Hospital Malnutrition, Nutritional Risk Factors, and Elements of Nutritional Care in Europe: Comparison of Polish Results with All European Countries Participating in the nDay Survey

• DOI: 10.3390/nu13010263
• Publication Date: 2021-01-20T09:10:48Z
• Authors: Joanna Ostrowska; Isabella Sulz; Silvia Tarantino; Michael Hiesmayr; Dorota Szostak-Wę...
• Keywords: Clinical nutrition

NutritionDay (nDay) is a project established by the Medical University of Vienna and European Society for Clinical Nutrition Metabolism (ESPEN) to audit nutritional status hospitalized patients nursing home residents. This study aimed evaluate nDay data describing prevalence hospital malnutrition, risk factors, elements care process implemented in wards 25 countries compare derived from Poland with collected all participating study. In total, 10,863 (European reference group: participants including Poland: 498 participants) were involved The malnutrition was identified on basis ESPEN diagnostic criteria 2015, while factors assessed analyzing following parameters: body mass index (BMI), score Malnutrition Screening Tool (MST), recent weight loss, insufficient food intake, decreased appetite, increased number drugs reduced mobility, poor self-reported health status. 12.9% group 9.4% Polish (p < 0.05). However, some i.e., history low actual approximately four times more prevalent than diagnosed (referring 40–50% participants). comparison group, significant differences observed concerned mainly dietitian’s involvement treating (16% vs. 57.2%; p 0.001); supply special diets (8% 16.1%; 0.0001); provision oral support (ONS) (3.8% 12.2%; prescription enteral/parenteral nutrition therapy (8.2% 11.7%; as well recording patient performed at admission (100% 72.9%; 0.0001), weekly (20% 41.4%; 0.05), occasionally (0% 9.2%). These results indicate that slightly lower group. hospitals found demand attention.