Malnutrition in hospitals: it was, is now, and must not remain a problem!
Open accessAbstract
BACKGROUND: Malnutrition is an under-recognized problem in hospitalized patients. Despite systematic screening, the prevalence of malnutrition in the hospital did not decrease in the last few decades. The aim of our study was to evaluate the prevalence of malnutrition and to determine the explicit daily calorie intake of hospitalized patients, to identify the risk factors of developing malnutrition during hospitalization and the effect on the financial reimbursement according to the German DRG-system. MATERIAL AND METHODS: 815 hospitalized patients were included in this study. The detection of malnutrition was based on the nutritional-risk-screening (NRS) and subjective-global-assessment (SGA) scores. A trained investigator recorded the daily calorie and fluid intake of each patient. Furthermore, clinical parameters, and the financial reimbursement were evaluated. RESULTS: The prevalence of malnutrition was 53.6% according to the SGA and 44.6% according the NRS. During hospitalization, patients received on average 759.9±546.8 kcal/day. The prevalence of malnutrition was increased in patients with hepatic and gastrointestinal disease and with depression or dementia. The most important risk factors for malnutrition were bed rest and immobility (OR=5.88, 95% CI 2.25-15.4). In 84.5% of patient records, malnutrition was not correctly coded, leading to increased financial losses according to the DRG-system (94.908 Euros). CONCLUSIONS: Hospitalized patients suffer from inadequate nutritional therapy and the risk for developing malnutrition rises during the hospital stay. The early screening of patients for malnutrition would not only improve management of nutritional therapy but also, with adequate coding, improve financial reimbursement according to the DRG-system.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Cutting total energy intake by 500 kcal/d below estimated requirements mimics the moderate energy restriction often seen in hospital.
“During the ER and ER + SR phases, a reduction in total energy intake of 500 kcal/d below the estimated energy requirement was applied to the diet to simulate a moderate energy restriction that is common during hospitalization (23).”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
ESPEN Guidelines for Nutrition Screening 2002
Kondrup, J. (2003) · Clinical Nutrition · doi:10.1016/s0261-5614(03)00098-0 · Cited by 3,159 · see citing works
Prognostic effect of weight loss prior tochemotherapy in cancer patients
DeWys, W. D., Begg, C. B., Lavin, P. T., Band, P. R., Bennett, J. M., Bertino, J. R., Cohen, M. H., Douglass, H. O., Engstrom, P. F., Ezdinli, E. Z., et al. (1980) · The American Journal of Medicine · doi:10.1016/s0149-2918(05)80001-3 · Cited by 2,350 · see citing works
Stratton, R. J., Hackston, A., Longmore, D., Dixon, R., Price, S., Stroud, M. A., King, C. L., & Elia, M. (2004) · British Journal Of Nutrition · doi:10.1079/bjn20041258 · Cited by 1,247 · see citing works
Missing Data in Clinical Studies
Molenberghs, G., & Kenward, M. G. (2007) · Wiley eBooks · doi:10.1002/9780470510445 · Cited by 969 · see citing works
What to do about missing values in time series cross- section data
Honaker, J., & King, G. (2010) · American Journal of Political Science · doi:10.1111/j.1540-5907.2010.00447.x · Cited by 966 · see citing works
A Primer in Longitudinal Data Analysis
Taris, T. W. (2000) · SAGE Publications Ltd eBooks · doi:10.4135/9781849208512 · Cited by 381 · see citing works
Nutritional status: its influence on the outcome of patients undergoing liver transplantation
Merli, M., Giusto, M., Gentili, F., Novelli, G., Ferretti, G., Riggio, O., Corradini, S. G., Siciliano, M., Farcomeni, A., Attili, A. F., et al. (2009) · Liver International · doi:10.1111/j.1478-3231.2009.02135.x · Cited by 298 · see citing works
Malnutrition in acute care patients: a narrative review.
