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    Nutritional screening : pitfalls of nutritional screening in the injured obese patient

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    Date
    2004-08
    Author
    Davidson, Isobel
    Smith, Sara
    Metadata
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    Citation
    Davidson, I. & Smith, S. (2004) Nutritional screening : pitfalls of nutritional screening in the injured obese patient, Proceedings of the Nutrition Society, vol. 63, , pp. 421-425,
    Abstract
    The introduction of the process of nutritional screening into clinical standards has been driven by the increasing awareness of the prevalence of undernutrition in acute and primary care, along with its associated morbidity and mortality. However, the increasing prevalence of obesity in the general population suggests that an increased number of patients admitted to hospital will be obese. Increased morbidity has also been reported in the injured obese patient and may be associated with poor nutritional support. This situation may occur because the profound metabolic disturbances accompanying trauma in this group are not recognised, and subsequent feeding practices are inappropriate. Screening tools currently classify patients by using simple markers of assessment at the whole-body level, such as BMI. Subsequently, patients are identified as at risk only if they are undernourished. Such comparisons would by definition classify injured obese patients as at minimal or no nutritional risk, and they would therefore be less likely to be re-screened. This approach could result in potential increases in morbidity, length of rehabilitation and consequent length of hospital stay. It is likely that the identification of potential risk in obese injured patients goes beyond the measurement of such indices as BMI and percentage weight loss, which are currently utilised by the majority of screening processes.
    Official URL
    http://dx.doi.org/10.1079/PNS2004371
    URI
    http://www.cambridge.org/uk/default.asp
    URI
    https://eresearch.qmu.ac.uk/handle/20.500.12289/103
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    • Dietetics, Nutrition and Biological Sciences

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