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Current nutrition assessment practice: A 2022 survey.

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This survey shows most clinicians use standardized tools for nutrition assessment, but 30% of malnourished patients don

Keywords:
adultshome carehospitalslong-term care facilitiesmalnutritionnutrition assessmentpediatricssurvey

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Area of Science:

  • Clinical Nutrition
  • Dietetics
  • Healthcare Quality Improvement

Background:

  • Malnutrition is a prevalent issue in acute and chronic illness, necessitating effective nutrition assessment.
  • Standardized tools are not universally applied in clinical nutrition assessment, diagnosis, and treatment.
  • This survey examines current practices in nutrition assessment among US clinicians.

Purpose of the Study:

  • To evaluate current clinical practices in the assessment, diagnosis, and treatment of malnutrition.
  • To assess the utilization of standardized nutrition assessment tools in various healthcare settings.

Main Methods:

  • A 2022 survey of US-based nutrition clinicians across hospital, long-term care, and home care settings.
  • Data collected on assessment parameters, tool usage, and reported malnutrition rates.
  • Analysis of 686 returned surveys from adult and pediatric clinicians.

Main Results:

  • Dietitians predominantly conducted nutrition assessments (97% adult, 91% pediatric).
  • Common assessment parameters included nutrient intake, weight history, and z-scores.
  • High adoption of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition Indicators of Malnutrition (AAIM) (89% adult, 85% pediatric).
  • Reported malnutrition rates varied by age and setting (32-40% adult, 4-30% pediatric).
  • Appropriate interventions were ordered for 70% of malnourished patients.

Conclusions:

  • The AAIM is widely used by clinicians in diverse care settings.
  • Reported malnutrition prevalence aligns with existing literature.
  • Quality improvement should target the 30% of malnourished patients not receiving appropriate interventions.