Lee C, Rucinski J, Bernstein L. A systematized interdisciplinary nutritional care plan results in improved clinical outcomes.
Clin Biochem 2012;
45:1145-9. [PMID:
22634602 DOI:
10.1016/j.clinbiochem.2012.05.018]
[Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2012] [Revised: 04/28/2012] [Accepted: 05/10/2012] [Indexed: 01/10/2023]
Abstract
OBJECTIVE
This study investigated identification and treatment of patients at-risk for malnutrition and extended inpatient length of stay.
DESIGN
Data were collected retrospectively from the medical records for a period of 6 months. The records were reviewed for (1) adherence to RD recommendation, (2) decreasing serum albumin during hospital stay, (3) length of hospital stay, (4) readmission within 30 days, (5) age, (6) gender, (7) past medical history, (8) primary and secondary diagnoses, (9) the presence or absence of a diet order and (10) medications.
SUBJECTS AND PARTICIPANTS
Medical records were reviewed for diagnoses associated with nutrition-related complications. Patient's records were excluded for length of stay less than 4 days, or in-hospital death.
RESULTS
The mean LOS was 10 days shorter when the advice was followed (p=0.0074).
CONCLUSIONS
Patients at high nutritional risk have a shorter LOS and have fewer complications when the RD advice is followed.
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