Improving the nutritional intake of hospital patients: how far have we come? A re-audit.
dc.contributor.author | Beavan, S | |
dc.contributor.author | Baker, R | |
dc.contributor.author | Sadler, H | |
dc.contributor.author | Collinson, Avril | |
dc.date.accessioned | 2018-10-31T13:25:48Z | |
dc.date.available | 2018-10-31T13:25:48Z | |
dc.date.issued | 2018-10-17 | |
dc.identifier.issn | 0952-3871 | |
dc.identifier.issn | 1365-277X | |
dc.identifier.uri | http://hdl.handle.net/10026.1/12696 | |
dc.description.abstract |
BACKGROUND: Malnutrition affects up to 33.6% of hospitalised patients, with consequences that are detrimental for both patients and healthcare providers. In 2015, an audit demonstrated inadequate nutritional provision and consumption by hospitalised patients, comprising a major risk factor for malnutrition. This re-audit evaluates whether patients are meeting recommended energy and protein standards and estimated individual requirements, subsequent to food service improvements since 2015. METHODS: Patients (n = 111) were included from a South West hospital, and Malnutrition Universal Screening Tool scores (MUST) categorised patients as 'nutritionally well' (MUST 0) or 'nutritionally vulnerable' (MUST ≥ 1). Individual energy and protein requirements were estimated using weight-based equations. Nutritional intakes were assessed via 24-h dietary recall and compared against the British Dietetic Association's Nutrition and Hydration Digest standards, as well as estimated individual requirements. RESULTS: In total, the Digest standards for energy and protein were met by 35% and 63% of patients respectively, which is an increase of 19% and 36% since 2015. 'Nutritionally well' patients were more likely to meet nutrient standards for protein (62%) than estimated individual requirements (30%) (P ≤ 0.001). 'Nutritionally vulnerable' patients were more likely to meet estimated individual requirements for energy (60%) than the Digest standards (30%) (P = 0.047). CONCLUSIONS: The proportion of patients meeting the Digest standards has increased considerably following numerous food service changes. Nutritional training for housekeepers, energy/protein-dense snacks and drinks, and fortified dietary items may further increase nutritional intakes. Additionally, as a result of discrepancies between the Digest standards and individual estimated requirements, more research is required to identify the most appropriate auditing standards that reflect best practice. | |
dc.format.extent | 372-384 | |
dc.format.medium | Print-Electronic | |
dc.language | en | |
dc.language.iso | en | |
dc.publisher | Wiley | |
dc.subject | energy | |
dc.subject | hospital | |
dc.subject | intake | |
dc.subject | malnutrition | |
dc.subject | nutrition | |
dc.subject | protein | |
dc.title | Improving the nutritional intake of hospital patients: how far have we come? A re-audit. | |
dc.type | journal-article | |
dc.type | Evaluation Study | |
dc.type | Journal Article | |
dc.type | Research Support, Non-U.S. Gov't | |
plymouth.author-url | https://www.ncbi.nlm.nih.gov/pubmed/30334301 | |
plymouth.issue | 3 | |
plymouth.volume | 32 | |
plymouth.publication-status | Published | |
plymouth.journal | Journal of Human Nutrition and Dietetics | |
dc.identifier.doi | 10.1111/jhn.12607 | |
plymouth.organisational-group | /Plymouth | |
plymouth.organisational-group | /Plymouth/Faculty of Health | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy | |
plymouth.organisational-group | /Plymouth/Research Groups | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Health and Community | |
plymouth.organisational-group | /Plymouth/Users by role | |
plymouth.organisational-group | /Plymouth/Users by role/Academics | |
dc.publisher.place | England | |
dcterms.dateAccepted | 2018-09-23 | |
dc.rights.embargodate | 2019-10-17 | |
dc.identifier.eissn | 1365-277X | |
dc.rights.embargoperiod | Not known | |
rioxxterms.versionofrecord | 10.1111/jhn.12607 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.licenseref.startdate | 2018-10-17 | |
rioxxterms.type | Journal Article/Review |