1. [Assessing the implementation of a nutritional screening protocol in patients admitted to the Medicine Department of a local hospital].
- Author
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Recasens Gracia MªA, Puig Cepero C, Giménez-Pérez G, Soldevilla Barbosa C, Simó Guerrero O, Pérez Giménez G, Navarro Alé O, Pujol Martín G, Castells Fuster I, and Llargués Rocabruna E
- Subjects
- Adult, Aged, Aged, 80 and over, Diagnosis-Related Groups, Hospital Departments statistics & numerical data, Hospital Records, Humans, Internal Medicine, Malnutrition epidemiology, Middle Aged, Nursing Diagnosis, Nutritional Support, Nutritionists, Observer Variation, Patient Discharge, Program Evaluation, Prospective Studies, Secondary Care Centers statistics & numerical data, Severity of Illness Index, Spain epidemiology, Surveys and Questionnaires, Inpatients statistics & numerical data, Malnutrition diagnosis, Mass Screening organization & administration, Nutrition Assessment
- Abstract
Introduction: Background: the techniques for screening and nutritional intervention in hospitalized patients are a cost-effective measure. In clinical practice the problem lies in their administration. Objective: to evaluate the implementation of a nutritional screening tool in patients admitted to our Medicine Ward (M). Material and methods: a single-center, prospective, observational study in patients admitted to M. Exclusion criteria: end-stage cancer patients, inpatient stay less than 72 h, and hospital readmission of previously included patients. One out of every 2 hospital admissions was selected. We assessed the following: whether nurses performed the screening test, the Short Nutritional Assessment Questionnaire (SNAQ); the score obtained; consultations with dieticians (ICD); prescribed nutritional support; and coding of malnutrition in the discharge report. Dieticians repeated the SNAQ for one in every 3 patients. Results: during the study period 726 patients were admitted, 377 were selected, and 315 were included. The nursing staff administered the SNAQ to 93.6% of patients and malnutrition was present in 19%. Dieticians detected malnutrition in 37.8%. In 41.9% of patients with severe malnutrition an ICD was performed, whereas in 40% of them no nutritional intervention was implemented. The diagnosis of malnutrition was recorded in the discharge report of 42.1% of our cases. Conclusion: Compliance with screening test administration was good, but there is disagreement with the assessment made by dieticians. For most malnourished patients nutritional support fals to be prescribed, no ICDs are performed, and a malnutrition diagnosis is not included in the discharge report.
- Published
- 2020
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