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[Assessing the implementation of a nutritional screening protocol in patients admitted to the Medicine Department of a local hospital].
- Source :
-
Nutricion hospitalaria [Nutr Hosp] 2020 Feb 17; Vol. 37 (1), pp. 80-85. - Publication Year :
- 2020
-
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.
- 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
Subjects
Details
- Language :
- Spanish; Castilian
- ISSN :
- 1699-5198
- Volume :
- 37
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Nutricion hospitalaria
- Publication Type :
- Academic Journal
- Accession number :
- 31876427
- Full Text :
- https://doi.org/10.20960/nh.02778