Cited by 607Clinical Nutrition and GastroenterologyNutrition and Health in AgingDietetics, Nutrition, and Education

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EuroOOPS: An international, multicentre study to implement nutritional risk screening and evaluate clinical outcome

Sorensen, Janice, Kondrup, Jens, Prokopowicz, Jacek, Schiesser, Marc, Krähenbühl, Lukas, Meier, Rémy, Liberda, Martin·2008·Clinical Nutrition

DOI 10.1016/j.clnu.2008.03.012

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Abstract

Background & aims The aim of the study was to implement nutritional risk screening (NRS-2002) and to assess the association between nutritional risk and clinical outcome. Methods NRS-2002 was implemented in 26 hospital departments (surgery, internal medicine, oncology, intensive care, gastroenterology and geriatrics) in Austria, the Czech Republic, Egypt, Germany, Hungary, Lebanon, Libya, Poland, Romania, Slovakia, Spain and Switzerland. Being a prospective cohort study, randomly selected adult patients were included at admission and followed during their hospitalisation. Data were collected on the nutritional risk screening, complications, mortality, length of stay and discharge. The correlation between risk status and clinical outcome was assessed and adjusted for confounders (age, speciality, diagnoses, comorbidity, surgery, cancer and region) by multivariate regression analysis. Results Of the 5051 study patients, 32.6% were defined as 'at-risk' by NRS-2002. 'At-risk' patients had more complications, higher mortality and longer lengths of stay than 'not at-risk' patients and these variables were significantly related to components of NRS-2002, also when adjusted for confounders. Conclusions Components of NRS-2002 are independent predictors of poor clinical outcome.

