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Malnutrition in Hospitalized Old Patients: Screening and Diagnosis, Clinical Outcomes, and Management
Malnutrition in hospitalized patients heavily affects several clinical outcomes. The prevalence of malnutrition increases with age, comorbidities, and intensity of care in up to 90% of old populations. However, malnutrition frequently remains underdiagnosed and undertreated in the hospital. Thus, an...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8880030/ https://www.ncbi.nlm.nih.gov/pubmed/35215559 http://dx.doi.org/10.3390/nu14040910 |
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author | Bellanti, Francesco lo Buglio, Aurelio Quiete, Stefano Vendemiale, Gianluigi |
author_facet | Bellanti, Francesco lo Buglio, Aurelio Quiete, Stefano Vendemiale, Gianluigi |
author_sort | Bellanti, Francesco |
collection | PubMed |
description | Malnutrition in hospitalized patients heavily affects several clinical outcomes. The prevalence of malnutrition increases with age, comorbidities, and intensity of care in up to 90% of old populations. However, malnutrition frequently remains underdiagnosed and undertreated in the hospital. Thus, an accurate screening to identify patients at risk of malnutrition or malnourishment is determinant to elaborate a personal nutritional intervention. Several definitions of malnutrition were proposed in the last years, affecting the real frequency of nutritional disorders and the timing of intervention. Diagnosis of malnutrition needs a complete nutritional assessment, which is often challenging to perform during a hospital stay. For this purpose, various screening tools were proposed, allowing patients to be stratified according to the risk of malnutrition. The present review aims to summarize the actual evidence in terms of diagnosis, association with clinical outcomes, and management of malnutrition in a hospital setting. |
format | Online Article Text |
id | pubmed-8880030 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-88800302022-02-26 Malnutrition in Hospitalized Old Patients: Screening and Diagnosis, Clinical Outcomes, and Management Bellanti, Francesco lo Buglio, Aurelio Quiete, Stefano Vendemiale, Gianluigi Nutrients Review Malnutrition in hospitalized patients heavily affects several clinical outcomes. The prevalence of malnutrition increases with age, comorbidities, and intensity of care in up to 90% of old populations. However, malnutrition frequently remains underdiagnosed and undertreated in the hospital. Thus, an accurate screening to identify patients at risk of malnutrition or malnourishment is determinant to elaborate a personal nutritional intervention. Several definitions of malnutrition were proposed in the last years, affecting the real frequency of nutritional disorders and the timing of intervention. Diagnosis of malnutrition needs a complete nutritional assessment, which is often challenging to perform during a hospital stay. For this purpose, various screening tools were proposed, allowing patients to be stratified according to the risk of malnutrition. The present review aims to summarize the actual evidence in terms of diagnosis, association with clinical outcomes, and management of malnutrition in a hospital setting. MDPI 2022-02-21 /pmc/articles/PMC8880030/ /pubmed/35215559 http://dx.doi.org/10.3390/nu14040910 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Bellanti, Francesco lo Buglio, Aurelio Quiete, Stefano Vendemiale, Gianluigi Malnutrition in Hospitalized Old Patients: Screening and Diagnosis, Clinical Outcomes, and Management |
title | Malnutrition in Hospitalized Old Patients: Screening and Diagnosis, Clinical Outcomes, and Management |
title_full | Malnutrition in Hospitalized Old Patients: Screening and Diagnosis, Clinical Outcomes, and Management |
title_fullStr | Malnutrition in Hospitalized Old Patients: Screening and Diagnosis, Clinical Outcomes, and Management |
title_full_unstemmed | Malnutrition in Hospitalized Old Patients: Screening and Diagnosis, Clinical Outcomes, and Management |
title_short | Malnutrition in Hospitalized Old Patients: Screening and Diagnosis, Clinical Outcomes, and Management |
title_sort | malnutrition in hospitalized old patients: screening and diagnosis, clinical outcomes, and management |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8880030/ https://www.ncbi.nlm.nih.gov/pubmed/35215559 http://dx.doi.org/10.3390/nu14040910 |
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