Detection and treatment of medical inpatients with or at-risk of malnutrition: Suggested procedures based on validated guidelines

Bounoure, Lisa; Gomes, Filomena; Stanga, Zeno; Keller, Ulrich; Meier, Rémy; Ballmer, Peter; Fehr, Rebecca; Mueller, Beat; Genton Graf, Laurence; Bertrand, Pauline Coti; Norman, Kristina; Henzen, Christoph; Laviano, Alessandro; Bischoff, Stephan; Schneider, Stéphane M.; Kondrup, Jens; Schuetz, Philipp

doi:10.1016/j.nut.2016.01.019

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Title		Detection and treatment of medical inpatients with or at-risk of malnutrition: Suggested procedures based on validated guidelines
Authors		Bounoure, Lisa Gomes, Filomena Stanga, Zeno Keller, Ulrich Meier, Rémy Ballmer, Peter Fehr, Rebecca Mueller, Beat Genton Graf, Laurence Bertrand, Pauline Coti Norman, Kristina Henzen, Christoph Laviano, Alessandro Bischoff, Stephan Schneider, Stéphane M. Kondrup, Jens Schuetz, Philipp show all authors [1 - 17]
Published in		Nutrition. 2016, vol. 32, no. 7-8, p. 790-798
Abstract		a lack of knowledge in regard to detecting disease-related malnutrition and implementing nutritional support. Our aim was to suggest practical procedures for screening and treating malnourished or at-risk patients hospitalized in medical wards, thereby fostering a straightforward implementation of nutritional therapy independent of the underlying disease and comorbidities. Methods: A working group of experts in clinical nutrition selected and analyzed published diseasespecific European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines relevant for our aim. Eight questions in population, intervention, control, outcome format were defined to cover topics such as screening, nutritional targets, and routes of feeding. Individual studies were extracted from the guidelines by applying inclusion and exclusion criteria targeting the heterogeneous population of medical inpatients with or at-risk of disease-related malnutrition. We used those studies as evidence, as well as recommendations from the selected ESPEN guidelines, to formulate answers to the questions.
Keywords		Procedures — Clinical algorithm — Acute disease — Disease-related,malnutrition — Nutritional therapy — Medical wards
Identifiers		DOI: 10.1016/j.nut.2016.01.019
Full text		Article (Published version) (810 Kb) - Free access Other version: http://linkinghub.elsevier.com/retrieve/pii/S0899900716000733
Structures		Faculté de médecine / Section de médecine clinique / Département de médecine
Research group		Nutrition clinique (597)
Citation (ISO format)		BOUNOURE, Lisa et al. Detection and treatment of medical inpatients with or at-risk of malnutrition: Suggested procedures based on validated guidelines. In: Nutrition, 2016, vol. 32, n° 7-8, p. 790-798. doi: 10.1016/j.nut.2016.01.019 https://archive-ouverte.unige.ch/unige:88577