Kubrak, C., & Jensen, L. (2007) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2006.07.015 · Cited by 209 · see citing works
A Primer in Longitudinal Data Analysis
Fitzmaurice, G. M., & Ravichandran, C. T. (2008) · Circulation · doi:10.1161/circulationaha.107.714618 · Cited by 203 · see citing works
Ryu, S. W. (2010) · World Journal of Gastroenterology · doi:10.3748/wjg.v16.i26.3310 · Cited by 194 · see citing works
Social risk factors for hospital malnutrition
Pirlich, M., Schütz, T., Kemps, M., Luhman, N., Minko, N., Lübke, H. J., Rossnagel, K., Willich, S. N., & Lochs, H. H. (2005) · Nutrition · doi:10.1016/j.nut.2004.06.023 · Cited by 176 · see citing works
Impact of severe malnutrition on short-term mortality and overall survival in head and neck cancer
Datema, F. R., Ferrier, M. B., & de Jong, R. J. B. (2011) · Oral Oncology · doi:10.1016/j.oraloncology.2011.06.510 · Cited by 147 · see citing works
Prevalence of Malnutrition in Hospitalized Medical Patients: Impact of Underlying Disease
Pirlich, M., Schütz, T., Kemps, M., Luhman, N., Burmester, G. R., Baumann, G., Plauth, M., Lübke, H. J., & Lochs, H. H. (2003) · Digestive Diseases · doi:10.1159/000073342 · Cited by 146 · see citing works
Ockenga, J., Freudenreich, M., Zakonsky, R., Norman, K., Pirlich, M., & Lochs, H. H. (2005) · Clinical Nutrition · doi:10.1016/j.clnu.2005.05.019 · Cited by 114 · see citing works
van Venrooij, L. M. W., de Vos, R., Borgmeijer-Hoelen, M. M. M. J., Haaring, C., & de Mol, B. A. J. M. (2008) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/87.6.1656 · Cited by 107 · see citing works
Protein-calorie malnutrition in a community hospital.
Willard, M., Gilsdorf, R. B., & Price, R. A. (1980) · Journal of the American Medical Association (JAMA) · doi:10.1001/jama.1980.03300430022015 · Cited by 87 · see citing works
Nutritional risk index as a predictor of postoperative wound complications after gastrectomy
Oh, C. A. (2012) · World Journal of Gastroenterology · doi:10.3748/wjg.v18.i7.673 · Cited by 69 · see citing works
Malnutrition in the UK: where does it begin?
Russell, C. A., & Elia, M. (2010) · Proceedings of The Nutrition Society · doi:10.1017/s0029665110001850 · Cited by 60 · see citing works
Jia, K.-Z. (2014) · Medical Science Monitor · doi:10.12659/msm.892770 · Cited by 43 · see citing works
Rasheed, S., & Woods, B. T. (2013) · Journal of Nutrition in Gerontology and Geriatrics · doi:10.1080/21551197.2012.753772 · Cited by 39 · see citing works
[Prevalence of malnutrition in medical and surgical wards of a university hospital].
Vidal, A. A., Iglesias, M. J., Pértega-Díaz, S., Ayúcar, A., & Vidal, O. (2008) · PubMed · Cited by 37 · see citing works
Mahgoub, H. M., & Adam, I. (2011) · Transactions of the Royal Society of Tropical Medicine and Hygiene · doi:10.1016/j.trstmh.2011.09.003 · Cited by 32 · see citing works
Comparison of two nutritional assessment methods in gastroenterology patients
Filipović, B. F. (2010) · World Journal of Gastroenterology · doi:10.3748/wjg.v16.i16.1999 · Cited by 31 · see citing works
Malnutrition, age and inhospital mortality
Caccialanza, R., Cereda, E., & Klersy, C. (2011) · Canadian Medical Association Journal · doi:10.1503/cmaj.111-2038 · Cited by 23 · see citing works
Conséquences d'une comorbidité trop souvent négligée en cancérologie: la dénutrition
Kaikani, W., & Bachmann, P. (2009) · Bulletin du Cancer · doi:10.1684/bdc.2009.0875 · Cited by 19 · see citing works
Skyba, P., Kluchová, Z., Joppa, P., Petrášová, D., & Tkáčová, R. (2009) · PubMed · Cited by 18 · see citing works
Missing Data in Clinical Studies Molenberghs G. and Kenward M. G.
