A re-audit to evaluate the use of nutrition screening tool in the National Spinal Injuries Centre (NSIC) at Stoke Mandeville Hospital
2015; Elsevier BV; Volume: 10; Issue: 5 Linguagem: Inglês
10.1016/j.clnesp.2015.03.048
ISSN2405-4577
AutoresS. S. Wong, T. Banda, D. Green, Angus Forbes,
Tópico(s)Trauma and Emergency Care Studies
ResumoMalnutrition is common in patients with spinal cord injuries (SCI) (1). National guidelines (2) have set recommend standards for nutrition screening in patients with SCI. Previous audit was carried out in 2011 to assess the use of nutrition screening tool: Spinal Nutrition Screening Tool (SNST) and found that the use was improving (3). The present audit aimed to assess (1) the use of SNST and; (2) if there is any improvement since the last audit. 103 adults (mean age: 49.8 years, s.d: 17.3, 17.4% female) with SCI (53.4% tetraplegia; 61.2% complete SCI) were audited in during December 2012 to March 2013, on 5 in-patient wards. Data was collected by two trained professionals (nurse and dietitian) from individual patient notes using a standardised questionnaire. Eighty-three (80.5%) sets of notes have a SNST form. Seventy-five (72.8%) had their weight measured on admission, 72 (69.9%) had their height recorded and 77 (74.8%) had their SNST fully completed. At the time of audit, 50.6% (39/77) of patients were found at risk of undernutrition, 11.5% of patients had a body mass index less than 20 Kg/m2, and 19.4% of patients were found to have eaten less than half of their meal. Only 42 (40.7%) of patients had repeated nutrition screening as per national standard. 25 / 39 patients at undernutrition-risk were referred to dietitians. The current audit showed the use of NST has improved significantly in both wards [2011 v 2013: ward 1(A): 73.3% v 74.1 (20/27); ward 2(P): 33.3% v 66.7 (12/18)%; ward 3 (G): 77.3% v 84.2 (16/19)%; ward 4 (D): 47.6% v 69.6 (16/23); ward 5 (J): 81.3% v 100 (16/16)%; and in the NSIC [2009 v 2011 v 2013: 24% v 63.4%, 80.5%, p<0.001]. The present study identified the uptake of nutrition screening appeared to have shown improvement in the NSIC but with much still to be achieved. A nutrition steering group has been set up to monitor and evaluate the implementation of nutrition policy in SCIC on a continuing basis. References 1. Wong S et al (2012) Eur J Clin Nutr 66, 382-387. 2. NICE (2006) Nutrition Support in Adults: Oral nutrition support, enteral tube feeding and parenteral nutrition. NICE. 3. Wong S et al (2012) Gut 61, A89 PMO-038 DOI: 10.1136/gutjnl-2012-302514b.38
Referência(s)