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Efficacy and Efficiency of Nutritional Support Teams
Emilie Reber1, Rachel Strahm2, Lia Bally2
1Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, and University of Bern, Freiburgstrasse 15, 3010 Bern, Switzerland. emilie.reber@insel.ch.
Journal of Clinical Medicine
|August 25, 2019
Summary
Malnutrition is common in hospitalized patients, increasing complications and length of stay. Nutritional support teams improve patient outcomes and quality of life through early risk identification and tailored interventions.
Area of Science:
- Clinical Nutrition
- Hospital Medicine
- Patient Care Management
Background:
- Malnutrition is prevalent in hospitalized patients, leading to increased complications, morbidity, mortality, and prolonged hospital stays.
- Effective nutritional support is critical for improving patient outcomes and quality of life.
- Optimal nutritional management requires multifaceted clinical knowledge and structured processes.
Purpose of the Study:
- To review the composition, tasks, and challenges of nutritional support teams (NSTs).
- To discuss the evidence on the efficiency and efficacy of NSTs regarding clinical outcomes and cost-effectiveness.
Main Methods:
- This narrative review synthesizes current evidence on NSTs.
- Focuses on the implementation of nutritional screening, assessment, care planning, treatment delivery, and monitoring.
- Examines the role of interdisciplinary and multiprofessional collaboration.
Main Results:
- NSTs are essential for ensuring and improving the quality and safety of nutritional treatments.
- Evidence suggests efficient nutritional management by NSTs improves nutritional status and prevents negative clinical outcomes.
- Implementation of validated screening tools and tailored care plans are key components.
Conclusions:
- Nutritional support teams play a vital role in optimizing patient care and preventing adverse outcomes associated with malnutrition.
- Early identification of nutritional risk and timely, tailored interventions are crucial for effective management.
- Further evidence supports the clinical and cost-effectiveness of structured, team-based nutritional support.
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