Ebrahim, G. J. (2007) · Journal of Tropical Pediatrics · doi:10.1093/tropej/fmm053 · Cited by 12 · see citing works
Assessment of Nutritional Status in Adult Hospitalized Patients
Tanphaichitr, V., Kulapongse, S., & Komindr, S. (1980) · Annals of Nutrition and Metabolism · doi:10.1159/000176313 · Cited by 11 · see citing works
Mantsopoulos, K., Zenk, J., Konturek, P. C., & Iro, H. (2010) · PubMed · Cited by 5 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Zhang, Z., Pereira, S., Luo, M., & Matheson, E. (2017) · Nutrients · doi:10.3390/nu9080829 · Cited by 531 · see citing works
Body composition in clinical practice
Andreoli, A., Garaci, F., Cafarelli, F. P., & Guglielmi, G. (2016) · European Journal of Radiology · doi:10.1016/j.ejrad.2016.02.005 · Cited by 216 · see citing works
Maurício, S. F., Xiao, J., Prado, C. M. M., González, M. C., & Correia, M. I. T. D. (2017) · Clinical Nutrition · doi:10.1016/j.clnu.2017.08.026 · Cited by 83 · see citing works
Being at risk of malnutrition predicts poor outcomes at 3 months in acute ischemic stroke patients
Cai, Z., Wu, Y., Chen, H., Feng, R., Liao, C.-W., Ye, S.-L., Liu, Z.-P., Zhang, M., & Zhu, B. (2020) · European Journal of Clinical Nutrition · doi:10.1038/s41430-020-0605-8 · Cited by 82 · see citing works
Bretscher, C., Boesiger, F., Kaegi-Braun, N., Hersberger, L., Lobo, D. N., Evans, D. C., Tribolet, P., Gomes, F., Hoess, C., Pavlicek, V., et al. (2022) · eClinicalMedicine · doi:10.1016/j.eclinm.2022.101301 · Cited by 88 · see citing works
Oikawa, S. Y., McGlory, C., D'Souza, L. K., Morgan, A. K., Saddler, N. I., Baker, S. K., Parise, G., & Phillips, S. M. (2018) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqy193 · Cited by 76 · see citing works
“reduction in total energy intake of 500 kcal/d below the estimated energy requirement was applied to the diet to simulate a moderate energy restriction that is common during hospitalization (23).”
MethodThe Perioperative Care of Older Patients
Olotu, C., Weimann, A., Bahrs, C., Schwenk, W., Scherer, M., & Kiefmann, R. (2019) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2019.0063 · Cited by 77 · see citing works
Budzyński, J., Tojek, K., Czerniak, B., & Banaszkiewicz, Z. (2016) · Clinical Nutrition · doi:10.1016/j.clnu.2016.03.025 · Cited by 69 · see citing works
Aktaş, A., Walsh, D., Galang, M., O’Donoghue, N., Rybicki, L. A., Hullihen, B., & Schleckman, E. (2016) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909116639969 · Cited by 51 · see citing works
“0) 34 (79%) Any 102 29 (20-38) 17 (9-24) 11 (5-18) 9 (4-15) 8 (3-14) 8 (3-14) 1.”
InfluentialLiu, P., Wang, B., Xia, Y., Cai, J., & Wang, Y. (2016) · Chinese Journal of Cancer Research · doi:10.21147/j.issn.1000-9604.2016.06.09 · Cited by 48 · see citing works
Development and Predictors of Sarcopenic Dysphagia during Hospitalization of Older Adults
Maeda, K., Ishida, Y., Nonogaki, T., Shimizu, A., Yamanaka, Y., Matsuyama, R., Kato, R., & Mori, N. (2019) · Nutrients · doi:10.3390/nu12010070 · Cited by 47 · see citing works
“The development of swallowing disorders was considered to be caused by the further deterioration of activity- and nutrition-related conditions during hospitalization [24] in patients with sarcopenia.”
BackgroundKroc, Ł., Fife, E., Piechocka-Wochniak, E., Sołtysik, B., & Kostka, T. (2021) · Nutrients · doi:10.3390/nu13010225 · Cited by 34 · see citing works
“A high similarity between the SGA and NRS-2002 for evaluating nutritional status was found [38,39].”
BackgroundOptimizing Nutrition Care for Pressure Injuries in Hospitalized Patients
Citty, S. W., Cowan, L. J., Wingfield, Z., & Stechmiller, J. K. (2019) · Advances in Wound Care · doi:10.1089/wound.2018.0925 · Cited by 41 · see citing works
“In fact, it has been reported that only 3% to 5% of hospitalized population are diagnosed with malnutrition, although it is estimated that 30–60% of the hospitalized population are malnourished.(2,41) To enhance coding and reimbursement of malnutrition-related diagnosis, physicians should include at least the six elem…”
BackgroundInfluentialShakhshir, M. H., & Alkaiyat, A. S. (2023) · Journal of Health Population and Nutrition · doi:10.1186/s41043-023-00355-9 · Cited by 40 · see citing works
“Screening all patients for malnutrition is essential to identify patients at risk of malnutrition and develop a care plan [41].”
