Comparison of Three Oral Nutrition Support Interventions on Outcomes in Geriatric Hospitalized Patients with Malnutrition

2011 ◽  
Vol 111 (9) ◽  
pp. A41
Author(s):  
K.L. Campbell ◽  
L. Webb ◽  
L. Young ◽  
A. Vivanti ◽  
M. Ferguson
Keyword(s):  
Hospitalized Patients ◽  
Nutrition Support ◽  
Oral Nutrition

High frequency of non-compliance with quality indicators during oral nutrition support in hospitalized patients

2020 ◽  
Vol 40 ◽  
pp. 363-368
Author(s):  
Daiane Aparecida Nogueira ◽  
Lara Princia Ferreira ◽  
Renata Paniago Andrade de Lúcia ◽  
Geórgia das Graças Pena
Keyword(s):  
Quality Indicators ◽  
High Frequency ◽  
Hospitalized Patients ◽  
Nutrition Support ◽  
Oral Nutrition

Nutrition Status, Nutrition Support Therapy, and Food Intake are Related to Prolonged Hospital Stays in China: Results from the NutritionDay 2015 Survey

2016 ◽  
Vol 69 (3-4) ◽  
pp. 215-225 ◽  
Author(s):  
Huijun Zheng ◽  
Yingchun Huang ◽  
Yongmei Shi ◽  
Wei Chen ◽  
Jianchun Yu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Food Intake ◽  
Hospitalized Patients ◽  
Nutrition Support ◽  
Nutrition Status ◽  
Related Factors ◽  
Oral Nutrition ◽  
The Past ◽  
Hospital Stays ◽  
Prolonged Hospital

Background and Aims: Malnutrition is a common and critical problem that greatly influences the clinical outcomes of hospitalized patients. Nutrition support therapy and food intake, in addition to disease-related factors, are also important to maintain the nutrition status of patients. In light of this, we aimed to examine the risk factors associated with malnutrition in 3 hospitals in China. Methods: This project was part of the NutritionDay audit, an international daylong cross-sectional audit investigating the nutritional intervention profiles of hospitalized patients. Seven standardized questionnaires were used, and malnutrition was defined as a body mass index <18.5 kg/m2 or unintentional weight loss >5% in last 3 months. Results: A total of 842 hospitalized patients from 9 units in 3 Chinese hospitals participated in the project on November 19, 2015. Among them, 825 were included in the analyses. Malnutrition was identified in 29.3% of the patients and oral nutrition was the primary nutrition support therapy administered (n = 623, 75.6%). Age, nutrition support, and food intake during the past week were independent risk factors for malnutrition. Furthermore, nutrition status, nutrition support therapy, and food intake during the past week were associated with prolonged length of stay. Conclusions: The prevalence of malnutrition in Chinese hospitals was similar to that in European hospitals. Nutrition status was associated with age, nutrition support, and food intake, which was closely related to patients' clinical outcome, such as prolonged hospital stays as confirmed in this study. More studies are needed to determine why nutrition intake is often inadequate and to determine efficient methods for correcting the nutrition status of patients.

scholarly journals High Frequency of Non-Compliance with Quality Indicators of Enteral and Parenteral Nutritional Therapy in Hospitalized Patients

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2408
Author(s):  
Daiane Aparecida Nogueira ◽  
Lara Princia Ferreira ◽  
Renata Paniago Andrade de Lúcia ◽  
Geórgia das Graças Pena
Keyword(s):  
Quality Indicators ◽  
Health Professionals ◽  
High Frequency ◽  
Real Life ◽  
Nutritional Therapy ◽  
Feeding Tube ◽  
Hospitalized Patients ◽  
Nutrition Support ◽  
Real Life Situation ◽  
A Prospective Study

Quality indicators in nutritional therapy (QINT) are measures of the effectiveness and quality of nutrition support. The purpose of this study was to evaluate the frequency of the QINT adequacy of Enteral Nutritional Therapy (EN) and/or Parenteral (PN) in hospitalized patients and identify the best indicators according to health professionals. A prospective study was performed, including data from patients aged 18 years or over admitted to clinical or surgical wards. The patients who had received EN and/or PN were followed from the first day of nutritional prescription until discharge. Twelve indicators were calculated, as recommended by the literature. Regarding professional opinion, the QINT adequacy was evaluated by observing its utility, simplicity, objectivity, and cost. Of the 727 hospitalized patients, 101 were on EN and/or PN. Regarding the 12 QINT evaluated, only 25% (3) achieved the goals: involuntary withdrawal of enteral feeding tube (0.01%); feeding tube occlusion or withdrawal per occlusion (0%); the measurement of energy and protein requirements (92%). A high frequency of non-compliance (75% of QINT) was observed in clinical and surgical patients on EN and/or PN. With knowledge of the six best indicators chosen by health professionals in this service, it will be possible to elaborate protocols according to the real-life situation in the institution.

