Assistance for the Prescription of Nutritional Support Must Be Required in Nonexperienced Nutritional Teams

The aim of the study was to determine the current practices of nutritional support among hospitalized patients in nonspecialized hospital departments. Materials and Methods. During an observation period of 2 months, a surgeon and a gastroenterologist designated in each of the two departments concern...

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Main Authors: Mehdi Ouaïssi, Philippe Grandval, Diane Mege, Anamaria Nedelcu, Gaëlle Hautefeuille, Frédéric Vanhoeve, Bernard Sastre, Igor Sielezneff, Jacques di Costanzo
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Nutrition and Metabolism
Online Access:http://dx.doi.org/10.1155/2013/450469
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author Mehdi Ouaïssi
Philippe Grandval
Diane Mege
Anamaria Nedelcu
Gaëlle Hautefeuille
Frédéric Vanhoeve
Bernard Sastre
Igor Sielezneff
Jacques di Costanzo
author_facet Mehdi Ouaïssi
Philippe Grandval
Diane Mege
Anamaria Nedelcu
Gaëlle Hautefeuille
Frédéric Vanhoeve
Bernard Sastre
Igor Sielezneff
Jacques di Costanzo
author_sort Mehdi Ouaïssi
collection DOAJ
description The aim of the study was to determine the current practices of nutritional support among hospitalized patients in nonspecialized hospital departments. Materials and Methods. During an observation period of 2 months, a surgeon and a gastroenterologist designated in each of the two departments concerned, not “specialized” in nutritional assistance, have treated patients in which nutritional support seemed necessary. Assessing the degree of malnutrition of the patient, the therapeutic decision and the type of product prescribed by the doctors were secondarily compared to the proposals of a structured computer program according to the criteria and standards established by the institutions currently recognized. Results. The study included 120 patients bearing a surgical disease in 86.7% of cases and 10% of medical cases. 50% of the patients had cancer. Nutritional status was correctly evaluated in 38.3% by the initial doctors’ diagnosis—consistent with the software’s evaluation. The strategy of nutrition was concordant with the proposals of the software in 79.2% of cases. Conclusions. Despite an erroneous assessment of the nutritional status in more than two-thirds of cases the strategy of nutritional management was correct in 80% of cases. Malnutrition and its consequences can be prevented in nonexperienced nutritional teams by adequate nutritional support strategies coming from modern techniques including computerized programs.
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spelling doaj-art-1b8dabac53de4b1182707da16b1729622025-02-03T01:27:37ZengWileyJournal of Nutrition and Metabolism2090-07242090-07322013-01-01201310.1155/2013/450469450469Assistance for the Prescription of Nutritional Support Must Be Required in Nonexperienced Nutritional TeamsMehdi Ouaïssi0Philippe Grandval1Diane Mege2Anamaria Nedelcu3Gaëlle Hautefeuille4Frédéric Vanhoeve5Bernard Sastre6Igor Sielezneff7Jacques di Costanzo8Department of Digestive Surgery, Timone Hospital, 13385 Marseille, FranceDepartment of Gastroenterology, Timone Hospital, 13385 Marseille, FranceDepartment of Digestive Surgery, Timone Hospital, 13385 Marseille, FranceDepartment of Pediatric Surgery, Hospital University of Geneva, 1205 Geneva, SwitzerlandDepartment of Gastroenterology, Timone Hospital, 13385 Marseille, FranceSynergie Médical, 380 Avenue des Templiers, Aubagne, FranceDepartment of Digestive Surgery, Timone Hospital, 13385 Marseille, FranceDepartment of Digestive Surgery, Timone Hospital, 13385 Marseille, FranceDepartment of Digestive Surgery, Timone Hospital, 13385 Marseille, FranceThe aim of the study was to determine the current practices of nutritional support among hospitalized patients in nonspecialized hospital departments. Materials and Methods. During an observation period of 2 months, a surgeon and a gastroenterologist designated in each of the two departments concerned, not “specialized” in nutritional assistance, have treated patients in which nutritional support seemed necessary. Assessing the degree of malnutrition of the patient, the therapeutic decision and the type of product prescribed by the doctors were secondarily compared to the proposals of a structured computer program according to the criteria and standards established by the institutions currently recognized. Results. The study included 120 patients bearing a surgical disease in 86.7% of cases and 10% of medical cases. 50% of the patients had cancer. Nutritional status was correctly evaluated in 38.3% by the initial doctors’ diagnosis—consistent with the software’s evaluation. The strategy of nutrition was concordant with the proposals of the software in 79.2% of cases. Conclusions. Despite an erroneous assessment of the nutritional status in more than two-thirds of cases the strategy of nutritional management was correct in 80% of cases. Malnutrition and its consequences can be prevented in nonexperienced nutritional teams by adequate nutritional support strategies coming from modern techniques including computerized programs.http://dx.doi.org/10.1155/2013/450469
spellingShingle Mehdi Ouaïssi
Philippe Grandval
Diane Mege
Anamaria Nedelcu
Gaëlle Hautefeuille
Frédéric Vanhoeve
Bernard Sastre
Igor Sielezneff
Jacques di Costanzo
Assistance for the Prescription of Nutritional Support Must Be Required in Nonexperienced Nutritional Teams
Journal of Nutrition and Metabolism
title Assistance for the Prescription of Nutritional Support Must Be Required in Nonexperienced Nutritional Teams
title_full Assistance for the Prescription of Nutritional Support Must Be Required in Nonexperienced Nutritional Teams
title_fullStr Assistance for the Prescription of Nutritional Support Must Be Required in Nonexperienced Nutritional Teams
title_full_unstemmed Assistance for the Prescription of Nutritional Support Must Be Required in Nonexperienced Nutritional Teams
title_short Assistance for the Prescription of Nutritional Support Must Be Required in Nonexperienced Nutritional Teams
title_sort assistance for the prescription of nutritional support must be required in nonexperienced nutritional teams
url http://dx.doi.org/10.1155/2013/450469
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