BackgroundMalnutrition screening and diagnosis tools: Implications for practice
House, M. A., & Gwaltney, C. (2021) · Nutrition in Clinical Practice · doi:10.1002/ncp.10801 · Cited by 37 · see citing works
Rinninella, E., Cintoni, M., LORENZO, A. D., Addolorato, G., Vassallo, G. A., Moroni, R., Miggiano, G. A. D., Gasbarrini, A., & Mele, M. C. (2018) · Internal and Emergency Medicine · doi:10.1007/s11739-018-1884-0 · Cited by 37 · see citing works
Alcorta, M. D., Alvarez, P. C., Cabetas, R. N., Martín, M. J. A., Valero, M. A., & Candela, C. G. (2018) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2018.03.124 · Cited by 30 · see citing works
Mordarski, B. A., Hand, R. K., Wolff, J., & Steiber, A. L. (2017) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2017.06.362 · Cited by 20 · see citing works
Chen, X., Li, D., Liu, Y., Zhu, L., Jia, Y., & Gao, Y. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.895803 · Cited by 19 · see citing works
Age-dependent risk factors for malnutrition in traumatology and orthopedic patients
Lambert, C., Nussler, A. K., Biesalski, H. K., Freude, T., Bahrs, C., Ochs, G., Flesch, I., Stöckle, U., & Ihle, C. (2017) · Nutrition · doi:10.1016/j.nut.2016.12.013 · Cited by 19 · see citing works
Barcus, G. C., Papathakis, P., Schaffner, A. A., & Chimera, B. (2021) · Nutrients · doi:10.3390/nu13041170 · Cited by 19 · see citing works
SARS-CoV-2 infection predisposes patients to coinfection with Staphylococcus aureus
Lubkin, A., Bernard, L., Dumont, A., Valero-Jimenez, A. M., Putzel, G., Gago, J. E., Zwack, E. E., Olusanya, O., Boguslawski, K. M., Dallari, S., et al. (2024) · mBio · doi:10.1128/mbio.01667-24 · Cited by 18 · see citing works
“Patients in hospitals are more frequently malnourished and dehydrated (45, 46), which impacts the immune response (47).”
BackgroundMoick, S., Hiesmayr, M., Mouhieddine, M., Kiss, N., Bauer, P., Sulz, I., Singer, P., & Simon, J. (2020) · Clinical Nutrition · doi:10.1016/j.clnu.2020.06.021 · Cited by 18 · see citing works
Morris, N., Stewart, S., Riley, M. D., & Maguire, G. P. (2017) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2017.12.010 · Cited by 16 · see citing works
Maeda, K., Ishida, Y., Nonogaki, T., Shimizu, A., Yamanaka, Y., Matsuyama, R., Kato, R., & Mori, N. (2019) · The journal of nutrition health & aging · doi:10.1007/s12603-019-1237-3 · Cited by 16 · see citing works
“It was reported that the mean energy intake of all adult inpatients during hospitalization was 760 kcal/day (27).”
Rivelsrud, M., Paur, I., Sygnestveit, K., Nilsen, R. M., & Tangvik, R. J. (2020) · Clinical Nutrition · doi:10.1016/j.clnu.2020.09.037 · Cited by 14 · see citing works
Zhang, X., Wu, X., Ma, Y., Zhu, C., Cao, J., Liu, G., Li, F., & Cheng, A. S. K. (2021) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s311692 · Cited by 14 · see citing works
“4).(2) It is estimated that the prevalence of malnutrition among hospitalized patients ranges from 21%-54%, rising to 60% among older adults.”
BackgroundThe economic cost of not coding disease-related malnutrition: A study in cancer inpatients
Ruiz-García, I., Contreras-Bolívar, V., Sánchez-Torralvo, F. J., Díaz, O. U., Ruiz-Vico, M., Abuín-Fernández, J., Barrios-García, M., Alba, E., & Olveira, G. (2021) · Clinical Nutrition · doi:10.1016/j.clnu.2021.11.028 · Cited by 14 · see citing works
Oikawa, S. Y., Callahan, D. M., McGlory, C., Toth, M. J., & Phillips, S. M. (2019) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2018-0631 · Cited by 13 · see citing works
“During week 2, participants consumed an energy-restricted diet (ER, -500 kcal/d) to simulate a reduction in energy-intake congruent with dietary patterns observed in institutionalized adults (Konturek et al. 2015) while consuming a high protein diet (1.6 g protein/kg/d),.”
