Evidence-Based Recommendations for Addressing Malnutrition in Health Care: An Updated Strategy From the feedME Global Study Group

被引:105
作者
Correia, M. Isabel T. D. [1 ]
Hegazi, Refaat A. [2 ]
Higashiguchi, Takashi [3 ]
Michel, Jean-Pierre [4 ]
Reddy, B. Ravinder [5 ]
Tappenden, Kelly A. [6 ]
Uyar, Mehmet [7 ]
Muscaritoli, Maurizio [8 ]
机构
[1] Univ Fed Minas Gerais, Belo Horizonte, MG, Brazil
[2] Abbott Nutr Res & Dev, Columbus, OH USA
[3] Fujita Hlth Univ, Sch Med, Toyoake, Aichi, Japan
[4] Geneva Sch Med, Geneva, Switzerland
[5] Care Hosp, Hyderabad, Andhra Pradesh, India
[6] Univ Illinois, Urbana, IL 61801 USA
[7] Ege Univ Hosp, Izmir, Turkey
[8] Univ Roma La Sapienza, I-00185 Rome, Italy
关键词
Malnutrition; nutrition; hospital; long-term care; community; screening; assessment; oral nutrition supplement; CRITICALLY-ILL PATIENTS; DISEASE-RELATED MALNUTRITION; FRAIL ELDERLY-PEOPLE; QUALITY-OF-LIFE; ENTERAL NUTRITION; ESPEN GUIDELINES; SCREENING TOOL; OLDER-ADULTS; MALNOURISHED PATIENTS; HOSPITALIZED-PATIENTS;
D O I
10.1016/j.jamda.2014.05.011
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The prevalence of malnutrition ranges up to 50% among patients in hospitals worldwide, and diseaserelated malnutrition is all too common in long-term and other health care settings as well. Regrettably, the numbers have not improved over the past decade. The consequences of malnutrition are serious, including increased complications (pressure ulcers, infections, falls), longer hospital stays, more frequent readmissions, increased costs of care, and higher risk of mortality. Yet disease-related malnutrition still goes unrecognized and undertreated. To help improve nutrition care around the world, the feedM.E. (Medical Education) Global Study Group, including members from Asia, Europe, the Middle East, and North and South America, defines a Nutrition Care Pathway that is simple and can be tailored for use in varied health care settings. The Pathway recommends screen, intervene, and supervene: screen patients' nutrition status on admission or initiation of care, intervene promptly when needed, and supervene or follow-up routinely with adjustment and reinforcement of nutrition care plans. This article is a call-to-action for health caregivers worldwide to increase attention to nutrition care. (C) 2014 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
引用
收藏
页码:544 / 550
页数:7
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