Evaluation of nutritional assessment quality and rate of referral to dietitian in Shariati hospital, Tehran-Iran: A clinical audit
Background: Malnutrition is an acute or chronic nutritional status resulting from an imbalance in the intake that is associated with over-nutrition and inadequate intake, leading to changes in the composition or reduced function of the body. Bio-social conditions, and acute and chronic diseases are the most important factors affecting nutrition and can cause malnutrition. It has suggested that awareness about the prevalence and severity of malnutrition in hospitalized patients can be used by managers to understand the causes, health care systems requirements and health plans.
Methods: Medical records of 483 patients from 11 different wards was assessed to evaluate the rate of nutritional assessment form fill out and referral to nutrition experts by physicians. This study consisted of two stages. Patients were evaluated in term of initial nutritional assessment and accuracy of malnutrition screening forms completion, respectively.
Results: Our study showed no initial nutritional assessment for 34% of the patient in the first phase. Assessment of the accuracy of malnutrition screening items completion showed that there is considerable error in report of BMI (66%), weight loss (51%), appetite loss (50%) and severity of patient’s situation (39%). Also, the rate of referral to nutritionist was zero and one percent in first and second phase of the study, respectively.
Conclusion: Present study showed that the rate of nutritional screening and subsequently referral to nutrition expert for professional nutritional assessment is negligible in Shariati hospital Tehran-Iran.
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