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Efficacy and Efficiency of Nutritional Support Teams

Malnutrition is frequent in patients during a hospital admission and may further worsen during the hospital stay without appropriate nutritional support. Malnutrition causes greater complication rates, morbidity, and mortality rates, which increases the length of hospital stay and prolongs rehabilit...

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Autores principales: Reber, Emilie, Strahm, Rachel, Bally, Lia, Schuetz, Philipp, Stanga, Zeno
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780521/
https://www.ncbi.nlm.nih.gov/pubmed/31443543
http://dx.doi.org/10.3390/jcm8091281
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author Reber, Emilie
Strahm, Rachel
Bally, Lia
Schuetz, Philipp
Stanga, Zeno
author_facet Reber, Emilie
Strahm, Rachel
Bally, Lia
Schuetz, Philipp
Stanga, Zeno
author_sort Reber, Emilie
collection PubMed
description Malnutrition is frequent in patients during a hospital admission and may further worsen during the hospital stay without appropriate nutritional support. Malnutrition causes greater complication rates, morbidity, and mortality rates, which increases the length of hospital stay and prolongs rehabilitation. Early recognition of individual nutritional risk and timely initiation of a tailored nutritional therapy are crucial. Recent evidence from large-scale trials suggests that efficient nutritional management not only improves the nutritional status, but also prevents negative clinical outcomes and increases patients’ quality of life. Multifaceted clinical knowledge is required to ensure optimal nutritional support, according to a patient’s individual situation and to avoid potential complications. Furthermore, clear definition of responsibilities and structuring of patient, and work processes are indispensable. Interdisciplinary and multiprofessional nutritional support teams have been built up to ensure and improve the quality and safety of nutritional treatments. These teams continuously check and optimize the quality of procedures in the core areas of nutritional management by implementing nutritional screening processes using a validated tool, nutritional status assessment, an adequate nutritional care plan development, prompt and targeted nutritional treatment delivery, and provision of accurate monitoring to oversee all aspects of care, from catering to artificial nutrition. The foundation of any nutritional care plan is the identification of patients at risk. The aim of this narrative review is to provide an overview about composition, tasks, and challenges of nutritional support teams, and to discuss the current evidence regarding their efficiency and efficacy in terms of clinical outcome and cost effectiveness.
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spelling pubmed-67805212019-10-30 Efficacy and Efficiency of Nutritional Support Teams Reber, Emilie Strahm, Rachel Bally, Lia Schuetz, Philipp Stanga, Zeno J Clin Med Review Malnutrition is frequent in patients during a hospital admission and may further worsen during the hospital stay without appropriate nutritional support. Malnutrition causes greater complication rates, morbidity, and mortality rates, which increases the length of hospital stay and prolongs rehabilitation. Early recognition of individual nutritional risk and timely initiation of a tailored nutritional therapy are crucial. Recent evidence from large-scale trials suggests that efficient nutritional management not only improves the nutritional status, but also prevents negative clinical outcomes and increases patients’ quality of life. Multifaceted clinical knowledge is required to ensure optimal nutritional support, according to a patient’s individual situation and to avoid potential complications. Furthermore, clear definition of responsibilities and structuring of patient, and work processes are indispensable. Interdisciplinary and multiprofessional nutritional support teams have been built up to ensure and improve the quality and safety of nutritional treatments. These teams continuously check and optimize the quality of procedures in the core areas of nutritional management by implementing nutritional screening processes using a validated tool, nutritional status assessment, an adequate nutritional care plan development, prompt and targeted nutritional treatment delivery, and provision of accurate monitoring to oversee all aspects of care, from catering to artificial nutrition. The foundation of any nutritional care plan is the identification of patients at risk. The aim of this narrative review is to provide an overview about composition, tasks, and challenges of nutritional support teams, and to discuss the current evidence regarding their efficiency and efficacy in terms of clinical outcome and cost effectiveness. MDPI 2019-08-22 /pmc/articles/PMC6780521/ /pubmed/31443543 http://dx.doi.org/10.3390/jcm8091281 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Reber, Emilie
Strahm, Rachel
Bally, Lia
Schuetz, Philipp
Stanga, Zeno
Efficacy and Efficiency of Nutritional Support Teams
title Efficacy and Efficiency of Nutritional Support Teams
title_full Efficacy and Efficiency of Nutritional Support Teams
title_fullStr Efficacy and Efficiency of Nutritional Support Teams
title_full_unstemmed Efficacy and Efficiency of Nutritional Support Teams
title_short Efficacy and Efficiency of Nutritional Support Teams
title_sort efficacy and efficiency of nutritional support teams
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780521/
https://www.ncbi.nlm.nih.gov/pubmed/31443543
http://dx.doi.org/10.3390/jcm8091281
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