MethodInfluentialCapurso, C. A., Buglio, A. L., Bellanti, F., & Vendemiale, G. (2024) · Nutrients · doi:10.3390/nu16091359 · Cited by 12 · see citing works
Becker, L., Volkert, D., Sieber, C. C., Gaßmann, K., & Ritt, M. (2019) · Scientific Reports · doi:10.1038/s41598-019-45452-0 · Cited by 11 · see citing works
Nutrition Support Team Reconsultation During Nutrition Therapy in Korea
Seol, E., Suh, Y., Ju, D. L., Bae, H. J., Kim, E.-J., & Lee, H. (2020) · Journal of Parenteral and Enteral Nutrition · doi:10.1002/jpen.1835 · Cited by 11 · see citing works
Stephenson, S. S., Guligowska, A., Cieślak-Skubel, A., Wójcik, A., Kravchenko, G., Kostka, T., & Sołtysik, B. K. (2023) · Nutrients · doi:10.3390/nu15071612 · Cited by 10 · see citing works
“The prevalence of malnutrition was related to the presence and severity of depression in different groups of patients [34,47].”
BackgroundCitty, S. W., Bjarnadóttir, R. I., Marlowe, L., Jones, S., Lucero, R. J., GARVAN, C. W., Kamel, A. Y., Westhoff, L., & Keenan, G. M. (2020) · Nutrition in Clinical Practice · doi:10.1002/ncp.10590 · Cited by 10 · see citing works
Managing food waste in the inpatient population
Jonathan, A. (2023) · BMJ Open Quality · doi:10.1136/bmjoq-2023-002436 · Cited by 9 · see citing works
Al‐Adili, L., Orrevall, Y., McGreevy, J., Nydahl, M. C., Boström, A., & Lövestam, E. (2021) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.12931 · Cited by 9 · see citing works
Al‐Adili, L., Nordgren, L., Orrevall, Y., McGreevy, J., & Lövestam, E. (2023) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.13246 · Cited by 7 · see citing works
Effects of malnutrition on length of stay in patients hospitalized in an acute psychiatric ward
Giménez-Palomo, A., Gomes-da-Costa, S., Borrás, R., Pons-Cabrera, M., Doncel-Moriano, A., Arbelo, N., Leyes, P., Forga, M., Mateu-Salat, M., Pereira-Fernandes, P. M., et al. (2023) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13598 · Cited by 5 · see citing works
“Indeed, some studies have shown that a poor nutritional status at admission is associated with increased patient morbidity and mortality, resulting in longer hospital stays and increased healthcare costs.(1,2,4,5) In patients with psychiatric disorders there are some variables that might be considered risk factors for…”
BackgroundWoo, H. Y., Oh, S., Lim, L., Im, H., Lee, H., & Ryu, H. G. (2022) · Nutrition · doi:10.1016/j.nut.2022.111638 · Cited by 6 · see citing works
Setting goals with patients at risk of malnutrition: A focus group study with clinical dietitians
Al‐Adili, L., McGreevy, J., Orrevall, Y., Nydahl, M. C., Boström, A., & Lövestam, E. (2022) · Patient Education and Counseling · doi:10.1016/j.pec.2022.02.015 · Cited by 6 · see citing works
In-hospital malnutrition among adult patients in a national referral hospital in Indonesia
Purnamasari, D., Bunawan, N., Suseno, D., Rinaldi, I., & Dillon, D. (2022) · Nutrition Research and Practice · doi:10.4162/nrp.2023.17.2.218 · Cited by 3 · see citing works
“, infection, pressure ulcer), decreased food intake (procedure-related dietary restriction, underlying disease, or medication side effect), and increased inflammation that would lead to increased weight loss during hospitalization [3,23].”
