Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MN.
Division of General Internal Medicine, Mayo Clinic, Rochester, MN.
Can J Diet Pract Res. 2022 Dec 1;83(4):203-207. doi: 10.3148/cjdpr-2022-016. Epub 2022 Aug 25.
Hospitalized patients are at an increased risk of malnutrition due to multiple factors including, but not limited to, acute and chronic diseases especially those affecting gastrointestinal tract, surgery, appetite, and frequent while undergoing diagnostic workup. Because of this, guidelines suggest the use of oral nutritional supplements (ONS) in hospitalized patients to reduce the risk of malnutrition and its complications. The current report aims to highlights key findings from a cross-sectional survey of 99 hospitalized patients who were at risk for or diagnosed with malnutrition and prescribed ONS. Data regarding ONS prescriber information as well as number ordered and consumed were collected. Of the 2.4 ± 1.5 supplements ordered per person each day, only 1.3 ± 1.1 were consumed, and there was 48% wastage of prescribed ONS. However, dietitian involvement was associated with significant reduction in wastage. Given the need and benefit, it is imperative for the nutrition community to further explore best practices to improve ONS consumption.
住院患者由于多种因素,如急性和慢性疾病(特别是影响胃肠道、手术、食欲和频繁的诊断性检查的疾病),存在营养不良的风险增加。因此,指南建议在住院患者中使用口服营养补充剂(ONS),以降低营养不良及其并发症的风险。本报告旨在重点介绍对 99 名存在营养不良风险或被诊断为营养不良并开具 ONS 的住院患者进行的横断面调查的关键发现。收集了有关 ONS 开具者信息以及订购和消耗数量的数据。每天每人订购 2.4±1.5 份补充剂,仅消耗 1.3±1.1 份,ONS 的处方浪费率为 48%。然而,营养师的参与与显著减少浪费有关。鉴于需求和益处,营养界必须进一步探讨最佳实践,以提高 ONS 的消耗。