Multidisciplinary consensus on the approach to hospital malnutrition in Spain

Rationale: Disease-related malnutrition constitutes a highly prevalent healthcare problem with high costs associated. In Spain, the prevalence of malnutrition in hospitalized patients has been reported from 30% to 50%. Objectives: Main purposes of this consensus document were to establish recommenda...

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Autores: Garcia de Lorenzo y Mateos, A., Álvarez Hernández, Julia, Planas Vilá, Mercedes, Burgos Peláez, Rosa, Araujo, Krysmarú
Tipo de recurso: artículo
Fecha de publicación:2011
País:España
Institución:UVic-UCC
Repositorio:RiUVic. Repositori institucional de la UVic-UCC
OAI Identifier:oai:dspace.uvic.cat:10854/2164
Acceso en línea:https://hdl.handle.net/10854/2164
http://doi.org/10.1590/S0212-16112011000400006
Access Level:acceso abierto
Palabra clave:Malnutrició
Malalties
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spelling Multidisciplinary consensus on the approach to hospital malnutrition in SpainGarcia de Lorenzo y Mateos, A.Álvarez Hernández, JuliaPlanas Vilá, MercedesBurgos Peláez, RosaAraujo, KrysmarúMalnutricióMalaltiesRationale: Disease-related malnutrition constitutes a highly prevalent healthcare problem with high costs associated. In Spain, the prevalence of malnutrition in hospitalized patients has been reported from 30% to 50%. Objectives: Main purposes of this consensus document were to establish recommendations that facilitate decision- making and action to prevent and early-diagnose disease-related hospital malnutrition, on the management of nutritional support methods and actions to evaluate nutritional treatment compliance and efficacy. Methods: A systematic bibliographical search of authors was performed, complemented by updated bibliography by author references up to 2010. From this review, some recommendations were defined, modified and critically evaluated by the representatives of scientific societies in a consensus conference (Dec 2010) following a structured brainstorming technique: the Metaplan® technique. A double validation process was undertaken until final recommendations were obtained. Results: 30 consensus recommendations for the prevention and management of hospital malnutrition are presented in this document. Recommendations cover all clinical care settings as well as prevention, screening, diagnosis, treatment and follow-up of disease-related malnutrition. Conclusions: Nutritional screening is strongly recommended at all clinical settings when nutritional risk factors are identified or there is clinical suspicion of malnutrition. Nutritional assessment should be designed and performed according to centers’ resources, but clearly identified protocols should be available.La desnutrición relacionada con la enfermedad constituye un problema sanitario de elevada prevalencia y altos costes. En España, la prevalencia de desnutrición de los pacientes hospitalizados se ha estimado entre el 30% y el 50%. Objetivos: El objetivo principal de este consenso fue establecer recomendaciones para facilitar la toma de decisiones para la prevención y el diagnostico precoz de la desnutrición hospitalaria, el manejo del soporte nutricional, y las acciones para evaluar el cumplimiento de la intervención nutricional y su eficacia. Métodos: Se realizó una búsqueda sistemática de autor complementada por bibliografía actualizada por referencias de autor hasta el año 2010. A partir de esta revisión, se definieron algunas recomendaciones que fueron criticadas y modificadas por los representantes de las Sociedades Científicas participantes en una conferencia de consenso (Diciembre 2010) siguiendo una técnica de brainstorming estructurado: la técnica Metaplan®. Se realizaron dos vueltas de validación de las recomendaciones hasta obtener las recomendaciones finales. Resultados: Este documento presenta 30 recomendaciones para la prevención y el manejo de la desnutrición hospitalaria. Las mismas cubren todas las áreas de actuación clínica así como la prevención, cribado, diagnóstico, tratamiento y seguimiento de la desnutrición hospitalaria relacionada con la enfermedad. Conclusiones: Se recomienda enérgicamente el cribado nutricional en todas las áreas de actuación clínica cuando se identifiquen factores de riesgo nutricional o sospecha clínica de desnutrición. La valoración del estado nutricional debe diseñarse y realizarse de acuerdo a los recursos disponibles en cada centro, disponiendo de claros protocolos de actuación.Grupo Aula MédicaUniversitat de Vic. Facultat de Ciències de la Salut i el Benestar2013201320112011info:eu-repo/semantics/articleinfo:eu-repo/publishedVersionapplication/pdf10 p.application/pdfhttps://hdl.handle.net/10854/2164http://doi.org/10.1590/S0212-16112011000400006reponame:RiUVic. Repositori institucional de la UVic-UCCinstname:UVic-UCCInglésTots els drets reservats(c) Grupo Aula Médicainfo:eu-repo/semantics/openAccessoai:dspace.uvic.cat:10854/21642026-06-07T19:15:21Z
dc.title.none.fl_str_mv Multidisciplinary consensus on the approach to hospital malnutrition in Spain
title Multidisciplinary consensus on the approach to hospital malnutrition in Spain
spellingShingle Multidisciplinary consensus on the approach to hospital malnutrition in Spain
Garcia de Lorenzo y Mateos, A.