BackgroundNutritional deficiency during colonoscopy preparation: the forgotten iatrogeny
Nunes, G. F. D., Barata, A. T., Santos, C. A., Patita, M., & Fonseca, J. (2018) · Revista Española de Enfermedades Digestivas · doi:10.17235/reed.2018.5140/2017 · Cited by 6 · see citing works
Using an interactive nutrition technology platform to predict malnutrition risk
Fisher, E., Luscombe, G. M., Schmidt, D. D., Brown, L., & Duncanson, K. (2022) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.13088 · Cited by 5 · see citing works
Estratégias gastronômicas para melhorar a aceitabilidade de dietas hospitalares: Uma breve revisão
Fischer, C. D. C., Flor, K. D. O., Zago, L., & Miyahira, R. F. (2021) · Research Society and Development · doi:10.33448/rsd-v10i5.15138 · Cited by 5 · see citing works
Stollhof, L. E., Braun, J.-M., Ihle, C., Schreiner, A. J., Kufeldt, J., Adolph, M., Wintermeyer, E., Stöckle, U., & Nussler, A. K. (2019) · EXCLI journal · doi:10.17179/excli2019-1256 · Cited by 5 · see citing works
“The financial burden of malnutrition was the focus of several other studies, and various published data demonstrated an annual deficit of between € 35,280 and € 184,032 for some relevant institutions (Löser, 2010; Lim et al., 2014; Konturek et al., 2015; Leon-Sanz et al., 2015; Thomas et al., 2016).”
BackgroundResultNutritional Status of Lebanese Hospitalized Patients With Chronic Disease: A Cross-Sectional Study
Choueiry, G., Fattouh, N., Hallit, R., Kazour, F., Hallit, S., & Salameh, P. (2019) · Hospital Pharmacy · doi:10.1177/0018578719867664 · Cited by 4 · see citing works
Koyuncu, A. (2018) · Turkish Journal of Thoracic and Cardiovascular Surgery · doi:10.5606/tgkdc.dergisi.2018.15787 · Cited by 4 · see citing works
Moti, B. K., Atomsa, G. E., & Tesso, D. W. (2025) · BMC Nutrition · doi:10.1186/s40795-025-01000-w · Cited by 3 · see citing works
“Responsibility for malnutrition management needs more support from healthcare professionals (HCPs) to effectively monitor and treat malnutrition timely through comprehensive nutritional care which helps early recover of patients, save financial interest of the hospital [5, 7, 8, 23, 26, 27].”
Ferreira, I. B., Lima, E. D. N. S., da Silva, N. C., Prestes, I. V., & Pena, G. D. G. (2019) · PLoS ONE · doi:10.1371/journal.pone.0219549 · Cited by 3 · see citing works
Factors associated with patient weight loss and prescribed diet during hospitalization.
Leandro-Merhi, V. A., de Aquino, J. D. B., Bertelli, H. D., Ramos, G. G., Mendes, E. T., & Mendonça, J. A. (2021) · Nutrición Hospitalaria · doi:10.20960/nh.03249 · Cited by 2 · see citing works
“Other findings report that hospitalized patients may suffer from inadequate nutritional therapy, and the risk of developing malnutrition may increase during hospitalization (29).”
BackgroundResultInfluentialErnährungsberatung im Spannungsfeld zwischen Klinik und ambulanter Versorgung
Weiss, H. (2019) · Aktuelle Ernährungsmedizin · doi:10.1055/a-0894-1224 · Cited by 2 · see citing works
“Gleichzeitig ermöglicht das routinemäßige Screening mit validierten Screeningtools eine Codierung und Abbildung der Mangelernährung im DRG-System (diagnosebezogene Fallgruppen) [7].”
BackgroundInfluentialAlmeida, N. B., Oliveira, S. B., Pereira, C. P., Bandeira, I., & Souza, S. A. D. (2023) · Revista da Associação Brasileira de Nutrição - RASBRAN · doi:10.47320/rasbran.2023.1724 · Cited by 2 · see citing works
“0,383 0-7dias 14 (35,0) 36 (39,5) 25 (40,3) 10 (37,0) 8-14 dias 11 (27,5) 22 (24,2) 17 (27,4) 11 (40,8) >15 dias 15 (37,5) 33 (36,3) 20 (32,3) 6 (22,2)”
Malnutrition of patients at hospital admission: prevalence and importance of early detection
Baraglia, N., Campos, P., Fellet, A., Balaszczuk, A., Arreche, N. D., & Cernadas, G. (2020) · Integrative Food Nutrition and Metabolism · doi:10.15761/ifnm.1000279 · Cited by 1 · see citing works
“This is associated with increased costs for the institution and society [20].”
