clinicalnutrition.science

Data protection

Form data

Data entered is not stored either locally or on the server and is used only for the calculation of displayed results.

Google Analytics

Our website uses Google Analytics, a service provided by Google Inc., 1600 Amphitheatre Parkway, Mountain View, CA 94043, United States. Google Analytics uses “cookies”, which are text files placed on your computer, tablets or mobile devices, to help the website analyse how users use the site.

The information generated by the cookie about your use of the website (date and time of request, location and frequency of access requests, origin, language, operating system, browser, click behaviour, visitor source, resolution of computer, length of time spent on website including your anonymised IP address) will be transmitted to and stored by Google on servers in the United States.

Our website makes use of Google Analytics with an IP anonymisation function. This means that your IP address is shortened and thus anonymised by Google within Member States of the European Union and in countries that are party to the Agreement on the European Economic Area. In exceptional cases only, the full IP address is sent to and shortened by Google servers in the USA.

On behalf of the website provider, Google will use this information for the purpose of evaluating your use of the website, compiling reports on website activity for website operators and providing other services relating to website activity and internet usage to the website provider.

Google may transmit this information to third parties if so required by law or when third parties are commissioned by Google to process the data. Google has stated that the IP address transmitted by your browser in relation to Google Analytics will not be associated with other data by Google.

You may refuse the installation of cookies by selecting the appropriate settings on your browser. However, please note that if you do this, you may not be able to use the full functionality of this website.

Google offers a deactivation option for the most commonly used browsers. If you activate the deactivation option, no information about your visit to the website will be transmitted to Google Analytics. However, activating the deactivation option does not prevent information being transmitted to us or to other web analysis services we may use. For further information about the deactivation option provided by Google and about activating this option, please click on the following link: https://tools.google.com/dlpage/gaoptout?hl=en-GB.

By using this website, you explicitly agree to your data being processed by Google in accordance with the Google Analytics Terms of Service: https://www.google.com/analytics/terms/us.html.

Evidence-based management of nutritional deficiency

Content and purpose of this website

Clinicalnutrition.science is an independent website with the aim of providing support to healthcare professionals in the nutritional management in clinical practice:

  • NutriScreen: Recognised/validated and widely used screening tools to identify patients with manifest malnutrition or at increased risk of malnutrition.
  • NutriGo: Application-oriented practical recommendations for nutrition therapy in different clinical situations based on current guidelines
  • NutriCalc: Calculation of protein and energy requirements using established formulas
  • NutriBib: Reference work for leading, current and selected literature in the field of clinical nutrition

Malnutrition

In Switzerland, 20-30% of hospitalised medical patients have manifest malnutrition or an increased risk of energy and protein malnutrition as assessed by the Nutritional Risk Screening (NRS 2002) score 1, 2. Compared to non-malnourished patients, malnourished patients show an increased rate of complications, a longer duration of hospital stay, a poorer quality of life, a loss of body function and an increased mortality 3. Malnutrition is often disease-associated, but can be specifically treated.

Goals of malnutrition management


The focus lies on early identification of patients at risk of malnutrition, in-depth assessment and immediate initiation of adequate individual (nutritional) therapy to improve and maintain functionality and quality of life, and to reduce complications and mortality. Nutritional management is a multi-professional team effort and should be carried out in cooperation between nursing, dieticians, doctors and other therapists.

References

  1. Kondrup J, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003;22(3):321-36.
  2. Imoberdorf R, et al. Prevalence of undernutrition on admission to Swiss hospitals. Clin Nutr 2010; 29: 38–41.
  3. Felder S, et al. Association of nutritional risk and adverse medical outcomes across different medical inpatient populations. Nutrition 2015; 31: 1385–93.

List of abbreviations

NRS  Nutritional risk screening

List of abbreviations

AF Activity factor
DF Disease factor
EFFORT  Effect of Early Nutritional Therapy on Frailty, Functional Outcomes and Recovery of Undernourished Medical Inpatients Trial
GFR Glomerular filtration rate
NRS Nutritional risk screening
RDA Recommended daily allowance
REE Resting energy expenditure