It has been recognised for many years that patients with chronic parenchymal liver disease are malnourished. Dr Roger Williams and his colleagues at King's were one of the first to formally document nutritional status in their patients when O'Keefe et al' reported that significant numbers of their patients had clinical, biochemical, haematological and immunological variables thought to be indic...

· To understand the importance of weight loss and nutritional depletion in Chronic Obstructive Pulmonary Disease; · To develop an overview of the results of clinical trials of nutritional support in COPD; · To understand the aims of nutritional support in COPD and how support programmes might integrate with other therapies; · To understand the reasons why nutritional support programmes might be...

BACKGROUND AND OBJECTIVE Nutritional assessment in the elderly is difficult and different from that performed in younger people. There are specific tools for that purpose, such as the Geriatric Nutritional Risk Index (GNRI). The study objective was to compare this index to the Nutritional Risk Index (NRI). MATERIALS AND METHODS A retrospective, observational analytical study including 113 hos...

Background. Oral intake of many patients with locally advanced head and neck cancer (LAHNC) decrease during chemoradiotherapy (CRT). Although prophylactic percutaneous endoscopic gastrostomy (PEG) is recommended, not a few patients complete CRT without using PEG tube. Patients and Methods. The subjects were patients with LAHNC who received CRT. We retrospectively investigated the incidence and ...

INTRODUCTION Nutritional support generates complications that must be detected and treated on time. OBJECTIVE To estimate the incidence of some complications of nutritional support in patients admitted to general hospital wards who received nutritional support in six high-complexity institutions. METHODS Prospective, descriptive and multicentric study in patients with nutritional support; t...

INTRODUCTION The nutritional registries are data bases through which we obtain the information to understand the nutrition of populations. Several main nutrition societies of the world have these types of registries, outstanding the NADYA (Home artificial and Ambulatory nutrition) group in Spain. The object of this study is to determine by means of a systematic review, the existent scientific p...

Establishing criteria for hospital nutrition care ensures that quality care is delivered to patients. The responsibility of the Hospital Food and Nutrition Service (HFNS) is not always well defined, despite efforts to establish guidelines for patient clinical nutrition practice. This study describes the elaboration of an Instrument for Evaluation of Food and Nutritional Care (IEFNC) aimed at di...

PN (parenteral nutrition) should be standardised to ensure quality and to reduce complications, and it should be carried out in consultation with a specialised nutrition support team whenever possible. Interdisciplinary nutrition support teams should be established in all hospitals because effectiveness and efficiency in the implementation of PN are increased. The tasks of the team include impr...

In critical care, malnutrition has a significant, negative impact on a patient's ability to respond to medical treatment. Enteral nutrition is known to counteract the metabolic changes associated with critical illness that increase the risk for serious complications and poor clinical outcomes. Inadequate delivery of nutrition support and underfeeding persist in intensive care units despite the ...