Malnutrició
Malalties
title_short Multidisciplinary consensus on the approach to hospital malnutrition in Spain
title_full Multidisciplinary consensus on the approach to hospital malnutrition in Spain
title_fullStr Multidisciplinary consensus on the approach to hospital malnutrition in Spain
title_full_unstemmed Multidisciplinary consensus on the approach to hospital malnutrition in Spain
title_sort Multidisciplinary consensus on the approach to hospital malnutrition in Spain
dc.creator.none.fl_str_mv Garcia de Lorenzo y Mateos, A.
Álvarez Hernández, Julia
Planas Vilá, Mercedes
Burgos Peláez, Rosa
Araujo, Krysmarú
author Garcia de Lorenzo y Mateos, A.
author_facet Garcia de Lorenzo y Mateos, A.
Álvarez Hernández, Julia
Planas Vilá, Mercedes
Burgos Peláez, Rosa
Araujo, Krysmarú
author_role author
author2 Álvarez Hernández, Julia
Planas Vilá, Mercedes
Burgos Peláez, Rosa
Araujo, Krysmarú
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universitat de Vic. Facultat de Ciències de la Salut i el Benestar
dc.subject.none.fl_str_mv Malnutrició
Malalties
topic Malnutrició
Malalties
description Rationale: Disease-related malnutrition constitutes a highly prevalent healthcare problem with high costs associated. In Spain, the prevalence of malnutrition in hospitalized patients has been reported from 30% to 50%. Objectives: Main purposes of this consensus document were to establish recommendations that facilitate decision- making and action to prevent and early-diagnose disease-related hospital malnutrition, on the management of nutritional support methods and actions to evaluate nutritional treatment compliance and efficacy. Methods: A systematic bibliographical search of authors was performed, complemented by updated bibliography by author references up to 2010. From this review, some recommendations were defined, modified and critically evaluated by the representatives of scientific societies in a consensus conference (Dec 2010) following a structured brainstorming technique: the Metaplan® technique. A double validation process was undertaken until final recommendations were obtained. Results: 30 consensus recommendations for the prevention and management of hospital malnutrition are presented in this document. Recommendations cover all clinical care settings as well as prevention, screening, diagnosis, treatment and follow-up of disease-related malnutrition. Conclusions: Nutritional screening is strongly recommended at all clinical settings when nutritional risk factors are identified or there is clinical suspicion of malnutrition. Nutritional assessment should be designed and performed according to centers’ resources, but clearly identified protocols should be available.
publishDate 2011
dc.date.none.fl_str_mv 2011
2011
2013
2013
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/publishedVersion
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10854/2164
http://doi.org/10.1590/S0212-16112011000400006
url https://hdl.handle.net/10854/2164
http://doi.org/10.1590/S0212-16112011000400006
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv Tots els drets reservats
(c) Grupo Aula Médica
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Tots els drets reservats
(c) Grupo Aula Médica
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
10 p.
application/pdf
dc.publisher.none.fl_str_mv Grupo Aula Médica
publisher.none.fl_str_mv Grupo Aula Médica
dc.source.none.fl_str_mv reponame:RiUVic. Repositori institucional de la UVic-UCC
instname:UVic-UCC
instname_str UVic-UCC
reponame_str RiUVic. Repositori institucional de la UVic-UCC
collection RiUVic. Repositori institucional de la UVic-UCC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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