Malnutrition in Hospital
• In 1859, Florence Nightingale: starving amongst plenty of food in hospitalized soldiers
• In 1970 malnutrition in hospital patients 35%, with 30-55% of patients entering acute
hospitals being at risk of malnutrition
• Malnutrition is a highly prevalent (+40%) condition in the acute hospital setting
(Australian and international studies)
Malnutrisi di Indonesia
• In Jakarta: 20-60% of RI patients in RSU are malnourished at admission and 69% tend to
decrease their nutritional status during ri in the hospital
• RSCM, 2009: 45.9% of patients in digestive surgery suffer from malnutrition
• RSHS: 71.8% of IPD patients malnutrition and 28.9% severe malnutrition
• The American Dietetic Assosiation (ADA): a preventive measure using standardized
procedures to identify patients who need specialized intervention
• The European Society for Parenteral and Enteral Nutrition (ESPEN): a fast and simple
process carried out by health workers in both hospitals and communities.
• American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.): The process for
identifying individuals who are malnourished or at risk of malnutrition to determine
whether it is necessary to conduct a more detailed nutrition assessment.
• Nutrition screening aims to identify patients:
1) at risk of malnutrition
2) no risk of malnutrition
3) special conditions
• Predicting nutritional screening outcomes:
1) Improvement/prevention of decreased mental and physical function
2) Reduces complications
3) Accelerates healing
4) Shortening treatment time
Nutritional Screening Tools
1) Simple
2) Efficient
3) Cheap
• In 1859, Florence Nightingale: starving amongst plenty of food in hospitalized soldiers
• In 1970 malnutrition in hospital patients 35%, with 30-55% of patients entering acute
hospitals being at risk of malnutrition
• Malnutrition is a highly prevalent (+40%) condition in the acute hospital setting
(Australian and international studies)
Malnutrisi di Indonesia
• In Jakarta: 20-60% of RI patients in RSU are malnourished at admission and 69% tend to
decrease their nutritional status during ri in the hospital
• RSCM, 2009: 45.9% of patients in digestive surgery suffer from malnutrition
• RSHS: 71.8% of IPD patients malnutrition and 28.9% severe malnutrition
• The American Dietetic Assosiation (ADA): a preventive measure using standardized
procedures to identify patients who need specialized intervention
• The European Society for Parenteral and Enteral Nutrition (ESPEN): a fast and simple
process carried out by health workers in both hospitals and communities.
• American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.): The process for
identifying individuals who are malnourished or at risk of malnutrition to determine
whether it is necessary to conduct a more detailed nutrition assessment.
• Nutrition screening aims to identify patients:
1) at risk of malnutrition
2) no risk of malnutrition
3) special conditions
• Predicting nutritional screening outcomes:
1) Improvement/prevention of decreased mental and physical function
2) Reduces complications
3) Accelerates healing
4) Shortening treatment time
Nutritional Screening Tools
1) Simple
2) Efficient
3) Cheap
