Addressing Disease-Related Malnutrition in Healthcare: A Latin American Perspective

被引:41
作者
Isabel Correia, Maria [1 ]
Hegazi, Refaat A. [2 ]
Diaz-Pizarro Graf, Jose Ignacio [3 ,4 ]
Gomez-Morales, Gabriel [5 ]
Fuentes Gutierrez, Catalina [6 ]
Fernanda Goldin, Maria [7 ]
Navas, Angela [8 ]
Pinzon Espitia, Olga Lucia [9 ]
Millere Tavares, Gilmaria [10 ]
机构
[1] Univ Fed Minas Gerais, 246 Apt 902, BR-30130060 Belo Horizonte, MG, Brazil
[2] Abbott Nutr Res & Dev, Columbus, OH USA
[3] Hosp Angeles Lomas, Gen Surg & Clin Nutr Dept, Mexico City, DF, Mexico
[4] Anahuac Univ, Mexico City, DF, Mexico
[5] Abbott Nutr, Bogota, Colombia
[6] Hosp Clin Fuerza Aerea Chile, Santiago, Chile
[7] Hosp Italiano Buenos Aires, Buenos Aires, DF, Argentina
[8] Clin Reina Sofia, Bogota, Colombia
[9] Univ Rosario Mederi, Bogota, Colombia
[10] Ctr Integrado Atencao Saude, Vitoria, ES, Brazil
关键词
malnutrition; nutrition; hospital; community; screening; assessment; oral nutrition supplement; CRITICALLY-ILL PATIENTS; EVIDENCE-BASED RECOMMENDATIONS; SUBJECTIVE GLOBAL ASSESSMENT; QUALITY-OF-LIFE; HOSPITAL MALNUTRITION; NUTRITIONAL-STATUS; ENTERAL-NUTRITION; CONSENSUS STATEMENT; SURGICAL-PATIENTS; PRESSURE ULCERS;
D O I
10.1177/0148607115581373
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Alarmingly high rates of disease-related malnutrition have persisted in hospitals of both emerging and industrialized nations over the past 2 decades, despite marked advances in medical care over this same interval. In Latin American hospitals, the numbers are particularly striking; disease-related malnutrition has been reported in nearly 50% of adult patients in Argentina, Brazil, Chile, Costa Rica, Cuba, Dominican Republic, Ecuador, Mexico, Panama, Paraguay, Peru, Puerto Rico, Venezuela, and Uruguay. The tolls of disease-related malnutrition are high in both human and financial termsincreased infectious complications, higher incidence of pressure ulcers, longer hospital stays, more frequent readmissions, greater costs of care, and increased risk of death. In an effort to draw attention to malnutrition in Latin American healthcare, a feedM.E. Latin American Study Group was formed to extend the reach and support the educational efforts of the feedM.E. Global Study Group. In this article, the feedM.E. Latin American Study Group shows that malnutrition incurs excessive costs to the healthcare systems, and the study group also presents evidence of how appropriate nutrition care can improve patients' clinical outcomes and lower healthcare costs. To achieve the benefits of nutrition for health throughout Latin America, the article presents feedM.E.'s simple and effective Nutrition Care Pathway in English and Spanish as a way to facilitate its use.
引用
收藏
页码:319 / 325
页数:7
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