Malnutrition in hospitalised neurological patients approximately doubles in 10 days of hospitalisation

Authors

  • Thóra B Hafsteinsdóttir,

    1. Authors:Thóra B Hafsteinsdóttir, RN, PhD, Assistant Professor, Division of Neuroscience of the Rudolf Magnus Institute of Neurosciences University Medical Center Utrecht, Utrecht, The Netherlands and Faculty of Nursing, University of Iceland, Iceland; Machteld Mosselman, RN, MSc, Master's student at the time, Nursing Science Department, University Medical Center Utrecht, Utrecht; Coby Schoneveld, RN, BSc, Clinical Nurse Specialist, Department of Neurosurgery, Rudolf Magnus Institute of Neurosciences, University Medical Center, Utrecht; Yvette D Riedstra, RN, BSc, Clinical Nurse Specialist, Department Neurology, Rudolf Magnus Institute of Neurosciences, University Medical Center Utrecht, Utrecht; Cas LJJ Kruitwagen, MSc, Biostatistician, Centre for Biostatistics, Utrecht University, The Netherlands
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  • Machteld Mosselman,

    1. Authors:Thóra B Hafsteinsdóttir, RN, PhD, Assistant Professor, Division of Neuroscience of the Rudolf Magnus Institute of Neurosciences University Medical Center Utrecht, Utrecht, The Netherlands and Faculty of Nursing, University of Iceland, Iceland; Machteld Mosselman, RN, MSc, Master's student at the time, Nursing Science Department, University Medical Center Utrecht, Utrecht; Coby Schoneveld, RN, BSc, Clinical Nurse Specialist, Department of Neurosurgery, Rudolf Magnus Institute of Neurosciences, University Medical Center, Utrecht; Yvette D Riedstra, RN, BSc, Clinical Nurse Specialist, Department Neurology, Rudolf Magnus Institute of Neurosciences, University Medical Center Utrecht, Utrecht; Cas LJJ Kruitwagen, MSc, Biostatistician, Centre for Biostatistics, Utrecht University, The Netherlands
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  • Coby Schoneveld,

    1. Authors:Thóra B Hafsteinsdóttir, RN, PhD, Assistant Professor, Division of Neuroscience of the Rudolf Magnus Institute of Neurosciences University Medical Center Utrecht, Utrecht, The Netherlands and Faculty of Nursing, University of Iceland, Iceland; Machteld Mosselman, RN, MSc, Master's student at the time, Nursing Science Department, University Medical Center Utrecht, Utrecht; Coby Schoneveld, RN, BSc, Clinical Nurse Specialist, Department of Neurosurgery, Rudolf Magnus Institute of Neurosciences, University Medical Center, Utrecht; Yvette D Riedstra, RN, BSc, Clinical Nurse Specialist, Department Neurology, Rudolf Magnus Institute of Neurosciences, University Medical Center Utrecht, Utrecht; Cas LJJ Kruitwagen, MSc, Biostatistician, Centre for Biostatistics, Utrecht University, The Netherlands
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  • Yvette D Riedstra,

    1. Authors:Thóra B Hafsteinsdóttir, RN, PhD, Assistant Professor, Division of Neuroscience of the Rudolf Magnus Institute of Neurosciences University Medical Center Utrecht, Utrecht, The Netherlands and Faculty of Nursing, University of Iceland, Iceland; Machteld Mosselman, RN, MSc, Master's student at the time, Nursing Science Department, University Medical Center Utrecht, Utrecht; Coby Schoneveld, RN, BSc, Clinical Nurse Specialist, Department of Neurosurgery, Rudolf Magnus Institute of Neurosciences, University Medical Center, Utrecht; Yvette D Riedstra, RN, BSc, Clinical Nurse Specialist, Department Neurology, Rudolf Magnus Institute of Neurosciences, University Medical Center Utrecht, Utrecht; Cas LJJ Kruitwagen, MSc, Biostatistician, Centre for Biostatistics, Utrecht University, The Netherlands
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  • Cas LJJ Kruitwagen

    1. Authors:Thóra B Hafsteinsdóttir, RN, PhD, Assistant Professor, Division of Neuroscience of the Rudolf Magnus Institute of Neurosciences University Medical Center Utrecht, Utrecht, The Netherlands and Faculty of Nursing, University of Iceland, Iceland; Machteld Mosselman, RN, MSc, Master's student at the time, Nursing Science Department, University Medical Center Utrecht, Utrecht; Coby Schoneveld, RN, BSc, Clinical Nurse Specialist, Department of Neurosurgery, Rudolf Magnus Institute of Neurosciences, University Medical Center, Utrecht; Yvette D Riedstra, RN, BSc, Clinical Nurse Specialist, Department Neurology, Rudolf Magnus Institute of Neurosciences, University Medical Center Utrecht, Utrecht; Cas LJJ Kruitwagen, MSc, Biostatistician, Centre for Biostatistics, Utrecht University, The Netherlands
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Thóra B Hafsteinsdóttir, PhD, Assistant Professor, University Medical Center Utrecht, Division of Neuroscience (HP B.01·101), PO Box 85500, 3508 GA Utrecht, The Netherlands. Telephone: 00 31 0 88 75 56007.
E-mail:t.hafsteinsdottir@umcutrecht.nl

Abstract

Aims and objectives.  To measure the nutritional status of neurological patients during admission and after 10 days, with a special focus on those with malnutrition and those at risk of malnutrition, and to measure the association of clinical variables and nutritional status, which may be important for the early detection of patients at risk of malnutrition.

Background.  Studies have shown high prevalence of malnutrition in hospitalised patients and recommend structured screening and nutritional intervention for these patients. There is a lack of information concerning the nutritional status of neurological patients.

Design.  A prospective descriptive study.

Method.  Neurological patients (n = 196) were included from departments of neurology and neurosurgery in Dutch university hospital. Nutritional status was measured with the Mini Nutritional Assessment and functional status with the Barthel Index and the Rankin Scale at admission to the hospital and after 10 days.

Result.  Of the patients, 34% were at risk of malnutrition, 7% were malnourished, whereas 59% of the patients were well nourished according to the MNA. After 10 days, 57% were at risk of malnutrition, 22% were malnourished and 21% were well nourished. The total group of patients malnourished and at risk of malnutrition was 41% at admission, which had grown to 79% in 10 days. Significant association was found between various clinical variables and nutritional status.

Conclusions.  A large group of neurological patients is malnourished and at risk of malnutrition during hospital admission, and the nutritional status of most patients worsens in 10 days. Various clinical variables may be of importance in detecting malnourished patients.

Relevance to clinical practice.  Nurses need to observe the symptoms of malnutrition and provide evidence-based nutritional interventions to these patients. Improved education of nurses and good collaboration between the professionals and the facilitation of hospital management is essential to improve nutritional care of neurological patients.

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