Exchange of information on malnourished patients: Reporting is scarce

M Klinkenberg, J J Van Binsbergen, R J M Strack Van Schijnael, A Thijs, M Van Bokhorst-De Van Der Schueren

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: To obtain insight into the exchange of information on nutritional status and nutritional support between hospital and general practitioner. Design: Prospective cohort study in newly admitted patients to the internal medicine department of a teaching hospital. Method: Nutritional status was assessed in all patients admitted to the Internal Medicine department VU University Medical Center (Amsterdam) over a period of 2 months. Malnourished patients' letters of referral and discharge were analysed for exchange of nutritional information between clinicians and GPs. The GP filled in a short questionnaire regarding the malnourished patients three months after discharge (n=13). Results: 106 patients were eligible to be included in the study, 70 patients participated (66% response), 24 patients were malnourished (34%). In seven cases a GP referral was found in the medical record, three of which included nutritional information. The discharge letters contained no information on body weight, nutrition or nutritional status in 40% of the cases. In the other cases only fragmentary notes referring to nutrition were included. No advice for follow-up was given in order to support nutrition after discharge. Re-admission to hospital occurred frequently in the malnourished patients and GPs were scarcely aware of their patients' nutritional status three months after discharge (n=13). Conclusion: Exchange of information on nutritional status and treatment between hospital and GP was unsystematic and poor.
Original languageDutch
Pages (from-to)216-219
Number of pages4
JournalHuisarts en Wetenschap
Volume48
Issue number5
Publication statusPublished - 2005

Cite this

Klinkenberg, M., Van Binsbergen, J. J., Strack Van Schijnael, R. J. M., Thijs, A., & Van Bokhorst-De Van Der Schueren, M. (2005). Exchange of information on malnourished patients: Reporting is scarce. Huisarts en Wetenschap, 48(5), 216-219.
Klinkenberg, M ; Van Binsbergen, J J ; Strack Van Schijnael, R J M ; Thijs, A ; Van Bokhorst-De Van Der Schueren, M. / Exchange of information on malnourished patients: Reporting is scarce. In: Huisarts en Wetenschap. 2005 ; Vol. 48, No. 5. pp. 216-219.
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abstract = "Objective: To obtain insight into the exchange of information on nutritional status and nutritional support between hospital and general practitioner. Design: Prospective cohort study in newly admitted patients to the internal medicine department of a teaching hospital. Method: Nutritional status was assessed in all patients admitted to the Internal Medicine department VU University Medical Center (Amsterdam) over a period of 2 months. Malnourished patients' letters of referral and discharge were analysed for exchange of nutritional information between clinicians and GPs. The GP filled in a short questionnaire regarding the malnourished patients three months after discharge (n=13). Results: 106 patients were eligible to be included in the study, 70 patients participated (66{\%} response), 24 patients were malnourished (34{\%}). In seven cases a GP referral was found in the medical record, three of which included nutritional information. The discharge letters contained no information on body weight, nutrition or nutritional status in 40{\%} of the cases. In the other cases only fragmentary notes referring to nutrition were included. No advice for follow-up was given in order to support nutrition after discharge. Re-admission to hospital occurred frequently in the malnourished patients and GPs were scarcely aware of their patients' nutritional status three months after discharge (n=13). Conclusion: Exchange of information on nutritional status and treatment between hospital and GP was unsystematic and poor.",
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author = "M Klinkenberg and {Van Binsbergen}, {J J} and {Strack Van Schijnael}, {R J M} and A Thijs and {Van Bokhorst-De Van Der Schueren}, M",
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Klinkenberg, M, Van Binsbergen, JJ, Strack Van Schijnael, RJM, Thijs, A & Van Bokhorst-De Van Der Schueren, M 2005, 'Exchange of information on malnourished patients: Reporting is scarce' Huisarts en Wetenschap, vol. 48, no. 5, pp. 216-219.

Exchange of information on malnourished patients: Reporting is scarce. / Klinkenberg, M; Van Binsbergen, J J; Strack Van Schijnael, R J M; Thijs, A; Van Bokhorst-De Van Der Schueren, M.

In: Huisarts en Wetenschap, Vol. 48, No. 5, 2005, p. 216-219.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Exchange of information on malnourished patients: Reporting is scarce

AU - Klinkenberg, M

AU - Van Binsbergen, J J

AU - Strack Van Schijnael, R J M

AU - Thijs, A

AU - Van Bokhorst-De Van Der Schueren, M

PY - 2005

Y1 - 2005

N2 - Objective: To obtain insight into the exchange of information on nutritional status and nutritional support between hospital and general practitioner. Design: Prospective cohort study in newly admitted patients to the internal medicine department of a teaching hospital. Method: Nutritional status was assessed in all patients admitted to the Internal Medicine department VU University Medical Center (Amsterdam) over a period of 2 months. Malnourished patients' letters of referral and discharge were analysed for exchange of nutritional information between clinicians and GPs. The GP filled in a short questionnaire regarding the malnourished patients three months after discharge (n=13). Results: 106 patients were eligible to be included in the study, 70 patients participated (66% response), 24 patients were malnourished (34%). In seven cases a GP referral was found in the medical record, three of which included nutritional information. The discharge letters contained no information on body weight, nutrition or nutritional status in 40% of the cases. In the other cases only fragmentary notes referring to nutrition were included. No advice for follow-up was given in order to support nutrition after discharge. Re-admission to hospital occurred frequently in the malnourished patients and GPs were scarcely aware of their patients' nutritional status three months after discharge (n=13). Conclusion: Exchange of information on nutritional status and treatment between hospital and GP was unsystematic and poor.

AB - Objective: To obtain insight into the exchange of information on nutritional status and nutritional support between hospital and general practitioner. Design: Prospective cohort study in newly admitted patients to the internal medicine department of a teaching hospital. Method: Nutritional status was assessed in all patients admitted to the Internal Medicine department VU University Medical Center (Amsterdam) over a period of 2 months. Malnourished patients' letters of referral and discharge were analysed for exchange of nutritional information between clinicians and GPs. The GP filled in a short questionnaire regarding the malnourished patients three months after discharge (n=13). Results: 106 patients were eligible to be included in the study, 70 patients participated (66% response), 24 patients were malnourished (34%). In seven cases a GP referral was found in the medical record, three of which included nutritional information. The discharge letters contained no information on body weight, nutrition or nutritional status in 40% of the cases. In the other cases only fragmentary notes referring to nutrition were included. No advice for follow-up was given in order to support nutrition after discharge. Re-admission to hospital occurred frequently in the malnourished patients and GPs were scarcely aware of their patients' nutritional status three months after discharge (n=13). Conclusion: Exchange of information on nutritional status and treatment between hospital and GP was unsystematic and poor.

KW - article

KW - body weight

KW - child

KW - cohort analysis

KW - follow up

KW - general practitioner

KW - hospital admission

KW - human

KW - information processing

KW - internal medicine

KW - malnutrition

KW - medical record

KW - nutrition

KW - nutritional status

KW - prospective study

M3 - Article

VL - 48

SP - 216

EP - 219

JO - Huisarts en Wetenschap

JF - Huisarts en Wetenschap

SN - 0018-7070

IS - 5

ER -