BackgroundNUTRITIONAL RISK SCREENING IN GASTROENTEROLOGICAL PATIENTS AT THE RIJEKA UNIVERSITY HOSPITAL CENTRE
Žeželj, S. P., Malec, D., Janko-Labinac, D., Vranić, T. Š., Balog, G. M., Schnurrer-Luke-Vrbanić, T., Mance, T. Č., Kovačević, D., & Cvijanović-Peloza, O. (2020) · Acta Clinica Croatica · doi:10.20471/acc.2020.59.04.09 · Cited by 2 · see citing works
Prehabilitation intervention for patients undergoing elective colectomy
Taniguchi, H., Kamada, T., Sato, T., Ueda, T., & Yamamoto, T. (2021) · Medicine Case Reports and Study Protocols · doi:10.1097/md9.0000000000000187 · Cited by 2 · see citing works
Food, Nutrition and Hydration Policy For Adult Patients in Acute Hospitals
Quality, H., & Lead, A. O. S. (2018) · Cited by 2 · see citing works
AYDIN, H., & Kaya, N. (2021) · Journal of Contemporary Medicine · doi:10.16899/jcm.975869 · Cited by 1 · see citing works
“In a study conducted by Konturekt et al.[15] it was found that the length of hospital stay was significantly shorter in the well-fed patients (4.”
InfluentialZahedi, H., Parkhideh, S., Sadeghi, O., Mehdizadeh, M., Roshandel, E., Cheraghpour, M., Hajifathali, A., & Shadnoush, M. (2023) · BMC Nutrition · doi:10.1186/s40795-023-00809-7 · Cited by 1 · see citing works
“We also found a significant association between nutritional risk and lower BMI in line with earlier studies [27, 28, 30, 31, 33].”
ResultHunger-free hospital initiative: fighting “the skeleton in the hospital closet”
Xin, W., Yang, Y., & Shi, H.-P. (2022) · Precision Nutrition · doi:10.1097/pn9.0000000000000018 · Cited by 2 · see citing works
Malnutrition in Non-Hodgkin Lymphoma Patients at Dr. Hasan Sadikin General Hospital Bandung
Ardinal, A. P., Wiramihardja, S., & Wijaya, I. (2019) · Althea Medical Journal · doi:10.15850/amj.v6n1.1521 · Cited by 1 · see citing works
„Notfallanästhesie“ beim hochbetagten Patienten
Olotu, C. (2019) · Medizinische Klinik - Intensivmedizin und Notfallmedizin · doi:10.1007/s00063-019-00635-5 · Cited by 1 · see citing works
Risk factors for malnutrition among hospitalized gastroenterological patients
Roganović, B., Perić, S., Petrović, S., Roganovic-Saric, A., & Roganovic, A. (2020) · Vojnosanitetski pregled · doi:10.2298/vsp200605085r · Cited by 1 · see citing works
TATAR, K. K., Sivritepe, R., & Basat, S. (2021) · Namık Kemal Tıp Dergisi · doi:10.4274/nkmj.galenos.2021.92486 · Cited by 1 · see citing works
Micronutrient content in the diet of patients in psycho-neurological hospitals in Latvia
Beitāne, I., & Marisheva, A. (2020) · World Journal of Advanced Research and Reviews · doi:10.30574/wjarr.2020.6.1.0076 · Cited by 1 · see citing works
“2 hospitalized patients, including psycho-neurological hospital patients, are at risk of malnutrition in hospital [10].”
Backgroundisk of malnutrition and oral nutritional support in a cohort of hospital inpatients
Martínez-Matsumoto, P., Castillo‐Martínez, L., Vera, I., Tello-Santillán, J., Reyes-Ramírez, A. L., & Serralde-Zúñiga, A. E. (2022) · Revista Española de Nutrición Humana y Dietética · doi:10.14306/renhyd.26.2.1635 · Cited by 1 · see citing works
Sundari, B. , Rizqiawan, A., Amelia, W. R., Leoni, A. P., Syauqy, A., Laksmi, P. W., Wijayanti, A., & Nofi, L. S. (2023) · Gizi Indonesia · doi:10.36457/gizindo.v46i1.756 · Cited by 1 · see citing works
Perfil nutricional dos pacientes internados em um hospital universitário da Paraíba
Medeiros, N., Temóteo, A. J. D. S., Dantas, J. L. D. S., Rocha, C., de Lima, I. M., Magalhães, P., & Etto, L. Y. (2021) · Braspen Journal · doi:10.37111/braspenj.2021.36.1.06 · Cited by 1 · see citing works
“Em um estudo alemão, concluiu-se que pacientes sem sintomas gastrintestinais apresentam três vezes menos chance de serem malnutridos durante a internação, estabelecendo tais sintomas como fatores de risco 15 .”
