Leuenberger M S, Joray M L, Kurmann S, Stanga Z
Poliklinik für Endokrinologie, Diabetologie und Klinische Ernährung, Universitätsspital Bern.
Praxis (Bern 1994). 2012 Feb 29;101(5):307-15. doi: 10.1024/1661-8157/a000857.
Protein-energy-malnutrition is a growing problem in industrialised countries. Many studies have found malnourishment in 20-60% of hospitalized medical or surgical patients, as well as out-patients. Malnutrition negatively influences patients' prognosis, immune system, muscle strength, and quality of life. As it is a largely treatable co-morbidity, systematic screening for malnutrition and effective management will improve patient outcomes and reduce healthcare costs. Early diagnosis and assessment depends on a simple and standardised screening tool that identifies at-risk patients, allowing the medical team in charge to solve patients' nutritional problems with an interdisciplinary approach.
蛋白质能量营养不良在工业化国家正成为一个日益严重的问题。许多研究发现，20%至60%的住院内科或外科患者以及门诊患者存在营养不良问题。营养不良会对患者的预后、免疫系统、肌肉力量和生活质量产生负面影响。由于这是一种在很大程度上可治疗的合并症，因此对营养不良进行系统筛查和有效管理将改善患者的治疗效果并降低医疗成本。早期诊断和评估依赖于一种简单且标准化的筛查工具，该工具能够识别出有风险的患者，使负责的医疗团队能够采用跨学科方法解决患者的营养问题。