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Nutritional Status, Eating Habits and Association with In-Hospital Mortality in Older Hospitalized Patients
Franchi, C., Mandelli, S., Nobili, A., Mannucci, P. M., & Ardoino, I. (2026) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph23091209
Joint International Society of Renal Nutrition and Metabolism (ISRNM) and International Society for Peritoneal Dialysis (ISPD) Practice Recommendation on Nutrition Management in Peritoneal Dialysis
Wang, A. Y.-M., Avesani, C. M., Kariyawasam, D., Lambert, K., Nash, C., Nerbass, F. B., Sabatino, A., Alobaidi, A., Naraine, S. D., Chan, M., et al. (2026) · Journal of Renal Nutrition · doi:10.1053/j.jrn.2026.08.002
Nutritional status at admission and survival among adult patients hospitalized in comprehensive specialized hospitals of Western Ethiopia.
Moti, B. K., Egata, G., & Wirtu, D. (2026) · Nutrition (Burbank, Los Angeles County, Calif.) · doi:10.1016/j.nut.2026.113442
Malnutrition predicts adverse clinical outcomes in older patients hospitalized in internal medicine wards.
Franchi, C., Mandelli, S., Nobili, A., Mannucci, P., & Ardoino, I. (2026) · European journal of internal medicine · doi:10.1016/j.ejim.2026.107170
Malnutrition in cancer surgery: A retrospective study on screening practices and outcomes
Elsherbini, N., Tahasildar, B., Sangarapillai, T., Gueorguieva, V., Mehrpouyan, S., Elsherbini, T., Cotoros, M., Kim, D. H., Carli, F., & Gillis, C. (2026) · Nutrition in Clinical Practice · doi:10.1002/ncp.70161
[Nutritional risk in hospitalized patients with cardiovascular disease: assessment using CONUT and Nutritional Risk Index].
Vázquez, K. V. P., Tostado, V. M. S., Salazar-Tostado, Á. A., Méndez-Domínguez, N., Ferraez-Martín, G. A., JiménezCastellanos, J., Olivera-Mar, A., Johnson-Herrera, J., & Santaularia-Tomas, M. (2026) · Nutrición Hospitalaria · doi:10.20960/nh.06736
Nutritional status and adjuvant chemotherapy in gastric cancer: An underestimated determinant of treatment success
di Visconte, M. S., Sarnari, S., Brillantino, A., Marano, L., Talento, P., & Guttadauro, A. (2026) · World Journal of Gastrointestinal Surgery · doi:10.4240/wjgs.v18.i5.118610
Malnutrition Screening, Assessment and Diagnosis Following the Implementation of the Integrated Nutrition Pathway for Acute Care (INPAC): An Observational Study.
Couturier, S., Chiasson, S., Dupuis, J. B., & LeBlanc, C. P. (2026) · Journal of Evaluation In Clinical Practice · doi:10.1111/jep.70481
Impact of nutritional status on 30-days postoperative morbidity and mortality in patients undergoing emergency laparotomy for gastrointestinal perforation peritonitis: a prospective observational study
Jain, N., Kumar, N., Patel, C., Singh, N., Mahathi, R. S. P., Vasudev, A., Singh, D., Singh, S. K., Huda, F., & Basu, S. (2026) · BMC Surgery · doi:10.1186/s12893-026-03792-5
“The global prevalence of malnutrition among hospitalized patients ranges from 20% to 40%, and this burden is particularly amplified in surgical emergencies, where the physiological stress of sepsis and acute inflammation worsens nutritional depletion [1–4].”
Outcomes and other characteristics of the nutritional screening and assessment tools validation processes in hospitalized adults: a systematic review
Bergamasco, G. G. L., Lima, B. R., de Araújo, K. A., Martins, N. B., Piovacari, S. M. F., Shima, M., Bottairi, D. S., Ferreira, S. C. M., Cerqueira, Z. M. F., & Pereira, A. J. (2026) · Einstein (São Paulo) · doi:10.31744/einstein_journal/2026rw1855
Phase Angle Shows a Negative Correlation With Serum GDF‐15 Concentrations in Hospitalized Patients With Cardiovascular Disease
Fukuda, T., Kondo, K., Nishikawa, R., Hirai, R., Ishizaka, H., Tan, H., Nozawa, N., Tokoi, S., Hirose, S., Yamaguchi, S., et al. (2026) · Journal of Nutrition and Metabolism · doi:10.1155/jnme/3379141 · Cited by 1
One-year post-discharge health-related quality of life in digestive and oncology patients: a three-group comparison by nutritional status and care
Martín, J., Larrea, N., García, Y., Bolinaga, I., Perales, A., Sarasqueta, C., & Quintana, J. (2025) · Quality of Life Research · doi:10.1007/s11136-025-04139-y
“While hospital undernutrition can be treated, it is often underdiagnosed and inappropriately addressed [ 17]; moreover, HRQoL and functional independence can be affected among people who have had a hospital admission, so that quality of life is of critical importance in chronic diseases and its…”
Trattamento delle fistole esofago-tracheo-bronchiali acquisite dell⬢adulto
Todesco, A., Armand, E., Gust, L., Fourdrain, A., Brioude, G., Trousse, D., Boulate, D., Doddoli, C., Dutau, H., Thomas, P., et al. (2025) · EMC - Tecniche Chirurgiche Torace · doi:10.1016/s1288-3336(25)51104-4
Association Between Muscle Quality and Quantitative Changes According to Nutritional Intake Differences in Patients Recovering From Trauma
Lee, J.-H., Kwon, S., Yang, S., Choi, D., Kwon, J., & Park, Y. (2025) · Clinical Nutrition Research · doi:10.7762/cnr.2025.14.4.247
“Early identification of malnutrition caused by deficient nutritional intake can improve short-and long-term clinical outcomes [26].”
Use of oral nutritional supplements in Greece: Examining the effect of the level of knowledge of health care professionals on their use in clinical practice.
Nikolakopoulou, K., Chourdakis, M., Androutsos, O., Bahat, G., Pinar, E., Erdoğan, T., Abbasoğlu, O., & Poulia, K. (2025) · Nutrition (Burbank, Los Angeles County, Calif.) · doi:10.1016/j.clnesp.2025.07.884
Prognostic value of the CIPA nutritional screening tool in over 30,000 hospitalized patients: a retrospective study (2014–2022)
Fernández, J. G., Suárez-Llanos, J. P., González, C. L., Mesa, E. M., Nuñez, M. A. G., Luis, M. D. F., & Ferrer, M. F. F. (2025) · Frontiers in Nutrition · doi:10.3389/fnut.2025.1648228
Mangelernährung in der Geriatrie – aktuelle Evidenz und Handlungsstrategien
Heck, B., Kastrup, R. O., Schara-Schmidt, E. U., Schnieder, E. M., Göttingen, & FunktionsoberärztinAllgemeinmedizinZusatzbe-zeichn (2025) · DGNeurologie · doi:10.1007/s42451-025-00792-2
Prognostic impact of inflammatory and nutritional markers in colorectal cancer patients with peritoneal metastasis
