Annals for Hospitalists Inpatient Notes - Optimizing Inpatient Nutrition—Why Hospitalists Should Get Involved
Authors: Philipp Schuetz, Jeffrey L. Greenwald
Journal: Annals of Internal Medicine (2020)

Web Exclusives18 February 2020Annals for Hospitalists Inpatient Notes - Optimizing Inpatient Nutrition—Why Hospitalists Should Get InvolvedPhilipp Schuetz, MD, MPH and Jeffrey L. Greenwald, MDPhilipp Schuetz, MD, MPHKantonsspital Aarau, Aarau, and University of Basel, Basel, Switzerland (P.S.)Search for more papers by this author and Jeffrey L. Greenwald, MDMassachusetts General Hospital, Boston, Massachusetts (J.L.G.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M20-0120 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Malnutrition is a common condition among newly admitted, medically complex inpatients. Emerging evidence demonstrates that malnutrition directly increases the risk for adverse clinical outcomes, including death, illness, functional impairments, hospital length of stay, and the risk for hospital readmission (1). Moreover, nutritional status often further deteriorates during the hospital stay because of illness-related loss of appetite, fasting orders for diagnostic studies or invasive procedures, or overall suboptimal nutritional management. Data from the United States and Europe show that about 1 in 4 medical inpatients is malnourished, or at risk for malnutrition, at the time of admission (2). Fortunately, on the ...References1. Schuetz P, Fehr R, Baechli V, et al. Individualised nutritional support in medical inpatients at nutritional risk: a randomised clinical trial. Lancet. 2019;393:2312-21. [PMID: 31030981] doi:10.1016/S0140-6736(18)32776-4 CrossrefMedlineGoogle Scholar2. Gomes F, Schuetz P, Bounoure L, et al. ESPEN guidelines on nutritional support for polymorbid internal medicine patients. Clin Nutr. 2018;37:336-53. [PMID: 28802519] doi:10.1016/j.clnu.2017.06.025 CrossrefMedlineGoogle Scholar3. Deutz NE, Matheson EM, Matarese LE, et al; NOURISH Study Group. Readmission and mortality in malnourished, older, hospitalized adults treated with a specialized oral nutritional supplement: a randomized clinical trial. Clin Nutr. 2016;35:18-26. [PMID: 26797412] doi:10.1016/j.clnu.2015.12.010 CrossrefMedlineGoogle Scholar4. Gomes F, Baumgartner A, Bounoure L, et al. Association of nutritional support with clinical outcomes among medical inpatients who are malnourished or at nutritional risk: an updated systematic review and meta-analysis. JAMA Netw Open. 2019;2:e1915138. [PMID: 31747030] doi:10.1001/jamanetworkopen.2019.15138 CrossrefMedlineGoogle Scholar5. van Bokhorst-de van der Schueren MA, Guaitoli PR, Jansma EP, et al. Nutrition screening tools: does one size fit all? A systematic review of screening tools for the hospital setting. Clin Nutr. 2014;33:39-58. [PMID: 23688831] doi:10.1016/j.clnu.2013.04.008 CrossrefMedlineGoogle Scholar6. Kondrup J, Rasmussen HH, Hamberg O, et al; Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003;22:321-36. [PMID: 12765673] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Kantonsspital Aarau, Aarau, and University of Basel, Basel, Switzerland (P.S.)Massachusetts General Hospital, Boston, Massachusetts (J.L.G.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-0120.Corresponding Author: Philipp Schuetz, MD, MPH, University Department of Internal Medicine, Kantonsspital Aarau, Tellstrasse, CH-5001 Aarau, Switzerland; e-mail, Philipp.[email protected]ch.Current Author Addresses: Dr. Schuetz: University Department of Internal Medicine, Kantonsspital Aarau, Tellstrasse, CH-5001 Aarau, Switzerland.Dr. Greenwald: Inpatient Clinician Educator Service, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114. 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