Adult malnutrition screening, prevalence and management in a United Kingdom hospital: cross-sectional study.
Br J Nutr
; 102(4): 571-5, 2009 Aug.
Article
en En
| MEDLINE
| ID: mdl-19203424
The objectives of the present cross-sectional study were to assess the screening, prevalence and management of malnutrition and identify any co-existence with obesity in adult hospital in-patients. The Malnutrition Universal Screening Tool (MUST) was applied to all medical, surgical, orthopaedic and critical care in-patients in an acute hospital in North-East England on a single day in 2007. An audit was also performed of malnutrition screening using a locally developed tool. Patients were excluded from study if they had been an in-patient less than 24 h or if discharged on the day of study. Of 328 patients meeting inclusion criteria, 100% had full data collection (143 males, 185 females, median length of stay 8 d (range 1-90 d), median age 76 years (range 17-101 years)). Only 226 patients (68.9%) had been screened for malnutrition and thirty-one (13.7%) were at highest malnutrition risk, of which only 45.2% were appropriately referred to nutrition and dietetic services. The prevalence of malnutrition (MUST > or = 1) was 44%. The prevalence of highest risk (MUST > or = 2) increased with age (20.6% < 60 years, 29.7% 60-79 years and 39.4% > or = 80 years). In total 37.8% (n 70) of female patients had a MUST score of > or = 2 compared with 24.5% (n 35) of males. Obesity (BMI > 30 kg/m2) was identified in 9.5% of those with a MUST score > or = 2. We have shown that malnutrition is a common problem affecting over 40% of patients in this hospital-wide study. Currently malnutrition is often unrecognised and undertreated in clinical practice. Hospitals must develop comprehensive strategies to both identify and treat in-patients with this common condition.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Desnutrición
Tipo de estudio:
Clinical_trials
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Diagnostic_studies
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Etiology_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
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Screening_studies
Límite:
Adolescent
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Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Br J Nutr
Año:
2009
Tipo del documento:
Article