Nutrition issues in the general medical ward patient: From general screening to specific diagnosis and individualized treatment

Gressies, Carla; Tribolet, Pascal; Schuetz, Philipp (2023). Nutrition issues in the general medical ward patient: From general screening to specific diagnosis and individualized treatment Journal of Parenteral and Enteral Nutrition, 47(S1) John Wiley & Sons 10.1002/jpen.2423

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Disease-related malnutrition in patients in the general medical ward remains a complex syndrome, which contributes to high morbidity and mortality, and seriously interferes with recovery from acute illness. Recently, there have been important advances in the development of consensus diagnostic criteria for malnutrition, and through the recent completion of large-scale trials, the understanding of pathophysiological pathways and evidence-based treatment algorithms to provide nutrition care to patients at risk for malnutrition in the hospital setting has advanced. There is need to identify more specific clinical parameters and blood biomarkers, which allow a more personalized approach to the malnourished patients, because not all patients show the same response to nutrition interventions. Recent studies have suggested that some nutrition biomarkers of inflammation, kidney function and muscle health, among others, predict treatment response to nutrition interventions and may help to personalize treatments. In addition to advancing the science, there is need for more education of students and treating teams in the hospital to improve the screening of patients at hospital admission regarding nutrition risk with the start of individualized nutrition support interventions, thereby bringing optimal nutrition care to the bedside.

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions School of Health Professions > Nutrition and Dietetics
Name:	Gressies, Carla; Tribolet, Pascal and Schuetz, Philipp
ISSN:	0148-6071
Publisher:	John Wiley & Sons
Language:	English
Submitter:	Pascal Tribolet
Date Deposited:	11 Jan 2023 11:07
Last Modified:	08 Feb 2023 01:30
Publisher DOI:	10.1002/jpen.2423
Uncontrolled Keywords:	clinical outcomes, malnutrition, nutrition, nutrition support, screening
ARBOR DOI:	10.24451/arbor.18542
URI:	https://arbor.bfh.ch/id/eprint/18542