BackgroundMikkelsen, S. L. (2024) · doi:10.54337/aau696006129 · Cited by 1 · see citing works
Exploration of Malnutrition Coding Practices at Nebraska Medicine
Becker, F. C. (2016) · DigitalCommons@UNMC
Personalized Anesthesia for the Elderly
Salehi, A. A. (2020) · Springer eBooks · doi:10.1007/978-3-030-53525-4_15
Lubis, N. D. A., Sianturi, C. T., & Balatif, R. (2021) · Buletin Farmatera · doi:10.30596/bf.v6i1.4446
Nag, S. M., Bhowmick, S., Bhowmick, S., Deb, U., Kundu, D., Ray, K., & Purkayastha, S. K. (2021) · medRxiv · doi:10.1101/2021.07.21.21260904
“It has been observed that malnutrition prolongs hospitalization periods.([7]) Diagnosis and management of malnutrition, therefore, must be included in management of hospitalized COVID-19 patients.”
da Mota, M. B. F., Sousa, B. M. D. S., Pereira, T. B., Cruz, I. C. L., Natário, J. A. A., Souza, I. M. V., Neta, A. L. M., Gomes, G. D. S., Machado, F. D. M. F., de Faria, E. C., et al. (2021) · doi:10.22533/at.ed.65621101227
Zhao, V. M., & Ziegler, T. R. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-818460-8.00031-9
The Importance of Nutritional Support for Hospitalized Older Adults
Maeda, K. (2021) · Nihon Naika Gakkai Zasshi · doi:10.2169/naika.110.1184
Rodrigues, T. W., Hammes, T. O., Dall’Alba, V., & Strasburg, V. J. (2024) · Saúde (Santa Maria) · doi:10.5902/2236583471170
Hemşirelerin Nütrisyonel Değerlendirmede Tutum, Bilgi Düzeyleri ve Bakım Kalitesi Algıları
Balcı, H., Yılmaz, E., Başer, G., & Ünal, G. (2025) · Hemşirelikte araştırma geliştirme dergisi. · doi:10.69487/hemarge.1604273
Shakhshir, M. H., & Alkaiyat, A. S. (2023) · Figshare · doi:10.6084/m9.figshare.22620383
Shakhshir, M. H., & Alkaiyat, A. S. (2023) · Figshare · doi:10.6084/m9.figshare.22620380
基礎研究が臨床にどのように生かされているのか―管理栄養士の立場から―
上島順子 (2026) · The Japanese Journal of SURGICAL METABOLISM and NUTRITION · doi:10.11638/jssmn.60.2_25
Moti, B. K., Egata, G., & Wirtu, D. (2026) · Nutrition (Burbank, Los Angeles County, Calif.) · doi:10.1016/j.nut.2026.113442
- Authors
- Konturek, P. C., Herrmann, H. J., Schink, K., Neurath, M. F., & Zopf, Y.
- Affiliations
- Jena University Hospital (DE)
- Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
- Corresponding author
- Konturek, Peter C.
- Venue
- Medical Science Monitor
- Published
- 2015
- Volume
- 21
- Pages
- 2969-2975
- ISSN
- 1234-1010 (ISSN-L)
- 1643-3750
- PMC
- PMC4596423
- OpenAlex
- W1935959254
- Cited by
- 82
- References
- 29
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 11 · 2022: 7 · 2021: 16 · 2020: 11 · 2019: 12 · 2018: 6 · 2017: 6 · 2016: 5
- FWCI
- 5.46
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Medical Science Monitor (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
- Keywords
- malnutrition, hospitalized patients, malnutrition prevalence, nutritional risk screening, Subjective Global Assessment, daily calorie intake, risk factors for malnutrition, immobility, bed rest, depression, dementia, liver disease, gastrointestinal diseases, nutritional therapy, DRG reimbursement
- MeSH terms
- Adult, Aged, Energy Intake, Dementia, Depression, Female, Germany, Hospitalization, Hospitals, Humans, Male, Mass Screening, Middle Aged, Nutritional Status, Risk Factors, Prevalence, Nutritional Support, Malnutrition
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
