Efficacy and Efficiency of Nutritional Support Teams.

Reber, Emilie; Strahm, Rachel; Bally, Lia; Schuetz, Philipp; Stanga, Zeno (2019). Efficacy and Efficiency of Nutritional Support Teams. Journal of clinical medicine, 8(9) MDPI 10.3390/jcm8091281

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Malnutrition is frequent in patients during a hospital admission and may further worsen during the hospital stay without appropriate nutritional support. Malnutrition causes greater complication rates, morbidity, and mortality rates, which increases the length of hospital stay and prolongs rehabilitation. Early recognition of individual nutritional risk and timely initiation of a tailored nutritional therapy are crucial. Recent evidence from large-scale trials suggests that efficient nutritional management not only improves the nutritional status, but also prevents negative clinical outcomes and increases patients' quality of life. Multifaceted clinical knowledge is required to ensure optimal nutritional support, according to a patient's individual situation and to avoid potential complications. Furthermore, clear definition of responsibilities and structuring of patient, and work processes are indispensable. Interdisciplinary and multiprofessional nutritional support teams have been built up to ensure and improve the quality and safety of nutritional treatments. These teams continuously check and optimize the quality of procedures in the core areas of nutritional management by implementing nutritional screening processes using a validated tool, nutritional status assessment, an adequate nutritional care plan development, prompt and targeted nutritional treatment delivery, and provision of accurate monitoring to oversee all aspects of care, from catering to artificial nutrition. The foundation of any nutritional care plan is the identification of patients at risk. The aim of this narrative review is to provide an overview about composition, tasks, and challenges of nutritional support teams, and to discuss the current evidence regarding their efficiency and efficacy in terms of clinical outcome and cost effectiveness.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Endocrinology, Diabetology and Clinical Nutrition

UniBE Contributor:

Aubry, Emilie; Bally, Lia Claudia and Stanga-Nodari, Zeno

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2077-0383

Publisher:

MDPI

Language:

English

Submitter:

Regula Maria Schneider

Date Deposited:

23 Jan 2020 13:32

Last Modified:

23 Jan 2020 13:32

Publisher DOI:

10.3390/jcm8091281

PubMed ID:

31443543

Uncontrolled Keywords:

efficacy malnutrition nutritional management nutritional support team

BORIS DOI:

10.7892/boris.138359

URI:

https://boris.unibe.ch/id/eprint/138359

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