assessment of seven anthropometrical and biochemical measurements 20%. The screening sheet could be simplified to six questions and then had a sensitivity of 0.69, a specificity of 0.91 and a positive predictive value of 0.65. It is concluded that evaluation of nutritional status in hospitalized patients has been disregarded and a simple screening sheet can be used to identify patients in need of further nutritional assessment and treatment.

Original languageEnglish
Pages (from-to)15-21
Number of pages7
JournalClinical Nutrition
Volume18
Issue number1
DOIs
Publication statusPublished - 1999

Other keywords

  • Albumin
  • Anthropometry
  • Hospital malnutrition
  • Nutritional status
  • Prealbumin
  • Screening

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