Mixed
Systematic nutritional risk screening upon hospital admission, followed by detailed assessment and tailored nutritional support, reduces mortality, length of stay, and complications in malnourished or at-risk patients.
For hospital staff: Implement a standardized, rapid nutritional screening tool (like NRS-2002) for every patient within 24-48 hours of admission. If a patient scores as at risk, do not just provide standard meals; refer them for a detailed assessment to create a tailored nutritional care plan. This proactive step is proven to reduce mortality and hospital stay length.
Adequate and timely implementation of nutritional support has been linked with favorable outcomes such as a decrease in length of hospital stay, reduced mortality, and reductions in the rate of severe complications, as well as improvements in quality of life and functional status.
Why this rating
The paper cites large multicenter randomized controlled studies (e.g., NRS-2002 validation) and systematic reviews, though it is a review article summarizing evidence rather than a primary trial itself.
Source
Nutritional Risk Screening and Assessment
Emilie Reber et al. · Journal of Clinical Medicine · 2019
DOI 10.3390/jcm8071065
More from this paper
- Malnutrition is a preventable and reversible condition that worsens clinical outcomes, increases morbidity and mortality, and increases healthcare costs if left undetected.Strong
- Laboratory values (e.g., albumin, prealbumin) are poor standalone indicators of nutritional status due to their sensitivity to inflammation and other non-nutritional factors, and should be interpreted within the clinical context.Good
Related findings · Mixed
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- For patients with Class III obesity (BMI >39.9 kg/m2), metabolic bariatric surgery (MBS) is significantly more effective than any currently approved medication, with BilioPancreatic Diversion (BPD) showing the highest estimated weight loss.Strong
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