Need for the Integrated Nutrition Pathway for Acute Care (INPAC): gaps in current nutrition care in five Canadian hospitals

BMC Nutrition
Renata ValaitisBrenda Hotson

Abstract

Malnutrition is common in hospitalized patients and is associated with increased mortality, length of stay, and risk of re-admission. The consensus based Integrated Nutrition Pathway for Acute Care (INPAC) was developed and validated to enhance patients' nutrition care and improve clinical outcomes. As part of the More-2-Eat project (M2E), five hospitals implemented INPAC activities (e.g. screening) in a single medical unit. The purpose of this paper is to demonstrate the care gaps with respect to INPAC activities on these five units prior to implementation. Results were used as part of a needs assessment on each unit, demonstrating where nutrition care could be improved and tailoring of implementation was required. Cross-sectional data was collected by site research associates (RAs) using a standardized audit form once per week for 4 weeks. The audit contents were based on the INPAC algorithm. All medical charts of patients on the study unit on the day of the audit were reviewed to track routine nutrition care activities (e.g. screening). Data was descriptively displayed with REDCap™ and analyzed using R Studio software. Less than half of patients (249/700, 36%) were screened for malnutrition at admission. Of those screened, 3...Continue Reading

Associated Clinical Trials

Jun 15, 2016·Heather Keller

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Citations

May 9, 2018·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Lori J CurtisHeather Keller
Jan 9, 2021·Nutrition & Dietetics : the Journal of the Dietitians Association of Australia·Alita RushtonJack J Bell
Jan 9, 2021·JPEN. Journal of Parenteral and Enteral Nutrition·Heather KellerRoseann Nasser
Jun 24, 2021·Nutrition & Dietetics : the Journal of the Dietitians Association of Australia·Jerrold TanAdrienne Young
Sep 15, 2021·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Maria RubinoLeah Gramlich

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Methods Mentioned

BETA
SGA

Clinical Trials Mentioned

NCT02800304

Software Mentioned

My Meal Intake Tool ( MMIT
R Studio
M2E
[UNK]
More
Mealtime Audit Tool ( MAT )

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