Tobias A L, Van Itallie T B
J Am Diet Assoc. 1977 Sep;71(3):253-7.
Of sixty-seven adult, non-selected patients admitted to the medical wards of two New York City teaching hospitals over a six-week period, 91 per cent were found to have overt or potential nutritional problems of clinical significance. While they usually received sophisticated diagnostic studies and complex drug therapy, their nutritional needs, for the most part, were not given comparable attention. Major examples of nutritional neglect included failure to: Obtain a dietary history when indicated; record body weight on admission and at appropriate intervals thereafter, ascertain "relative weight" or some similar measure of deviation from a desirable standard; provide appropriate dietary management, including nutrient supplements; and furnish nutritional counseling. At no time was a dietary history obtained by a dietitian, and no plans were made at discharge for follow-up nutritional care.
在六周时间里，纽约市两家教学医院内科病房收治的67名未经挑选的成年患者中，91%被发现存在具有临床意义的明显或潜在营养问题。虽然他们通常接受复杂的诊断检查和综合药物治疗，但他们的营养需求在很大程度上未得到同等关注。营养忽视的主要例子包括未能：在有指征时获取饮食史；入院时及之后适当间隔记录体重，确定“相对体重”或与理想标准的某种类似偏差衡量指标；提供适当的饮食管理，包括营养补充剂；以及提供营养咨询。没有营养师获取过饮食史，出院时也没有制定后续营养护理计划。