scholarly journals Opportunities for Quality Improvement Programs (QIPs) in the Nutrition Support of Patients with Cancer

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 227 ◽  
Author(s):  
Mary Beth Arensberg ◽  
Julie Richards ◽  
Jyoti Benjamin ◽  
Kirk Kerr ◽  
Refaat Hegazi
Keyword(s):  
Quality Improvement ◽  
Health Outcomes ◽  
Cancer Care ◽  
Nutrition Support ◽  
Oral Nutrition ◽  
Patients With Cancer ◽  
Treatment Interruptions ◽  
Improvement Programs ◽  
Quality Improvement Programs

Malnutrition in patients with cancer is a ubiquitous but neglected problem that can reduce patient survival/quality of life and increase treatment interruptions, readmission rates, and healthcare costs. Malnutrition interventions, including nutrition support through dietary counseling, diet fortification, oral nutrition supplements (ONS), and enteral and parenteral nutrition can help improve health outcomes. However, nutritional care standards and interventions for cancer are ambiguous and inconsistently applied. The lack of systematic malnutrition screening and intervention in ambulatory cancer care has especially significant consequences and thus the nutrition support of patients with cancer represents an area for quality improvement. United States healthcare payment models such as the Oncology Care Model are linked to quality of care and health outcomes. Quality improvement programs (QIPs) can advance patient-centered care, perfect care processes, and help healthcare professionals meet their quality measure performance goals. Malnutrition QIPs like the Malnutrition Quality Improvement Initiative (MQii) have been shown to be effective in identifying and treating malnutrition. However, little is known about or has been reported on nutrition or malnutrition-focused QIPs in cancer care. This paper provides information to support translational research on quality improvement and outlines the gaps and potential opportunities for QIPs in the nutrition support of patients with cancer.

scholarly journals The Trend of Perioperative Care of Gastrectomy in Kanagawa, Japan

2016 ◽  
Vol 101 (11-12) ◽  
pp. 570-576
Author(s):  
Takanobu Yamada ◽  
Junya Shirai ◽  
Katsuya Yoneyama ◽  
Akio Kasahara ◽  
Yasushi Rino ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Perioperative Care ◽  
Antimicrobial Prophylaxis ◽  
Fluid Management ◽  
Early Mobilization ◽  
Nutrition Support ◽  
Oral Nutrition ◽  
Preoperative Nutrition ◽  
Mechanical Preparation ◽  
Postoperative Drainage

Comprehensive surveys on perioperative care in Japan, including that in community or private hospitals, have not been reported, and current trends remain unclear. The present survey was designed to investigate current routines for perioperative care in patients who undergo surgery for gastric cancer in Kanagawa, Japan. A questionnaire was designed specifically to obtain information on perioperative routines in patients with gastric cancer throughout Kanagawa. A total of 55 hospitals in Kanagawa responded. Most hospitals perform antimicrobial prophylaxis every 3 hours intraoperatively, use a postoperative drainage tube, use a urinary catheter for only 2 days after surgery, administer epidural anesthesia, and encourage early mobilization. Liquid intake until 3 hours before surgery is not allowed in most hospitals. Most hospitals do not routinely provide preoperative nutrition support, perform bowel mechanical preparation, administer prophylaxis against thromboembolism, place a postoperative nasogastric tube, attempt to maintain normovolemia, or administer planned nonsteroidal anti-inflammatory drugs. The day of restarting drinking or eating varies considerably. Many elements of perioperative management, especially postoperative oral nutrition, have yet to be standardized for patients with gastric cancer in Japan. There are great gaps between clinical practice and evidence-based practice in fluid management and drain usage.

Nutrition Support of Obese Hospitalized Patients

1997 ◽  
Vol 12 (4) ◽  
pp. 149-154 ◽  
Author(s):  
Patricia S. Choban ◽  
Jean C. Burge ◽  
Louis Flancbaum
Keyword(s):  
Hospitalized Patients ◽  
Nutrition Support
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