Cai, Z., Dai, W.-D., & Cai, X.-W. (2025) · World Journal of Gastrointestinal Oncology · doi:10.4251/wjgo.v17.i6.100010
“…C-reactive protein-to-albumin ratio, have been proposed as important prognostic indicators for CRC. Malnutrition, as indicated by low levels of these markers, is associated with poorer treatment responses, increased incidence of postoperative complications, and shorter overall survival (OS)[19,20].”
Análise comparativa de ferramentas de triagem nutricional em unidades de terapia intensiva
Moss, L. A. D. S., & Badin, R. C. (2025) · Revista Eletrônica Acervo Saúde · doi:10.25248/reas.e20050.2025
“…MP e VAN DEN BERGHE G, 2014) A triagem nutricional é fundamental no cuidado de pacientes críticos em UTI, onde o risco de desnutrição é elevado (SORENSEN J, et al., 2008 O NRS-2002, entre as ferramentas analisadas, foi a primeira ferramenta a ser desenvolvida para pacientes hospitalizados,…”
Revolutionizing preoperative nutritional assessment: a multi-tool approach to predicting surgical complications in GI patients
Sandeep, K. S., & Kakade, S. (2025) · International Journal of Research in Medical Sciences · doi:10.18203/2320-6012.ijrms20250977
Evaluation of a food access program on inpatient nutrition, recovery, cost of care, and health related quality of life in selected public hospitals in Rwanda
Weiland, S., Musabanganji, E., Gasakura, M. M., & Ntaganzwa, L. (2025) · medRxiv · doi:10.1101/2025.02.27.25323048
The current situation and associated factors of preoperative frailty in elderly patients undergoing abdominal surgery
Yin, L., Wang, H., Mao, F., Zhong, M., Yin, X., & Hu, X.-Y. (2024) · Perioperative Medicine · doi:10.1186/s13741-024-00476-7
Nutritional ultrasound: above body mass index, two cases presentation
Gómez-Jordan, S., Hoz, J. C. C.-D. L., Saumett, S., Molano, A., & Zúñiga-Rodríguez, E. (2024) · European Journal of Clinical Nutrition · doi:10.1038/s41430-024-01459-z
Evaluation of the relationship between nutritional status and 1-year mortality rate in patients with acute heart failure admitted at Vietnam National Heart Institute
Nguyen, T. H., Pham, M. T., Pham, T. T., Ta, T. A., Nguyen, T. M. N., & Hoang, T. T. P. (2023) · Tạp chí Tim Mạch Học Việt Nam · doi:10.58354/jvc.107e.2023.715
“37-39 In our study, the high malnutrition risk group accounted for 31.1% of total patient deaths.”
BackgroundInfluential
The Practice of Nutrition Risk Screening, Nutrition Status Assessment, and Nutrition Support Action (NRASA) in Hospitalized Patients
Zheng, J., Yu, F., Chen, Y., Ming, F., & Rao, Z. (2023) · Topics in Clinical Nutrition · doi:10.1097/tin.0000000000000311
Identificación de pacientes hospitalizados con riesgo nutricional al ingreso valorado con la Nutritional Risk Screening
Robleda-Font, G., Victòria-Moix-Gómez, M., Serrano-Herrera, C., & Navarro-Cano, G. (2023) · Enfermería clínica · doi:10.1016/j.enfcli.2022.12.003
Nutrition screening and therapy in the older surgical patient: an area that is ignored
Williams, D. G. A., & Miller, T. (2023) · International Anesthesiology Clinics · doi:10.1097/aia.0000000000000397
Exploring the rates of malnutrition risk and related factors among inpatients
Derin, Z. A., Çi̇fci̇, A., Yalçın, S., & Başer, T. (2022) · Journal of Translational and Practical Medicine · doi:10.51271/jtpm-0013
“(25) administered the NRS-2002 to 5051 patients and found malnutrition rates among the patients to be 51%, 45%, and 44% in three internal medicine wards in Eastern Europe, 67%, 38%, and 11% in three internal medicine wards in the Middle East, and 49%, 46%, 35%, and 16% in four internal medicine wards in Western Europe…”
Background
ICU Readmission in Cardiac Surgical Subset: A Problem Worth Pondering
Kalaiselvan, J., Kashav, R., Kohli, J., Magoon, R., Shri, I., Grover, V., & Jhajharia, N. S. (2022) · Journal of Cardiac Critical Care TSS · doi:10.1055/s-0042-1759816
Caloric adequacy of parenteral nutrition and its influence on the clinical outcome of hospitalised patients
de Cáceres, C., Rico, T., Abreu, C., Velasco, A. I., Lozano, R., & Lozano, M. C. (2022) · Nutrition and Health · doi:10.1177/02601060211070108
“…shown the influence of nutritional status on surgical patients with delayed wound healing, increased number of infectious complications, longer duration of hospital stay and increased mortality (Kyle et al., 2006; Lobo et al., 2009; Ordoñez et al., 2013; Sauer et al., 2019; Sorensen et al., 2008).”
Background
Preoperative Evaluation in Colorectal Patients
Landmann, R., & Francone, T. D. (2021) · Springer eBooks · doi:10.1007/978-3-030-66049-9_6 · Cited by 1
Critical deficiencies of energy and protein with a high provision of non-nutritional calories after one week in an intensive care unit
de la Barca, A. M. C., Ibarra-Pastrana, É. N., & Serralde-Zúñiga, A. E. (2021) · Nutrición Hospitalaria · doi:10.20960/nh.03734 · Cited by 1
“No obstante, es común que se presente, ya que en estudios realizados en UCI de América Latina se ha encontrado un déficit proteico de -42,2 g/día, con acumulación en 5 días de 175,7 g ± 121 g (6).”
The Association between Nutritional Parameters and the Prognosis of Community Acquired Pneumonia
Mayya, H., Hejazie, M., Zreik, Y., & Alkhayer, A. (2021) · Asian Journal of Research in Infectious Diseases · doi:10.9734/ajrid/2021/v7i230211
Atypical Presentation of Vitamin C Deficiency Manifesting as Petechial Hemorrhaging
Am, B., K, G., Eh, C., K., M., Walters, T., Me, P., & Mk, T. (2021) · Journal of Family Medicine · doi:10.26420/jfammed.2021.1254
“In high-income countries such as the United States, approximately one-third of hospitalized patients are either at risk for malnutrition or are already malnourished at the time of admission [1].”
Background
Role of Nutrition in Prevention and Prognosis of the COVID-19 Infection - A Review
Chitra, U., & Sharma, P. (2021) · International Journal of Science and Research (IJSR) · doi:10.21275/sr21408153701
Perioperative nutritional state as a surgical risk in oncologic patients
Kollár, D., Benedek-Tóth, Z., Drozgyik, A., Molnár, F. T., & Oláh, A. (2021) · Orvosi Hetilap · doi:10.1556/650.2021.31987
“[22] Sorensen J, Kondrup J, Prokopowicz J, et al.”
Background

