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Dtsch Med Wochenschr 2017; 142(14): 1038-1045
DOI: 10.1055/s-0042-111612
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© Georg Thieme Verlag KG Stuttgart · New York

Ernährung bei multimorbiden Patienten – Daten oder Meinungen?

Nutrition of Polymorbid Patients – Data or Opinions?
Mathias Plauth
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Publication History

Publication Date:
20 July 2017 (online)

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Abstract

Polymorbidity and old age are rather the rule than the exception in hospitalised patients. Malnutrition is common in such patients and should be identified by appropriate screening and assessment measures in order to devise a nutrition plan and act accordingly. Unlike in the UK or The Netherlands, malnutrition screening and nutrition teams are not mandatory for German hospitals. Malnutrition and, in particular, sarcopenia are indicators of a nutrition associated risk or increased morbidity and mortality. Malnutrition can affect patients of any medical discipline and, therefore, is managed most efficiently by the interdisciplinary and multiprofessional nutrition team. By this approach goal directed nutrition therapy can improve morbidity and mortality of hospitalised patients.

Multimorbidität und Mangelernährung sind zwei Phänomene, die mit dem Alter zunehmen und die Prognose deutlich verschlechtern. In Deutschland wird dem Problem der Mangelernährung hospitalisierter Patienten jedoch zu wenig Beachtung geschenkt. Der vorliegende Beitrag zeigt, wie Mangelernährung erfasst und mit ernährungsmedizinischen Maßnahmen behandelt werden kann.

Schlüsselwörter

Mangelernährung - Screening - Sarkopenie - Ernährungsberatung - Ernährungstherapie - enterale Ernährung - parenterale Ernährung - Ernährungsteam - Ernährungsmedizin

Key words

malnutrition - screening - sarcopenia - nutrition counselling - nutrition support - enteral nutrition - parenteral nutrition - nutrition team - nutritional medicine
 

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