Document Detail


Nutrition risk screening in acute care: a survey of practice.
MedLine Citation:
PMID:  18682594     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Joint Commission-accredited acute care hospitals are required to screen patients for nutrition risk, but criteria and procedures in use have not been described. The purpose of this study was to survey managers of clinical nutrition services in acute care hospitals regarding procedures for screening for nutrition risk. Members of the Clinical Nutrition Management Dietetic Practice Group were surveyed using an e-mailed link to an electronic survey. Of 1668 members contacted, 522 usable surveys were completed (31%). Most respondents (84%) reported that nursing staff had primary responsibility for nutrition screening; 10% used nutrition services staff; 4% used a computerized system. Where nursing staff did nutrition screening (n=441), 57% (n=252) said that nutrition services staff do a secondary admission screen. Dietitians most often performed secondary screens (70%), followed by dietetic technicians (16%), 4-year-degreed staff (4%), and clerks (3%). Most nutrition services staff screens (61%) used different data than nursing staff screens; 12% collected the same data as nursing staff. Screening criteria most often used by nursing staff were a history of weight loss (95%), poor intake prior to admission (81%), nutrition support (79%), chewing/swallowing issues (75%), and skin breakdown (72%). Criteria most commonly used by nutrition services staff were diagnosis (90%), nutrition support (81%), nothing by mouth (NPO)/clear liquid diet order (78%), visceral proteins (71%), and specific diet orders (68%). Most respondents had not formally evaluated their screening systems for sensitivity or specificity. There is a need to further evaluate the nutrition screening systems used in acute care hospitals in the U.S.
Authors:
Cinda S Chima; Christin Dietz-Seher; Susan Kushner-Benson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition     Volume:  23     ISSN:  0884-5336     ISO Abbreviation:  Nutr Clin Pract     Publication Date:    2008 Aug-Sep
Date Detail:
Created Date:  2008-08-06     Completed Date:  2009-01-06     Revised Date:  2010-04-29    
Medline Journal Info:
Nlm Unique ID:  8606733     Medline TA:  Nutr Clin Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  417-23     Citation Subset:  IM; N    
Affiliation:
Family and Consumer Sciences, University of Akron, Schrank Hall South, 215G, Akron, Ohio 44325-6109, USA. cindachima@adelphia.net
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Aged
Critical Care / methods,  statistics & numerical data
Dietary Services / statistics & numerical data
Female
Food Service, Hospital / statistics & numerical data
Health Care Surveys / methods*
Hospitals / statistics & numerical data
Humans
Male
Mass Screening / methods*
Middle Aged
Nutrition Assessment*
Nutritional Status
Questionnaires
Reproducibility of Results
Risk Factors
Sensitivity and Specificity
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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