Profile of the malnourished patient

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: To characterize malnutrition in a nonspecific group of newly admitted hospital patients. Design: A prospective, descriptive study aiming to identify typical symptoms of malnutrition in a heterogeneous population of newly admitted patients to the wards of internal medicine. Setting: The wards of internal medicine of the VU University Medical Center. Subjects: A total of 106 patients were included in the study, 70 patients underwent the full interview. Next to nutritional status, the sociodemographics, underlying disease, estimated care complexity, care situation before admission, journey through the care system, nutritional intervention and nutritional follow-up after discharge were described for each patient. Results: Of 70 patients 24 (34%) were malnourished. Malnourished patients suffered two chronic diseases vs one for well-nourished patients (P =0.05). They also had a higher estimated care complexity (P =0.035) and a trend towards longer length of hospital stay (P =0.09). Malnourished patients did not differ from well-nourished patients in age, sex, partner status and care received at home. In all, 54% of the malnourished patients were identified correctly by the medical staff. The reasons for admission to the hospital were diverse in only four out of 24 patients malnutrition was the primary reason for admission. Discharge letters to the general practitioner (GP) contained only fragmentary information about the patients' nutritional status. At 3 months after discharge, most of the GPs were scarcely aware of any nutritional problems of their patients. Conclusions: Malnutrition is difficult to recognize in a nonspecific hospital population. Patients do not present with unique symptoms indicating malnutrition. To be able to correctly identify all malnourished patients, screening of the nutritional status of all newly admitted patients seems to be necessary.

Original languageEnglish
Pages (from-to)1129-1135
Number of pages7
JournalEuropean Journal of Clinical Nutrition
Volume59
Issue number10
DOIs
Publication statusPublished - 1 Oct 2005

Cite this

@article{b5afe03670464684bfd94e0b0886bb2f,
title = "Profile of the malnourished patient",
abstract = "Objective: To characterize malnutrition in a nonspecific group of newly admitted hospital patients. Design: A prospective, descriptive study aiming to identify typical symptoms of malnutrition in a heterogeneous population of newly admitted patients to the wards of internal medicine. Setting: The wards of internal medicine of the VU University Medical Center. Subjects: A total of 106 patients were included in the study, 70 patients underwent the full interview. Next to nutritional status, the sociodemographics, underlying disease, estimated care complexity, care situation before admission, journey through the care system, nutritional intervention and nutritional follow-up after discharge were described for each patient. Results: Of 70 patients 24 (34{\%}) were malnourished. Malnourished patients suffered two chronic diseases vs one for well-nourished patients (P =0.05). They also had a higher estimated care complexity (P =0.035) and a trend towards longer length of hospital stay (P =0.09). Malnourished patients did not differ from well-nourished patients in age, sex, partner status and care received at home. In all, 54{\%} of the malnourished patients were identified correctly by the medical staff. The reasons for admission to the hospital were diverse in only four out of 24 patients malnutrition was the primary reason for admission. Discharge letters to the general practitioner (GP) contained only fragmentary information about the patients' nutritional status. At 3 months after discharge, most of the GPs were scarcely aware of any nutritional problems of their patients. Conclusions: Malnutrition is difficult to recognize in a nonspecific hospital population. Patients do not present with unique symptoms indicating malnutrition. To be able to correctly identify all malnourished patients, screening of the nutritional status of all newly admitted patients seems to be necessary.",
keywords = "Discharge, Hospital, Malnutrition, Screening",
author = "{van Bokhorst-de van der Schueren}, {M. A E} and M. Klinkenberg and A. Thijs",
year = "2005",
month = "10",
day = "1",
doi = "10.1038/sj.ejcn.1602222",
language = "English",
volume = "59",
pages = "1129--1135",
journal = "European Journal of Clinical Nutrition",
issn = "0954-3007",
publisher = "Nature Publishing Group",
number = "10",

}

Profile of the malnourished patient. / van Bokhorst-de van der Schueren, M. A E; Klinkenberg, M.; Thijs, A.

In: European Journal of Clinical Nutrition, Vol. 59, No. 10, 01.10.2005, p. 1129-1135.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Profile of the malnourished patient

AU - van Bokhorst-de van der Schueren, M. A E

AU - Klinkenberg, M.

AU - Thijs, A.

PY - 2005/10/1

Y1 - 2005/10/1

N2 - Objective: To characterize malnutrition in a nonspecific group of newly admitted hospital patients. Design: A prospective, descriptive study aiming to identify typical symptoms of malnutrition in a heterogeneous population of newly admitted patients to the wards of internal medicine. Setting: The wards of internal medicine of the VU University Medical Center. Subjects: A total of 106 patients were included in the study, 70 patients underwent the full interview. Next to nutritional status, the sociodemographics, underlying disease, estimated care complexity, care situation before admission, journey through the care system, nutritional intervention and nutritional follow-up after discharge were described for each patient. Results: Of 70 patients 24 (34%) were malnourished. Malnourished patients suffered two chronic diseases vs one for well-nourished patients (P =0.05). They also had a higher estimated care complexity (P =0.035) and a trend towards longer length of hospital stay (P =0.09). Malnourished patients did not differ from well-nourished patients in age, sex, partner status and care received at home. In all, 54% of the malnourished patients were identified correctly by the medical staff. The reasons for admission to the hospital were diverse in only four out of 24 patients malnutrition was the primary reason for admission. Discharge letters to the general practitioner (GP) contained only fragmentary information about the patients' nutritional status. At 3 months after discharge, most of the GPs were scarcely aware of any nutritional problems of their patients. Conclusions: Malnutrition is difficult to recognize in a nonspecific hospital population. Patients do not present with unique symptoms indicating malnutrition. To be able to correctly identify all malnourished patients, screening of the nutritional status of all newly admitted patients seems to be necessary.

AB - Objective: To characterize malnutrition in a nonspecific group of newly admitted hospital patients. Design: A prospective, descriptive study aiming to identify typical symptoms of malnutrition in a heterogeneous population of newly admitted patients to the wards of internal medicine. Setting: The wards of internal medicine of the VU University Medical Center. Subjects: A total of 106 patients were included in the study, 70 patients underwent the full interview. Next to nutritional status, the sociodemographics, underlying disease, estimated care complexity, care situation before admission, journey through the care system, nutritional intervention and nutritional follow-up after discharge were described for each patient. Results: Of 70 patients 24 (34%) were malnourished. Malnourished patients suffered two chronic diseases vs one for well-nourished patients (P =0.05). They also had a higher estimated care complexity (P =0.035) and a trend towards longer length of hospital stay (P =0.09). Malnourished patients did not differ from well-nourished patients in age, sex, partner status and care received at home. In all, 54% of the malnourished patients were identified correctly by the medical staff. The reasons for admission to the hospital were diverse in only four out of 24 patients malnutrition was the primary reason for admission. Discharge letters to the general practitioner (GP) contained only fragmentary information about the patients' nutritional status. At 3 months after discharge, most of the GPs were scarcely aware of any nutritional problems of their patients. Conclusions: Malnutrition is difficult to recognize in a nonspecific hospital population. Patients do not present with unique symptoms indicating malnutrition. To be able to correctly identify all malnourished patients, screening of the nutritional status of all newly admitted patients seems to be necessary.

KW - Discharge

KW - Hospital

KW - Malnutrition

KW - Screening

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DO - 10.1038/sj.ejcn.1602222

M3 - Article

VL - 59

SP - 1129

EP - 1135

JO - European Journal of Clinical Nutrition

JF - European Journal of Clinical Nutrition

SN - 0954-3007

IS - 10

ER -