Reply - Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality

Lim, Su Lin & Daniels, Lynne (2013) Reply - Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clinical Nutrition, 32(3), pp. 489-490.

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Dear Editor

We thank Dr Klek for his interest in our article and giving us the opportunity to clarify our study and share our thoughts.

Our study looks at the prevalence of malnutrition in an acute tertiary hospital and tracked the outcomes prospectively.1 There are a number of reasons why we chose Subjective Global Assessment (SGA) to determine the nutritional status of patients. Firstly, we took the view that nutrition assessment tools should be used to determine nutrition status and diagnose presence and severity of malnutrition; whereas the purpose of nutrition screening tools are to identify individuals who are at risk of malnutrition. Nutritional assessment rather than screening should be used as the basis for planning and evaluating nutrition interventions for those diagnosed with malnutrition. Secondly, Subjective Global Assessment (SGA) has been well accepted and validated as an assessment tool to diagnose the presence and severity of malnutrition in clinical practice.2, 3 It has been used in many studies as a valid prognostic indicator of a range of nutritional and clinical outcomes.4, 5, 6 On the other hand, Malnutrition Universal Screening Tool (MUST)7 and Nutrition Risk Screening 2002 (NRS 2002)8 have been established as screening rather than assessment tools.

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ID Code: 59962
Item Type: Journal Article
Refereed: Yes
Keywords: Malnutrition , Outcomes, Diagnosis-related groups, Subjective Global Assessment, Cost
DOI: 10.1016/j.clnu.2012.12.014
ISSN: 0261-5614
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NUTRITION AND DIETETICS (111100)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Exercise & Nutrition Sciences
Copyright Owner: Copyright 2013 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
Copyright Statement: This is the author’s version of a work that was accepted for publication in the journal, Clinical Nutrition. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Clinical Nutrition, Volume 32, Issue 3, June 2013, Pages 489-490. DOI: 10.1016/j.clnu.2012.12.013
Deposited On: 14 May 2013 01:57
Last Modified: 30 May 2013 03:17

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