PMID: 15373952Sep 18, 2004Paper

Nutritional screening: pitfalls of nutritional screening in the injured obese patient

The Proceedings of the Nutrition Society
Isobel Davidson, Sara Smith

Abstract

The introduction of the process of nutritional screening into clinical standards has been driven by the increasing awareness of the prevalence of undernutrition in acute and primary care, along with its associated morbidity and mortality. However, the increasing prevalence of obesity in the general population suggests that an increased number of patients admitted to hospital will be obese. Increased morbidity has also been reported in the injured obese patient and may be associated with poor nutritional support. This situation may occur because the profound metabolic disturbances accompanying trauma in this group are not recognised, and subsequent feeding practices are inappropriate. Screening tools currently classify patients by using simple markers of assessment at the whole-body level, such as BMI. Subsequently, patients are identified as at risk only if they are undernourished. Such comparisons would by definition classify injured obese patients as at minimal or no nutritional risk, and they would therefore be less likely to be re-screened. This approach could result in potential increases in morbidity, length of rehabilitation and consequent length of hospital stay. It is likely that the identification of potential risk in...Continue Reading

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Citations

Jun 3, 2005·Current Opinion in Clinical Nutrition and Metabolic Care·Ursula G KyleClaude Pichard
Aug 7, 2008·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Cinda S ChimaSusan Kushner-Benson
Feb 17, 2021·European Journal of Clinical Nutrition·Iris M Y van VlietGerjan J Navis
Oct 1, 2020·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Jack J BellSarah L Whitehouse

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