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dc.contributor.authorDavidson, Isobel
dc.contributor.authorSmith, Sara
dc.date.accessioned2018-06-29T21:34:16Z
dc.date.available2018-06-29T21:34:16Z
dc.date.issued2004-08
dc.identifierER103
dc.identifier.citationDavidson, 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,
dc.identifier.issn0029-6651
dc.identifier.urihttp://dx.doi.org/10.1079/PNS2004371
dc.identifier.urihttp://www.cambridge.org/uk/default.asp
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/103
dc.description.abstractThe 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.
dc.format.extent421-425
dc.publisherCambridge University Press
dc.relation.ispartofProceedings of the Nutrition Society
dc.subjectNutritional screening
dc.subjectNutritional assessment
dc.subjectObesity
dc.subjectInjury
dc.titleNutritional screening : pitfalls of nutritional screening in the injured obese patient
dc.typearticle
dcterms.accessRightspublic
dc.description.facultysch_die
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dc.description.volume63
dc.identifier.doihttp://10.1079/PNS2004371
dc.description.ispublishedpub
dc.description.eprintid103
rioxxterms.typearticle
qmu.authorSmith, Sara
qmu.authorDavidson, Isobel
dc.description.statuspub
dc.description.number3


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