Are We Identifying Malnutrition in Hospitalized Patients with Hematologic Malignancies? Results from a Quality Clinical Audit

Disease-related malnutrition (DRM) is highly prevalent among patients with hematologic malignancies. The aim of the present study was to evaluate the prevalence of DRM in hospitalized patients with hematologic malignancies and investigate the level of awareness of DRM among the medical team treating...

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Main Authors: Eftychia Kanioura, Ioannis-Georgios Tzanninis, Kalliopi-Anna Poulia, Aliki Stamou, Athanasios Liaskas, Dimitrios Politis, Athina Kaoura, Georgios Garefalakis, Nora Athina Viniou, Panagiotis Diamantopoulos
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Diseases
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Online Access:https://www.mdpi.com/2079-9721/10/3/40
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author Eftychia Kanioura
Ioannis-Georgios Tzanninis
Kalliopi-Anna Poulia
Aliki Stamou
Athanasios Liaskas
Dimitrios Politis
Athina Kaoura
Georgios Garefalakis
Nora Athina Viniou
Panagiotis Diamantopoulos
author_facet Eftychia Kanioura
Ioannis-Georgios Tzanninis
Kalliopi-Anna Poulia
Aliki Stamou
Athanasios Liaskas
Dimitrios Politis
Athina Kaoura
Georgios Garefalakis
Nora Athina Viniou
Panagiotis Diamantopoulos
author_sort Eftychia Kanioura
collection DOAJ
description Disease-related malnutrition (DRM) is highly prevalent among patients with hematologic malignancies. The aim of the present study was to evaluate the prevalence of DRM in hospitalized patients with hematologic malignancies and investigate the level of awareness of DRM among the medical team treating this group of patients. A cross sectional quality clinical audit took place in two hematology units of a tertiary university hospital. Inpatients were screened within 48 h of their admission using the Malnutrition Universal Screening Tool (MUST) to identify their nutritional risk, and they were reassessed to identify the implemented interventions during their hospitalization. One hundred eighty-five patients were included in the audit analysis. On admission, 37.3% of the audited population was identified as being at high risk of malnutrition according to the MUST score. Forty-nine (26.5%) patients reported reduced food intake during the past 5 days, while four (2.2%) reported no food intake. During the hospitalization, only five patients (2.7%) received nutritional support, as indicated. Low levels of awareness of the early detection and treatment of DMS were found. Moreover, the prevalence of DRM and low nutritional intake was reported to be low. Measures to increase awareness of DMR in the medical team and better coordination of the nutrition support teams is vital to ensure better management and early nutrition intervention in hematological patients.
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spelling doaj.art-7b47603943eb471088036880a13159582023-11-23T15:51:32ZengMDPI AGDiseases2079-97212022-07-011034010.3390/diseases10030040Are We Identifying Malnutrition in Hospitalized Patients with Hematologic Malignancies? Results from a Quality Clinical AuditEftychia Kanioura0Ioannis-Georgios Tzanninis1Kalliopi-Anna Poulia2Aliki Stamou3Athanasios Liaskas4Dimitrios Politis5Athina Kaoura6Georgios Garefalakis7Nora Athina Viniou8Panagiotis Diamantopoulos9Hematology Unit, First Department of Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, Ag. Thoma 17, 11527 Athens, GreeceHematology Unit, First Department of Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, Ag. Thoma 17, 11527 Athens, GreeceLaboratory of Dietetics and Quality of Life, Department of Food Science & Human Nutrition, School of Food and Nutritional Sciences, Agricultural University of Athens, 75 Iera Odos, 11855 Athens, GreeceHematology Unit, First Department of Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, Ag. Thoma 17, 11527 Athens, GreeceHematology Unit, First Department of Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, Ag. Thoma 17, 11527 Athens, GreeceHematology Unit, First Department of Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, Ag. Thoma 17, 11527 Athens, GreeceHematology Unit, First Department of Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, Ag. Thoma 17, 11527 Athens, GreeceHematology Unit, First Department of Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, Ag. Thoma 17, 11527 Athens, GreeceHematology Unit, First Department of Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, Ag. Thoma 17, 11527 Athens, GreeceHematology Unit, First Department of Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, Ag. Thoma 17, 11527 Athens, GreeceDisease-related malnutrition (DRM) is highly prevalent among patients with hematologic malignancies. The aim of the present study was to evaluate the prevalence of DRM in hospitalized patients with hematologic malignancies and investigate the level of awareness of DRM among the medical team treating this group of patients. A cross sectional quality clinical audit took place in two hematology units of a tertiary university hospital. Inpatients were screened within 48 h of their admission using the Malnutrition Universal Screening Tool (MUST) to identify their nutritional risk, and they were reassessed to identify the implemented interventions during their hospitalization. One hundred eighty-five patients were included in the audit analysis. On admission, 37.3% of the audited population was identified as being at high risk of malnutrition according to the MUST score. Forty-nine (26.5%) patients reported reduced food intake during the past 5 days, while four (2.2%) reported no food intake. During the hospitalization, only five patients (2.7%) received nutritional support, as indicated. Low levels of awareness of the early detection and treatment of DMS were found. Moreover, the prevalence of DRM and low nutritional intake was reported to be low. Measures to increase awareness of DMR in the medical team and better coordination of the nutrition support teams is vital to ensure better management and early nutrition intervention in hematological patients.https://www.mdpi.com/2079-9721/10/3/40disease-related malnutritionaudithematological malignanciesnutrition management
spellingShingle Eftychia Kanioura
Ioannis-Georgios Tzanninis
Kalliopi-Anna Poulia
Aliki Stamou
Athanasios Liaskas
Dimitrios Politis
Athina Kaoura
Georgios Garefalakis
Nora Athina Viniou
Panagiotis Diamantopoulos
Are We Identifying Malnutrition in Hospitalized Patients with Hematologic Malignancies? Results from a Quality Clinical Audit
Diseases
disease-related malnutrition
audit
hematological malignancies
nutrition management
title Are We Identifying Malnutrition in Hospitalized Patients with Hematologic Malignancies? Results from a Quality Clinical Audit
title_full Are We Identifying Malnutrition in Hospitalized Patients with Hematologic Malignancies? Results from a Quality Clinical Audit
title_fullStr Are We Identifying Malnutrition in Hospitalized Patients with Hematologic Malignancies? Results from a Quality Clinical Audit
title_full_unstemmed Are We Identifying Malnutrition in Hospitalized Patients with Hematologic Malignancies? Results from a Quality Clinical Audit
title_short Are We Identifying Malnutrition in Hospitalized Patients with Hematologic Malignancies? Results from a Quality Clinical Audit
title_sort are we identifying malnutrition in hospitalized patients with hematologic malignancies results from a quality clinical audit
topic disease-related malnutrition
audit
hematological malignancies
nutrition management
url https://www.mdpi.com/2079-9721/10/3/40
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