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  • 1.
    Westergren, Albert
    et al.
    Kristianstad University College, School of Health and Society.
    Wann-Hansson, Christine
    Faculty of Health and Society, Malmö University and Malmö University Hospital.
    Bergh Börgdal, Elisabet
    Department of Medicine, Malmö University Hospital.
    Sjölander, Jeanette
    Department of Clinical Nutrition, Lund University Hospital.
    Strömblad, Rosmarie
    Hospital Management, Blekinge Hospital.
    Klevsgård, Rose-Marie
    Hospital Management, Lund University Hospital.
    Axelsson, Carolina
    Kristianstad University College, School of Health and Society.
    Lindholm, Christina
    Kristianstad University College, School of Health and Society.
    Ulander, Kerstin
    Kristianstad University College, School of Health and Society.
    Malnutrition prevalence and precision in nutritional care differed in relation to hospital volume: a cross-sectional survey2009In: Nutrition Journal, ISSN 1475-2891, E-ISSN 1475-2891, Vol. 8, no 1Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: To explore the point prevalence of the risk of malnutrition and the targeting of nutritional interventions in relation to undernutrition risk and hospital volume. METHOD: A cross-sectional survey performed in nine hospitals including 2 170 (82.8%) patients that agreed to participate. The hospitals were divided into large, middle, and small sized hospitals. Undernutrition risk and overweight (including obesity) were assessed. RESULTS: The point prevalence of moderate/high undernutrition risk was 34%, 26% and 22% in large, middle and small sized hospitals respectively. The corresponding figures for overweight were 38%, 43% and 42%. The targeting of nutritional interventions in relation to moderate/high undernutrition risk was, depending on hospital size, that 7-17% got Protein- and Energy Enriched food (PE-food), 43-54% got oral supplements, 8-22% got artificial nutrition, and 14-20% received eating assistance. Eating assistance was provided to a greater extent and artificial feeding to a lesser extent in small compared to in middle and large sized hospitals. CONCLUSIONS: The prevalence of malnutrition risk and the precision in provision of nutritional care differed significantly depending on hospital volume, i.e. case mix. It can be recommended that greater efforts should be taken to increase the use of PE-food and oral supplements for patients with eating problems in order to prevent or treat undernutrition. A great effort needs to be taken in order to also decrease the occurrence of overweight.

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