RSS-Feed abonnieren
DOI: 10.1055/s-2001-15034
Mangelernährung im Krankenhaus - Prävalenz, klinische Folgen, Budgetrelevanz
Malnutrition in hospital: prevalence, clinical consequences and relevant costsPublikationsverlauf
Publikationsdatum:
31. Dezember 2001 (online)
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Die Mangelernährung von Patienten stellt auch in den industrialisierten Ländern ein zunehmend relevantes Problem dar. Erstaunlicherweise gibt es im Gegensatz zu anderen westlichen Staaten für die Bundesrepublik Deutschland, mit Ausnahme weniger Studien in der Geriatrie, bisher keine ausreichend systematischen Untersuchungen über die Prävalenz der Mangelernährung in deutschen Kliniken sowie darüber hinaus über den Verlauf des Ernährungsstatus während eines Krankenhausaufenthaltes. Dabei gibt es schon seit den siebziger Jahren eine große Vielfalt von Studien aus anderen westlichen Ländern, die die große klinische Relevanz dieses Themas und seiner erheblichen Folgen für den klinischen Verlauf belegen [Tab. 1] [4] [8] [22] [34] [39] [42] [45]. Die frühzeitige Erfassung einer beginnenden Mangelernährung sowie eine konsekutive adäquate ernährungsmedizinische Basisbetreuung hat aufgrund unseres heutigen Wissensstandes nicht nur einen signifikanten Einfluss auf die individuelle Mortalität, Morbidität, Therapietoleranz, Komplikationsrate und damit die Prognose des Patienten, sondern führt in prospektiven klinischen Studien darüber hinaus auch zu einer hochsignifikanten Verkürzung der Krankenhausliegedauer und zu einer erheblichen Senkung der individuell entstehenden Kosten [8] [34] [35] [42].
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Korrespondenz
Prof. Dr. med. Christian Löser
Leitender Oberarzt, Leiter der Ambulanz für
Enterale und Parenterale Ernährung, I. Medizinische
Klinik, Christian-Albrechts-Universität
Schittenhelmstraße 12
24105 Kiel
Telefon: 0431/597-1281, -1394
Fax: 0431/597-1302
eMail: chr.loeser@1med.uni-kiel.de