Authors: Sorensen, J., Kondrup, J., Prokopowicz, J., Schiesser, M., Krähenbühl, L., Meier, R., & Liberda, M.
Affiliations: University of Copenhagen (DK)
University Hospital Zurich (CH)
HFR Freiburg Kantonsspital (CH)
ORCID: Sorensen, Janice
Schiesser, Marc
Krähenbühl, Lukas
Venue: Clinical Nutrition
Publisher: Elsevier BV
Published: 2008-06
Volume: 27
Issue: 3
Pages: 340-349
ISSN: 0261-5614 (ISSN-L)
DOI: 10.1016/j.clnu.2008.03.012
OpenAlex: W2041669990
Cited by: 607
References: 0
Citations by year: 2026: 18 · 2025: 22 · 2024: 31 · 2023: 40 · 2022: 37 · 2021: 56 · 2020: 47 · 2019: 47 · 2018: 24 · 2017: 33 · 2016: 29 · 2015: 42 · 2014: 41 · 2013: 34 · 2012: 35
FWCI: 21.49
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Clinical Nutrition (publishedVersion)
PubMed (publishedVersion)
Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
Topics: Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
Health Sciences › Nursing › Nutrition and Dietetics › Dietetics, Nutrition, and Education
Keywords: nutritional risk screening, NRS-2002, nutritional risk, clinical outcomes, in-hospital mortality, postoperative complications, length of hospital stay, hospital discharge, predictors of poor outcome, multicenter study
MeSH terms: Female, Humans, Length of Stay, Male, Mass Screening, Middle Aged, Nutritional Status, Predictive Value of Tests, Prognosis, Prospective Studies, Sensitivity and Specificity, Cohort Studies, Weight Loss, Nutrition Assessment, Multivariate Analysis, Treatment Outcome, Hospital Mortality, Risk Assessment, Malnutrition

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EuroOOPS: An international, multicentre study to implement nutritional risk screening and evaluate clinical outcome

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