The management of the patient with malnutrition: from evidence to clinical practice

  • Maria Rita Poggiano | marypoggiano@gmail.com Department of Internal Medicine, Buonconsiglio Fatebenefratelli Hospital, Napoli, Italy.
  • Sara Ciarla Department of Internal Medicine, Giuseppe Mazzini Hospital, Teramo, Italy.
  • Paola Gnerre Department of Internal Medicine, San Paolo Hospital, Savona, Italy.
  • Anna Roberts Department of Geriatrics, AUSL 4, Prato, Italy.
  • Laura Magni Department of Internal Medicine, Sacra Famiglia Hospital, Fatebenefratelli, Erba (CO), Italy.
  • Laura Morbidoni Department of Internal Medicine, Principe di Piemonte Hospital, Senigallia (AN), Italy.
  • Ada Maffettone Department of Internal Medicine, AORN AO Colli, Monaldi Hospital, Napoli, Italy.
  • Antonella Paradiso Department of Internal Medicine, Sant’Eugenio Hospital, Roma, Italy.
  • Massimo Rondana Department of Internal Medicine and Medical Health Direction, AAS 5 Friuli Occidentale, Santa Maria degli Angeli Hospital, Pordenone, Italy.
  • Anna Maria Schimizzi Department of Internal Medicine, Carlo Urbani Hospital, Jesi (AN), Italy.
  • Roberto Risicato Department of Internal Medicine, Augusta Hospital, ASP Siracusa, Italy.

Abstract

Malnutrition can be defined as a state of nutrition in which a deficiency or excess (or imbalance) of energy, protein and other nutrients causes measurable adverse effects on tissue/body form (body shape, size, composition) body function and clinical outcome. Malnutrition is a highly prevalent condition in the acute hospital setting with studies reporting rates of approximately 40%. Malnutrition is associated with many adverse outcomes including depression of the immune system, impaired wound healing, muscle wasting, longer lengths of hospital stay and increased mortality. Unidentified malnutrition not only heightens the risk of adverse complications for patients but results in an increase in health care costs. This can be prevented if special attention is given to their nutritional care. For this reason, hospital and healthcare organizations should have a policy and a specific set of protocols for identifying patients at nutritional risk, leading to appropriate care plans. The objective of this monograph is to provide evidence-based recommendations for the proper management of malnutrition by multi-parametric analysis of the guidelines available to date.

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Published
2017-06-14
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Issue
Section
Reviews
Keywords:
Malnutrition, nutritional status, risk score.
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How to Cite
Poggiano, M. R., Ciarla, S., Gnerre, P., Roberts, A., Magni, L., Morbidoni, L., Maffettone, A., Paradiso, A., Rondana, M., Schimizzi, A. M., & Risicato, R. (2017). The management of the patient with malnutrition: from evidence to clinical practice. Italian Journal of Medicine, 11(2), 134-150. https://doi.org/10.4081/itjm.2017.745

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