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Identification of Malnutrition Risk Using Malnutrition Screening Tool in an Ambulatory Pancreas Clinic
Peter Madril1, Paige Golian2, Marcia Nahikian-Nelms1
1From the School of Health and Rehabilitation Sciences, The Ohio State University.
Objectives:
The aim of this project was to assess malnutrition risk in a well-defined cohort of pancreatic diseases.
Methods:
We performed a retrospective, cross-sectional study of 401 subjects with available malnutrition screening tool scores who received care at a single outpatient pancreas clinic during a 6-month study period. Univariate analyses were performed to compare demographic, anthropometric, symptoms/diseases, and risk for malnutrition characteristics across 3 strata of diseases: acute pancreatitis (n = 141), chronic pancreatitis (n = 193), and other pancreatic diagnoses (n = 67).
Results:
A total of 18% of subjects were identified as at risk for malnutrition, including 25% who reported involuntary weight loss and/or decreased appetite. Subjects categorized as at risk for malnutrition were more likely to have gastrointestinal symptoms. Although the nutrition consultation rates were higher in subjects at risk for malnutrition (P = 0.03), 66% did not receive a clearly indicated dietary evaluation or management recommendations. One fifth of all patients in an ambulatory pancreas clinic are identified as at risk for malnutrition using a simple, validated tool.
Conclusions:
The majority of patients at increased risk for nutritional complications did not receive nutritional recommendations.
